Care Home: Villosa II

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What the care home does well Villosa II provides good quality personal and health care support to meet the individually assessed need of each service user. The home is effectively managed and staff are well trained and supported to enable them to provide a good service within a safe and homely environment. The home retains a stable group of staff whose numbers are adequate to meet the needs of the service users and to ensure the smooth running of the service.Recruitment procedures for newstaff are thorough with evidence of all the required checks having been made before new staff commence duties.The environment is well maintained and the home provides good individual and communal spaces with appropriate facilities provided according to individually assessed needs. Without exception the service users consulted confirmed that they were well cared for with comments such as `They ask me what I want to do I can choose `, and another just said `I like living here its my home`. What has improved since the last inspection? Since the last inspection a number of works of redecoration and refurbishment have been completed throughout the home. New chairs and an air conditioning unit and new soft furnishings have been provided in the sitting areas and these provide an attractive and homely environment.An Activity Organizer visits the home regularly to assist the staff deliver an enlarged activity programme which is individually tailored to meet the individual needs and interests of the service usersThe care plans have been reviewed and now contain more detail of each service users assessed needs presented in a more person centred format. The service users have involvement with the planning and review of their care plans. The requirements made at the last inspection have all been met. What the care home could do better: The home is well managed and the key standards are met. The manager is aware of the areas where further quality improvements could be achieved. Further developments to the personcentred format of the care plans should be made. The management must ensure that all the management procedures and checks that they carry out are fully recorded so as to fully evidence these to ensure the safety of the service users. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Villosa II 40 Tippendell Lane Chiswell Green St Albans Hertfordshire AL2 3HL 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: Jan Sheppard Date: 2 8 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 33 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: Villosa II 40 Tippendell Lane Chiswell Green St Albans Hertfordshire AL2 3HL 01727874169 01727874169 shanmugadasa@psycare.co.uk 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) : Psycare Limited care home 6 Number of places (if applicable): Under 65 Over 65 6 6 learning disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Villosa 11 is a detached chalet bungalow, which has been extended and converted into a Care Home for six people with a learning disability. The premises comprises of six single bedrooms, a combined lounge/dining room, separate kitchen and laundry room. The home also has a large conservatory on the side of the house with an easily accessible patio and garden area. The home is situated in a residential area on the outskirts of St Albans with a shopping parade, public house, sports centre and grassed activity centre nearby. The home is a short bus journey from the main City centre. The Service Users Guide and Statement of Purpose provide information about the service to prospective residents. Copies of the latest report from the CQC (Care Quality Commission) are available in the home. The fee range is from £1100 per week assessed according to individual needs. All the present service users are sponsored by Care Homes for Adults (18-65 years) Page 5 of 33 Hertfordshire County Council. Care Homes for Adults (18-65 years) Page 6 of 33 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 33 How we did our inspection: This is what the inspector did when they were at the care home The last inspection of this service was made on 21st July 2008. This inspection was unannounced and took place over six hours on a weekday. This was a key inspection that focused on the key standards of the Care Standards Act 2000 relating to Adults. This report is written using accumulated evidence gathered prior to the inspection including information contained in the AQAA ( Annual Quality Assurance Assessment) completed by the Manager, information given in the pre Page 8 of 33 Care Homes for Adults (18-65 years) inspection questionnaires and also takes account of statutory notifications sent periodically to us by the service. We made a tour of the building, had in depth discussions with the homes manager and we were able to speak with staff who were on duty. We met and spoke with all the service users. Spot checks were made on a number of the homes records and care plans. Care Homes for Adults (18-65 years) Page 9 of 33 What the care home does well Villosa II provides good quality personal and health care support to meet the individually assessed need of each service user. The home is effectively managed and staff are well trained and supported to enable them to provide a good service within a safe and homely environment. The home retains a stable group of staff whose numbers are adequate to meet the needs of the service users and to ensure the smooth running of the service. Recruitment procedures for new Care Homes for Adults (18-65 years) Page 10 of 33 staff are thorough with evidence of all the required checks having been made before new staff commence duties. The environment is well maintained and the home provides good individual and communal spaces with appropriate facilities provided according to individually assessed needs. Without exception the service users consulted confirmed that they were well cared for with comments such as They ask me what I want to do I can choose , and another just said I like living here its my home. Care Homes for Adults (18-65 years) Page 11 of 33 What has got better from the last inspection Since the last inspection a number of works of redecoration and refurbishment have been completed throughout the home. New chairs and an air conditioning unit and new soft furnishings have been provided in the sitting areas and these provide an attractive and homely environment. An Activity Organizer visits the home regularly to assist the staff deliver an enlarged activity programme which is individually tailored to meet the individual needs and interests of the service users Care Homes for Adults (18-65 years) Page 12 of 33 The care plans have been reviewed and now contain more detail of each service users assessed needs presented in a more person centred format. The service users have involvement with the planning and review of their care plans. The requirements made at the last inspection have all been met. What the care home could do better The home is well managed and the key standards are met. The manager is aware of the areas where further quality improvements could be achieved. Further developments to the person Care Homes for Adults (18-65 years) Page 13 of 33 centred format of the care plans should be made. The management must ensure that all the management procedures and checks that they carry out are fully recorded so as to fully evidence these to ensure the safety of the service users. 