Care Home: Umbrella Homes

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What the care home does well Residents told us they are very happy living in the home. Comments included `I like living here`; `we are looked after well`; `they make sure that everyone is ok` and `it feels like one big family`. Residents are continually consulted on how the home runs and are able to influence decisions in the home. Relatives are very happy with the care and support being provided at the home. Comments included `relative is happy and well cared for`; complete satisfaction`; `very sensitive to individual needs and take a lot of time to ensure their residents lives are happy and fulfilled`; ` I believe it is gold star`; and `first class care and welfare at all times`. Residents have opportunities to take part in a wide range of activities and work placements. One relative told us `they go that extra mile in recognising a resident`s potential and actively encourage development of all attributes, be it through work or leisure activities which results in a very contented individual`. Health professionals provided positive feedback on the service. They told us `extremely caring and knowledgeable about their clients. I think they are extremely good` and `it is very committed to individuals and takes interest and responsibility for supporting the individual in every aspect`. Residents benefit from a friendly, experienced and stable staff team. Staff have good training opportunities which gives them the skills and knowledge they need to meet peoples` needs. Relatives commented `the staff are always willing to help and care`; `we have been particularly impressed by the quality of the staff at Umbrella`; `all the staff give individual attention and cater for all needs` and `everyone in Umbrella Homes gives loving kindness 100 percent and they deserve praise and support to match`. Care plans contain a good level of detail and are person centred. The home ensures that residents have the opportunity to take part in the development of their care plan. All of the homes are well maintained and create a warm, homely and comfortable atmosphere. Resident`s bedrooms are nicely personalised with their belongings that reflect their tastes and interests. What has improved since the last inspection? The home have obtained a new minibus for residents` use. An art group and drama group have been introduced at resident`s request. Residents requested a new kitchen in one of the homes. The kitchen has been replaced with the resident`s choice. The home has reviewed and updated its policies and procedures. What the care home could do better: The home identifies its own areas for improvement and manages them well.Further to the inspection, we recommend that the contact details for the Care Quality Commission should be inserted in the home`s complaints procedure. When recruiting staff, the home should record a ten year employment history and the date that new staff commence work in the home. Key inspection report Care homes for adults (18-65 years) Name: Address: Umbrella Homes 5 Everton Road Yeovil Somerset BA20 1UF     The quality rating for this care home is:   three star excellent 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: Alison Philpott     Date: 1 8 1 2 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 30 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 30 Information about the care home Name of care home: Address: Umbrella Homes 5 Everton Road Yeovil Somerset BA20 1UF 01935862900 NA rjbrooks@dsl.pipex.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Angela Brooks care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: 12A Everton Road is registered for 3 persons in category LD. 25 Everton Road is registered for 4 persons in category LD. 5 Everton Road is registered for 4 persons in category LD and 1 person in category LD and PD. 95 West Hendford is registered for 3 persons in category LD. Date of last inspection Brief description of the care home The Umbrella Homes comprises four houses situated in residential areas close to the centre of Yeovil, within walking distance of each other and of all the towns amenities. Each house provides single bedrooms with communal lounge, dining room, kitchen, bathroom, WC and garden. A few bedrooms have en-suite facilities. Each home provides residential care and support to adults with a learning disability. Facilities for physical disability needs are also provided in one of the houses that has a downstairs bedroom and bathroom. Care Homes for Adults (18-65 years) Page 4 of 30 15 1 Over 65 0 0 Brief description of the care home The service is provided and managed by Angela Brooks who ensures that the latest copy of the inspection report is made available to all current and prospective people using the service. The current fee scale is between £383 and £622 per week. Care Homes for Adults (18-65 years) Page 5 of 30 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: three star excellent 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 was an unannounced inspection which took place over 6 hours on 18th December 2009. Throughout the report the term we will be used as it is written on behalf of the Commission. On the day of the inspection, 14 people were living in the homes. 13 people were out for the majority of the inspection. One person was at home. As part of this inspection we received eight completed surveys from people who live at the home, two completed staff surveys and five completed health professional surveys. We also received ten letters from relatives. The home sent us their Annual Quality Assurance Assessment (AQAA). During the inspection we observed care practice, and spoke with people who live at the home, management and staff. Care Homes for Adults (18-65 years) Page 6 of 30 We viewed the accommodation and facilities at the home. We looked at two individual care plans, and looked at records relating to medication, finance and health & safety. The preferred term for the people who live in the home is residents. This is used throughout the report. The focus of this inspection visit was to inspect the relevant key standards under the Inspecting for Better Lives 2 framework. This focusses on outcomes for people living at the home. The quality of the service is measured under four ratings. These are excellent, good, adequate and poor. