Care Home: West Hill Place

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What the care home does well This home understands the importance of having sufficient information when choosing a home. The statements of purpose and service user guide areWest Hill PlaceDS0000073019.V376126.R01.S.docVersion 5.2written in a format containing pictures and symbols so that the residents can clearly understand it. This service involves the residents in the planning of care that affects their lifestyle and quality of life, and the staff understands the importance of residents being supported to take control of their lives. The service has a strong commitment to enabling residents to develop or maintain their skills, including social, emotional, communication and independent living skills. Residents are supported to identify their goals and work to achieve them. People receive personal and healthcare support using a person centred approach with support provided based on the rights of dignity, equality, fairness, autonomy and respect. People are supported to maintain independence. The Mental Capacity Act and information on the Deprivation of Liberty is also available in this home in an easy read format, and includes information relating to `advanced decisions to refuse treatment. People who live in this home have confidence in the staff who care for them. The staffing allocation is based on delivering good outcomes for residents and is not led by staff requirements. The home has an open culture and encourages residents to express their views and concerns. The home provides a physical environment that is appropriate for the residents. The design allows for small clusters of people to live together a non institutional way, and promotes privacy, dignity and autonomy for the residents. The manager has a clear understanding of the key principles and focus of this service. He is enthusiastic and demonstrates a strong leadership role whilst developing a transparent service that is providing person centered care based on the views of the residents What has improved since the last inspection? This was the first inspection for this service. What the care home could do better: West Hill PlaceDS0000073019.V376126.R01.S.doc Version 5.2 We discussed the medication storage facilities with the manager, who told us that at present there is no appropriate storage for controlled drugs. He is aware this is a priority to address. Record of money coming in and money going out is in a small note book, however signatures and details of transactions are very limited. We discussed this with the manager who agreed that although this was only a temporary measure, it needed to be more robust. Key inspection report CARE HOME ADULTS 18-65 West Hill Place 21 West Hill Aspley Guise Milton Keynes Buckinghamshire MK17 8DP Lead Inspector Mrs Louise Trainor Key Unannounced Inspection 22nd June 2009 11:30 West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 1 This report is a review of the 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. 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 home adults 18-65 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. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 2 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 West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Hill Place Address 21 West Hill Aspley Guise Milton Keynes Buckinghamshire MK17 8DP 01908 584319 0871 2638146 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Zebra Care Homes Ltd Gareth Shorley Care Home 5 Category(ies) of Learning disability (5) registration, with number of places West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC. to service users of the following gender: Either. whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD The maximum number of service users who can be accommodated is 5 2. Date of last inspection New Service Brief Description of the Service: 21 West Hill Place is a small home owned by Zebra Care Homes Ltd. It is located in the village of Aspley Guise, on the boarders of Bedfordshire and Buckinghamshire. It has been converted from a domestic dwelling and provides facilities to accommodate up to five adults with Learning Disabilities, providing single bedroom accommodation, with shared bathing / showering facilities, a communal lounge, conservatory, dining area and kitchen. There is a large garden to the rear of the property, with a developing allotment area. There are local amenities in the village, with access to public transport routes enabling easy travel into the larger surrounding towns such as Milton Keynes, Luton and Bedford. The fees for this home start at £1000.00 per week. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection was carried out in accordance with the Care Quality Commission (CQC) policy and methodologies, which require review of the key standards for the provision of a care home for younger adults between 18 – 65 years of age that takes account of service users’ views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. This was the first Key Inspection for this service, since it registered with The Care Quality Commission in January of this year. It was carried out on the 22nd of June 2009, by Regulatory Inspector Mrs Louise Trainor, between the hours of 11:30 and 14:30 hours. The homes registered manager, Mr Gareth Shorley, was present for most the visit and feedback was given both during, and on completion of this inspection. During this inspection we tracked the care of the only resident presently living in this home. This involved reading their records and comparing what was documented, to the care that was being provided. We also looked at the pre admission work that had been done for one person who is due to be admitted to the home in the near future. Documentation and records relating to: staff recruitment, training and supervision, medication administration, complaints, quality assurance and health and safety in the home were also examined. We spent most of this inspection in the communal areas of the home, talking to staff and the resident, and observed the care practices that were carried out during this three and three quarter hour inspection. A full tour of the premises also took place. We would like to thank everyone involved for their support and assistance during this visit to the home. Although this home has been awarded a 2 star rating, our intention is to carry out a Key Inspection within the next year, as the occupancy increases. What the service does well: This home understands the importance of having sufficient information when choosing a home. The statements of purpose and service user guide are West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 6 written in a format containing pictures and symbols so that the residents can clearly understand it. This service involves the residents in the planning of care that affects their lifestyle and quality of life, and the staff understands the importance of residents being supported to take control of their lives. The service has a strong commitment to enabling residents to develop or maintain their skills, including social, emotional, communication and independent living skills. Residents are supported to identify their goals and work to achieve them. People receive personal and healthcare support using a person centred approach with support provided based on the rights of dignity, equality, fairness, autonomy and respect. People are supported to maintain independence. The Mental Capacity Act and information on the Deprivation of Liberty is also available in this home in an easy read format, and includes information relating to ‘advanced decisions to refuse treatment. People who live in this home have confidence in the staff who care for them. The staffing allocation is based on delivering good outcomes for residents and is not led by staff requirements. The home has an open culture and encourages residents to express their views and concerns. The home provides a physical environment that is appropriate for the residents. The design allows for small clusters of people to live together a non institutional way, and promotes privacy, dignity and autonomy for the residents. The manager has a clear understanding of the key principles and focus of this service. He is enthusiastic and demonstrates a strong leadership role whilst developing a transparent service that is providing person centered care based on the views of the residents What has improved since the last inspection? What they could do better: West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 7 We discussed the medication storage facilities with the manager, who told us that at present there is no appropriate storage for controlled drugs. He is aware this is a priority to address. Record of money coming in and money going out is in a small note book, however signatures and details of transactions are very limited. We discussed this with the manager who agreed that although this was only a temporary measure, it needed to be more robust. 