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 Jan Sheppard East Region Care Quality Commission Citygate Gallowgate Newcastle upon Tyne NE1 4PA Care Homes for Adults (18-65 years) Page 14 of 33 03000 616161 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 15 of 33 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 16 of 33 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use this service have a full assessment of their care needs and are able to visit and test drive the service before having to make any decision about admission. The home has a Service Users Guide and an up to date Statement of Purpose and prospective residents have all the appropriate information to enable them to make an informed choice. Evidence: There have been no new admissions to the home since the last inspection so it was not possible to examine recent documentation concerning any admission process. These standards have been met at previous inspections and it was clear in speaking with the manager that he had a sound understanding as to how admissions should be planned of the need for the home to beable to fully meet all the care needs both physical and emotional, of the necessity, it being a small home, that any new applicant must be compatible with the existing group of residents and of the agreement of the applicant themselves to enter the home. All the current service users have a contract and statement of terms and conditions concerning their stay in the home. Care Homes for Adults (18-65 years) Page 17 of 33 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 people who use this service have a person centred care plan that reflects a detailed and comprehensive record of their care needs, how these may be changing and how they will continue to be met. The people who use this service are supported to take risks as part of an independent life style. Risk assessments are regularly compiled and reviewed to ensure that they are kept safe . Evidence: All the three care plans examined were found to provide detailed information concerning the physical and emotional care needs and that this information was presented in a person centred format. Good evidence could be seen of the service users involvement with the compiling of their plans, by their signatures and marks, and service users who spoke with us confirmed their awareness of their plans. Risks were assessed and regularly reviewed. As well as providing guidance as to how staff can safely manage risks they also give detail as to what action is required should a risk occur and how this in future may be avoided.The manager told us that the home plans Care Homes for Adults (18-65 years) Page 18 of 33 Evidence: to further improve the person centred presentation of the care plans and that staff are to undertake further training on this later in the year. During our visit it was seen that the staff were working well with the service users discussing with them as to their wishes and choices and assisting them to lead safe and enjoyable lives.The service users we spoke with all told us that they liked living in the home and had plenty to do. Care Homes for Adults (18-65 years) Page 19 of 33 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people who use this service are able to choose to participate in a wide range of activities based on their individual needs and choices and they are supported appropriately by staff to use local community facilities. A healthy diet of freshly prepared food is provided in a manner that meets their individual needs and wishes. Evidence: All the service users have an individually planned day activities programme encompassing weekdays and some also have regular planned weekend activities including watching sporting events going bowling and visiting the local shopping centre.These programmes are presented in an individual pictorial activity planner and service users told us that they are able to choose activities that interest them and do things that they enjoy. Two day centres are accessed with service users participating in groups and classes of their choice with others of their similar age. An Activity Care Homes for Adults (18-65 years) Page 20 of 33 Evidence: Organiser visits the home regularly to run classes and to lead the homes staff in planning and running other activities. The staff support service users to access and enjoy appropriate community resources and often local buses are used for this. All the service users have family or friends in the community with whom they are able to have regular contact and the staff assist several to keep in touch by telephone and letters and also help them make regular trips to see or stay with them. One service user told us that the manager takes them to see their spouse who lives several hundreds of miles away and that he often does this on his day off and how much they enjoyed the visits. Visits are also made into the local area to the theatre the cinema the circus and each service user goes out to lunch on their day off. All the service users have the opportunity to take a holiday each year and a variety had been taken since the last inspection with destinations such as Bournmouth, France, Spain and Blackpool. Service users are able to choose if they go alone with staff or as a member of a small group. The home is fortunate in having its own small bus which assists with easy transport. Locally visits to Richmond Park, Hatfield House and to the Market in St. Albans town are often enjoyed. Staff explained that they try to help the service users to choose activities that will assist them to further develop their existing skills . One service user who enjoys cooking but who previously only had a limited range of dishes has been assisted to expand this number and now regularly cooks an evening meal for all the residents in the home. Service users who are becoming less active as they get older are encouraged through the planning of their daily activity programme to keep moving several were seen to go out on a group walk during our visit and others are taken bowling and to a local gym. Self care and personal enhancement is encouraged by the pampering group which several attend and during our visit