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: The home identifies its own areas for improvement and manages them well. Care Homes for Adults (18-65 years) Page 8 of 30 Further to the inspection, we recommend that the contact details for the Care Quality Commission should be inserted in the homes complaints procedure. When recruiting staff, the home should record a ten year employment history and the date that new staff commence work in the home. 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 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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 gathers information from a range of sources including the prospective resident, family, and health professionals to ensure that they will be able to meet all needs and preferences. Prospective residents are given the opportunity to spend time in the home. Evidence: Many of the residents have lived in the homes for many years. We looked at the information that the home had obtained about the last resident who moved into the home. The home had carried out a pre admission assessment to identify the individuals needs. Detailed information had also been obtained from the placing authority, the residents previous home, and their parents. The home invited the prospective resident to have a look around. They were able to meet staff and residents and stay for meals. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: The transition was carried out over several months. The bedroom was redecorated to meet the residents individual choice and taste. Care Homes for Adults (18-65 years) Page 12 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care and support plans are developed with the resident. Plans are highly individualised and include evidence that the home values improving outcomes for residents. Staff are fully committed in supporting individuals to lead purposeful and fulfilling lives as independently as possible. Residents make their own informed decisions and are able to take responsible risks in their daily lives. Evidence: We looked at two care and support plans. These contained a good level of detail and were person centred. They provide good information and guidance for staff to follow so that they know how to best support residents. The plans are written in a way that promotes independent living skills by detailing what residents need help with, when to provide prompts and what residents can do unaided. Care and support plans included residents likes and dislikes and their preferred daily routine. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: There was evidence that care plans had been explained to residents and they had been involved in the process. Residents had also signed their care plans. One of the residents writes their own six month review which includes what they have done and what they plan to do. It was evident from reading the care and support plans that residents had achieved goals they had set themselves. Residents told us that they can choose how to spend their time. One resident commented that they need some support to go out and another resident said they usually check with other people first. Staff told us the home provides an environment whereby residents are given the support to make individual decisions by having a person centred approach. There are regular residents meetings. We looked at the minutes of the last meeting where residents were able to put their views across and discuss what they would like to do. We looked at detailed risk assessments relating to shopping, personal care, activities, medication, domestics. These contained a good level of detail and highlighted any support needed. Care Homes for Adults (18-65 years) Page 14 of 30 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. Residents are able to enjoy a full and stimulating lifestyle. The home has sought the views of residents and considered their varied interests when planning the routines of daily living and arranging activities both in the home and the community. Routines are very flexible and residents are able to make choices. Staff actively seek information to enable residents to access education and work. The home actively supports residents to be independent and involved in all areas of daily living in the home. Evidence: The home supports residents to access a wide range of opportunities and employment. Residents work in a variety of settings including charity shops, a nursery, a nursing home, and other retail shops. Some residents attend Yeovil Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: College. Other residents enjoy working on the homes smallholding where they work with animals and grow vegetables. A relative commented it is wonderful for them to have the opportunity to spend time at Hardington looking after the animals and helping in the garden. Other relatives told us we are highly impressed with the competence shown in enabling each of the residents to pursue their own lives and programmes. Individual enthusiasms and projects can be encouraged, dreams can be dreamt and realised; they go that extra mile in recognising a residents potential and actively encourage development of all attributes, be it through work or leisure activities which results in a very contented individual. A health professional commented promote independence and ensure individual activities. We viewed the art room which is available for everyone to access. There was lots of colourful artwork on display throughout the homes. A relative commented vast range of opportunities in art, craft and drama provided by the talented staff. The home has set up its own drama group. Residents took part in Jackie and the Bean Sprout in May 2009. The performance was filmed on DVD. There are plans to stage Dr.Who next. The homes are situated near the centre of Yeovil. Residents are able to access the local community by using public transport. The home has obtained a new minibus since the last inspection for outings. Residents chose the colour of the bus. A relative commented a supportive and stimulating community, real but appropriate independence, ample and varied opportunities to engage with the world at large. Residents have enjoyed outings to a football stadium, Cornwall, Air day, camping in Wiltshire and a holiday to the New Forest. The home supports residents in their personal relationships both in and outside of the homes. Relatives told us staff communication within the team, and with us parents, is excellent and x keeps in regular contact and joins us for family holidays when they choose. Staff told us that the home provides leisure activities that also involves and includes families and friends of the residents. We looked at the latest edition of the regular newsletter that is sent to families and friends to keep them informed of what is happening in the homes. This was interesting and informative. Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: Each home has a computer with internet access. Residents are able to e-mail family and friends. There is a house telephone in each home for residents to use. Most of the residents have their own mobile phones so they can keep in contact when they go out. All residents have keys to their bedrooms. Residents are supported to fully participate in shopping, cooking, cleaning, doing their laundry, and gardening. One relative commented residents keep the houses clean and tidy as they are all proud of where they live. We observed menus on display in the kitchens. The home discusses food preferences and choices. Residents are supported to prepare and cook their meals. Sometimes, residents from different houses meet up to eat a meal together to create a larger social event. Care Homes for Adults (18-65 years) Page 17 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual plans clearly record residents healthcare needs. Staff ensure that care is person led, support is flexible and meets the changing needs of residents. Residents benefit from good medication practices and are able to make decisions about the medication they take. Evidence: Residents told us they are very happy living at the home. Comments included I like living here; we are looked after well; and they make sure that everyone is ok. Residents preferences relating to how they wish to be supported were recorded in their individual care plans. Relatives told us that they are delighted with the care and support. Comments included we cannot fault the level of care, they have received, physically, medically and emotionally. It has been a joy to watch continued growth; in recent months there have been a few difficulties with x and their ability to cope with difficult Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: situations, but Richard, Angela and the staff have done an amazing job to deal with these particular problems and first class care and welfare at all times. Residents have access to a range of health professionals including doctor, dentist, optician, and chiropodist. Each resident has an individual file which contains all of their medical information. Health professionals are very happy with the healthcare support being provided. Comments included extremely caring and knowledgeable about their clients. I think they are extremely good;complex needs are managed very well, they always ensure access to medical attention and inform me immediately of any issues arising and it is very committed to individuals and takes interest and responsibility for supporting the individual in every aspect. Some of the residents manage their own medication. We looked at one residents medication and records where staff provide some support. We looked at the Medication Administration Sheets (MAR). There were no gaps in these. Medication checks are carried out monthly as part of the homes quality assurance system. Care Homes for Adults (18-65 years) Page 19 of 30 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 an open culture that allows residents to express their views and concerns. Residents and others involved with the service say that they are happy with the service provided, feel safe and well supported by an organisation that has their protection and safety as a priority. Evidence: The home has a complaints procedure. We looked at the procedure which was reviewed in March 2009. The contact details for the Care Quality Commission have not been inserted. Residents know who to speak to if they have any concerns. Any issues can also be discussed in residents meetings. The home has not received any complaints. One relative told us I have never had the need to complain but I would not hesitate to discuss any issues as their door is always open and their attitude positive and helpful. We found that staff recruitment files contained all of the required checks to protect residents from risk of abuse. The home has a whistleblowing policy and staff spoken with knew what to do if they suspected or witnessed abuse. Angela Brooks has attended the Managing a Safeguarding Incident training. Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: The home holds small amounts of monies for some of the residents. These are stored individually. We checked the balance of one residents monies and this was found to be correct. Transactions had been signed by the resident and a member of staff. Care Homes for Adults (18-65 years) Page 21 of 30 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 layout and design of the homes allows for small clusters of residents to live together. The homes are well maintained, comfortable and homely. There is good access to community facilities. Evidence: The home told us on the AQAA provide high quality accommodation based around individual residents needs and choices. A relative commented all the houses are in tip top condition. During the inspection, we viewed each of the four homes. Each of the homes provides a warm and homely environment with comfortable furnishings. Bedrooms were nicely personalised with items to reflect residents interests and tastes. Many of the residents displayed trophies and rosettes in their bedrooms to recognise their achievements. Each of the houses has pleasant shared spaces including a lounge, dining area, and kitchen. The kitchen in one of the houses has been replaced. Residents who live in the Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: home chose the new design. The loft has been converted in one of the homes to create an art room where residents can meet up for the regular art sessions. The home has ongoing maintenance and renewal plans. On the day of the inspection, a kitchen window was being replaced. The homes were clean and fresh throughout on the day of inspection. We observed that liquid soap was available. Care Homes for Adults (18-65 years) Page 23 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are carefully selected, many are very experienced and committed to providing an excellent care and support service. Evidence: During the inspection, we were invited to sit in on part of the regular staff meeting. It was evident from listening to discussions that staff work flexibly to ensure the residents can lead a fulfilling lifestyle. Staff were enthusiastic about their work. The home has a stable and experienced staff team. Many staff are celebrating long service of up to 20 years. Staff who started work at the home more recently told us they had been made to feel very welcome and had been well supported. Relatives commented we have been particularly impressed by the quality of the staff at Umbrella; all the staff give individual attention and cater for all needs and everyone in Umbrella Homes gives loving kindness 100 percent and they deserve praise and support to match. A team of staff work during the day to cover all the homes. A member of staff is based in one of the homes overnight. The management team provide on call support. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: One of the residents commented it feels like one big family. We observed warm and friendly interactions between staff and residents. We spoke with staff who had a good knowledge of the residents they support. Staff told us they are passionate about their work and keen to obtain the best outcomes for the residents. We looked at two staff recruitment files. These contained all of the required checks. The home had not explored the staffs employment history and gaps. It was not clear what date the staff had commenced work within the home. We spoke with a member of staff who was able to explain their recruitment and induction in detail. The home has developed its own induction workbook which meets the Skills for Care guidelines. This provides information that is personalised to the home and informs new staff about how the home works. Staff training is provided in first aid; food hygiene; health & safety; manual handling; Mental Capacity Act; Safeguarding Adults; medicines; and Diabetes. The manager confirmed that everyone is up to date with training. A health professional told us staff are well trained in dealing with learning disability issues. Staff told us they are pleased with the training opportunities they receive. Care Homes for Adults (18-65 years) Page 25 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Umbrella Homes have consistently provided a high quality service. The home is well run. The best interests and the safety of residents is paramount in the day to day service delivery and management of the home. Evidence: Mr & Mrs Brooks have owned and managed Umbrella Homes for many years. They have recently celebrated the 20th anniversary of the first resident moving into one of the homes. They both have previous relevant experience in the care industry. The home continues to be rated excellent with the Commission. A health professional told us I have been very impressed with the management of the home. Staff told us that they feel very well supported and always find the management approachable. Relatives commented we would like to say how helpful Mr Brooks and family are. The home supports the development of the Umbrella Homes Residents Trust. The Trust meets twice a year and monies are used to support the Umbrella Home Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: residents. Staff and management at the home speak to residents every day and maintain regular contact with families. The home completed and submitted their Annual Quality Assurance Assessment (AQAA) to the Commission. Medication checks are carried out monthly. The home has reviewed all of its policies and procedures during 2009. These have been updated where necessary. The home carries out weekly health & safety checks. We looked at health & safety records for portable appliance testing, electrical installation and gas safety. These checks were all up to date. We looked at detailed environment risk assessments. These are recorded and stored in each home. Accidents and incidents are recorded. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 2 22 34 The contact details for the Care Quality Commission should be inserted in the homes complaints procedure. The home should obtain a ten year employment history and record the date that new staff commence work in the home. Care Homes for Adults (18-65 years) Page 29 of 30 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. 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