service users were seen to be following their individual interests in their rooms these included listening to music doing board games and knitting. The weekly menu is chosen by the service users with oversight by staff and the GP will also assist with dietary advice. Meals are flexible with good choices seen to be available. Meals are unrushed and relaxed and adequate food stocks were seen in the kitchen cupboards and freezer. Particular food preferences and dietary needs are noted in the care plans. Fresh vegetables and meat are accessed regularly and some service users are able to help staff with the weekly shopping at a local store. We discussed with the manager how better arrangements for the storage of fresh and dry food stores could be effected in the space that is available. Care Homes for Adults (18-65 years) Page 21 of 33 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 care that people receive is based on their individual needs and they are treated with respect and dignity. The medication storage and administration systems are followed closely this to ensure that the people who use the service are not put at risk. Evidence: During our visit we saw that the people who use this service are supported by staff in an individual and respectful way and that personal care is delivered to them in the manner that they choose and request. Being a small home with a stable group of residents and staff who know them very well it was noticeable that staff and residents interacted warmly and with confidence in what was a homely family like atmosphere. It was noticeable that staff were able to help service users maintain their self esteem and through this confidence building approach help them to maintain and further develop their self care and living skills. People are supported with all aspects of their physical and emotional health and receive adequate and appropriate in put from specialists such as community nurses, mental health consultants, the GP, the psychology service, dentists, opticians and the chiropodist. The manager explained that he is currently working with a local GP who is updating the holistic health Care Homes for Adults (18-65 years) Page 22 of 33 Evidence: assessment for all of the service users, with their involvement, and is using where needed also the district nursing service. Whole life reviews for the service users with their social workers and their nominated care workers along with any relatives who wish to be involved are also carried out regularly. The records seen evidenced that staff work hard at maintaining good communications with relatives and enabling the service users to do this also. A robust policy and procedure is in place to support the safe administration storage and receipt of medicines. Spot checks made on these found them to be accurately maintained. The home has a Controlled medication cupboard and register and checks made on the controlled medication being administered on the day of this visit found that the records and the amounts of controlled medication tallied correctly. The homes records evidenced that all the staff who administer medication have been trained to do so and staff spoken with confirmed this. The manager now makes regular checks as to the accuracy of the medication administration records and checks the audit of the amounts of medicines received into and disposed out of the home. Care Homes for Adults (18-65 years) Page 23 of 33 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 . People who use this service are able to express their concerns, have access to an effective complaints procedure and they are protected from abuse. Evidence: The home has a clear complaints policy and procedures which is available in easy read picture format. This policy is available in the home and a copy was seen on the service users files. The manager explained that staff did go through what this procedure with the service users if an appropriate occasion arose. Service users spoken with seemed to be aware that they could make a complaint if anything went wrong and several said with confidence that they would speak with the manager directly. There have been no complaints in the home since the last inspection. Staff spoken with showed a good awareness of safeguarding and whistle blowing issues especially with this vulnerable resident group and they knew what their roles should be if they ever had any cause for concern. All the staff have undertaken training on adult protection and the records showed that regular updates to this training are given. No safeguarding incidents have arisen in the home since the last inspection. The home has contacts with a local Advocacy service but no service user currently has the need to have an advocate. All the staff have completed initial training concerning the Mental Capacity Act and the manager explained that they are now making a mental capacity assessment on all of the service users with a report for their file. Care Homes for Adults (18-65 years) Page 24 of 33 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 design and layout of the home enables people who use this service to live in a safe, well maintained and comfortable environment which encourages their independence. Evidence: The requirements and recommendations relating to this section made at the last inspection have all been met. Since the last inspection the programme of refurbishment and improvement to the home has continued. This has included redecorations of some bedrooms and communal areas, new furnishings in the lounge and in the conservatory, a new walk in shower has been fitted into one of the bathrooms, outside emergency lighting installed and automatic hand dryers in the bathrooms and toilets,and the renewal of several of the white goods in the kitchen. The back garden has been cleared and a new patio sitting area with attractive pagoda and a small raised area where it is intended to grow vegetables have been created. Gardeners were working at the home on the day of our visit and staff explained that they now make regular visits and that the service users now make much more use of the garden which provides an attractive space in which they can sit and relax. All the service users have single bedrooms which were seen to be well appointed and to be decorated and furnished in a style that was chosen by them. All the service users told us that they were happy with their rooms and two explained to us about new furnishing items that they were going to buy to further improve them. However the Care Homes for Adults (18-65 years) Page 25 of 33 Evidence: overall homely and domestic appearance of the home was somewhat let down by the large numbers on each of the bedroom doors which gave a very institutional appearance. Some rooms also had the occupants name indicated which was their choice and is a more acceptable way of identification of the rooms although being such a small home all the service users are very familiar with where their own rooms are to be found. The home at the time of this unannounced visit was found to be reasonably clean with no malodours. The staff assist the service users in completing the cleaning routine which they help to arrange. Some areas of the home, particularly the corridor, were rather untidy and it was discussed with the staff how the existing shelving and storage cupboard space could be better used so that items each had their place and how this might encourage service users and some staff to put items away tidily. The kitchen and laundry rooms are domestic in style but appear to meet the current needs of the service. It was seen that good attention was being given to infection control measures throughout the home with supplies of hand washing disinfectant gloves and aprons being freely available and guidelines as to the management of prevention measures against swine flue seen to be displayed for information for both staff and service users. Since the last inspection all the staff had attended refresher training on infection control measures. The manager said that following a recent environmental health inspection of the kitchen the company had decided to provide new furnishings and work surfaces which would generally upgrade the facilities in this area. It was seen from the homes records that other requirements made at that visit had already been met. Care Homes for Adults (18-65 years) Page 26 of 33 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 . People who use this service are cared for by experienced and trained staff who are themselves well supported and have sufficient skills to support the people who use the service. The recruitment policies and practices provide adequate safeguards to protect the service users. Evidence: The home is fortunate in retaining a stable core group of qualified and experienced staff and on the day of this visit it was seen that there were sufficient staff on duty to meet the needs of the residents and that they worked well together as a team to ensure the smooth running of the service. Training is on going and staff are encouraged to develop through the achievement of NVQ awards. A training matrix is in place to ensure that staff skills are regularly updated. staff confirmed that they receive a good level of training and all new staff complete an induction training initially. Over 70 of the care staff hold NVQ qualifications. All the full time staff hold NVQ at level 2 and some of the part time staff who are also nurses in training have also completed this. At night the home is always managed by a qualified member of staff. Many of the staff are very experienced and have worked at the home for many years. Recruitment records were examined and it was found that all the required checks had Care Homes for Adults (18-65 years) Page 27 of 33 Evidence: been made before new staff are allowed to commence their duties. The staff supervision records evidenced that supervision is planned and regular and that an annual appraisal is carried out. Staff told us that being such a small home they are always able to speak with a manager at the time a query may arise and that this enables a prompt resolution to any problem and quick adjustments to care routines to meet changing needs and circumstances to be made promptly. Service users spoken with told us that the staff were always very kind and helpful I like x staff member , one told us I can talk to her about anything. Care Homes for Adults (18-65 years) Page 28 of 33 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 . People who use this service benefit from living in a well run home where their views are listened to and acted on and where the welfare of both residents and staff are promoted. Evidence: The manager who is registered with the Commission holds the RMA ( Registered Managers Award) and is a qualified Registered Mental Nurse who has had many years experience working in the fields of both health and social care. He operates an open door policy and works shifts on occasions. This ensures a good insight into the service users needs whilst balancing the management requirements of the home. The home is fortunate in retaining a stable staff group and the service users benefit from a stable and familiar management team. The home has appropriate systems in place to enable good communication between staff and the people who use the service. Minutes of the staff meetings and of residents meetings evidenced that these are well attended with good participation covering all aspects of care delivery and personal development. The home has policies and procedures in place to ensure the safe keeping of service users personal monies and spot checks made on three of these found that the records Care Homes for Adults (18-65 years) Page 29 of 33 Evidence: were well kept receipts retained and that the amounts tallied. The home gives good priority to promoting the health safety and welfare of the residents through the regular maintenance of safety checks, training and record keeping. Spot checks that were made on a number of these records during this visit found that all the records inspected were kept secure and were up to date. The records of weekly fire bell testing a fire evacuation procedure and regular checks on water temperatures were seen to be in order. The company makes regular Regulation 26 visits to the home to assist and oversee the management and a Quality assurance monitoring system where feedback is regularly sought from residents, relatives and other professional visitors to the home is in place. The manager is aware that all aspects of his management work must be able to be fully evidenced with the appropriate records. Staff confirmed that they are always well supported by the manager. They said that they have regular supervision meetings and an annual appraisal and that they are able to discuss problems at any time. The ethos of the home is clearly to put the needs of the service users first and to support all the staff to do this also. Information given to us on the AQAA Annual Quality Assurance Assessment told us that Service users at Villosa II are treated as individuals with dignity and care. Staff understand and have a good awareness of their needs and by promoting self esteem in each individual service user regarding their beliefs, likes and dislikes they are helped to maintain their good quality of life. Care Homes for Adults (18-65 years) Page 30 of 33 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 31 of 33 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 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 32 of 33 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 33 of 33 - 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!