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. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, People using the service experience good quality outcomes in this area. This home understands the importance of having sufficient information when choosing a home. The statements of purpose and service user guide are written in a format containing pictures and symbols so that the residents can clearly understand it. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: All information documents in this home are up to date and contain detailed information about the service, its’ staffing structure and the facilities it provides for its’ clients. All documents are produced in a format with pictures and symbols, so that the people living in this home can understand it. The Statement of Purpose is on display in the entrance to the home, and all clients and their families are issued with Service User Guides at the point of enquiry or admission to the home. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 10 There is presently only one resident living in the home; however there are several potential clients going through assessment processes at the moment. We looked at the pre admission documentation for one person who has a planned admission date of the 14th of July 2009. This individual and his family have made numerous visits to the home, he has chosen his room, and a full assessment of needs, wishes and aspirations is being completed, in consultation with him and his family prior to his admission date. The client, who is presently living at 21 West Hill Place, has also visited this prospective client and his family, and he is already very excited about his new friends’ arrival at the home. The assessments that have been completed so far have identified that these two individuals have many mutual likes and dislikes, which is expected to result in them enjoying certain occupational and leisure activities together. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 People using the service experience good quality outcomes in this area. This service involves the residents in the planning of care that affects their lifestyle and quality of life, and the staff understands the importance of residents being supported to take control of their lives. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: With the permission of the individual living in the home, we looked at his file and care plan documentation in detail. All care plans and assessments had been signed and dated by him, indicating that he had been consulted and involved in this process. Staff and family members had also signed these documents. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 12 The care plans identified ‘areas’ where this individual may have limited ability. They detailed the actions and level of support required, and identified activities which may enhance his development in these specific areas. For example his numeracy and literacy skills were identified as limited, and he had already been to visit two different colleges with a view to future attendance. Areas of personal care were addressed in specific detail, identifying where this person was independent such as shaving with an electric razor, where he needed prompting for things such as changing his clothes, and areas where more assistance was required. Behavioural issues and personal anxieties were addressed in these documents and gave staff clear guidance on how this should be managed, thus promoting a continuity of approach. Trigger and recognition factors relating to behavioural changes were also included in this care plan. A clear medical profile outlined any ongoing medical complaints, and treatments prescribed by the doctor. The daily routine and activities for this resident were very ‘service user’ led, and it was very evident that he made the decisions about how he wanted to spend his day. This was generally going out and about in the local community or spending time doing leisure activities, including bike riding, swimming and using his own fitness equipment. Risk assessments and management plans were in place for all activities of daily living for this individual, ensuring that the correct level of support was available for him whilst promoting his independence. Menus are planned on a daily basis with this individual, and he assists with the shopping and food preparation. He told us how much he enjoys cooking, and was keen for us to taste scones that he had recently made. During this visit we observed as he led the support staff in the preparation of his lunch, dictating, the time, what he would have and where he would eat. It really was home from home, and although he had only been living here for a short while, he was very settled, and knew exactly which staff would be on duty at what time, when new admissions were planned, plans for the garden and exactly what he was going to do in future weeks. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 11, 12, 13, 14, 15. 16,17 People using the service experience good quality outcomes in this area. The service has a strong commitment to enabling residents to develop or maintain their skills, including social, emotional, communication and independent living skills. Residents are supported to identify their goals and work to achieve them. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: This service is promoting endless opportunities for the client presently living at West Hill Place. During his first three weeks in residence, he has visited two colleges, to ascertain which one he preferred, he has experienced horse riding, which the home intend to extend to caring for the animal rather than just attending and riding, he has planted and is nurturing his own potted tomato West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 14 plants, he has assisted in putting shelves up in his room and fitting a new headboard to his bed, attended various social clubs as a taster for future activities, has been involved in the pre admission process for a prospective client and has also been encouraged and well supported in maintaining the close relationship he has with his family who are also local. The home has also approached a local animal sanctuary, where it is hoped some voluntary work may be available as an option for him if he wishes. He is described as a very sociable chap who enjoys being out and about in the village where he knows many of the local residents. The manager told us of one trip to the doctor which took much longer than it should have, due to the number of social stops they had to make on route. The menus in this home are as varied as the client chooses. Staff are aware of his likes and dislikes, and he is encouraged to try new things. He enjoys a very healthy diet, which by his own choice includes vitamin supplements and ‘Actimel’ x two daily. He did however also tell us. “I enjoy a fry up at the weekend.” West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, 20 People using the service experience good quality outcomes in this area. People receive personal and healthcare support using a person centred approach with support provided based on the rights of dignity, equality, fairness, autonomy and respect. People are supported to maintain independence. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Documents in the file of the only resident presently at this home indicated that his wishes and preferences are central to the support given and the care provided. He is being well supported through the transition from living at home with his parents to moving into this more independent environment, and is adapting well. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 16 This home seems to have found an ideal ‘life balance’ for him at the moment, whereby the close family dynamics he has always known, remain intact, and yet additional support is in place to promote a more independent life for him. The staff in this home have all completed medication administration training, however there are presently no residents in the home that receive any prescribed medication on a regular basis. We discussed the medication storage facilities with the manager, who told us that at present there is no appropriate storage for controlled drugs. He is aware this is a priority to address. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People using the service experience good quality outcomes in this area. The home has an open culture and encourages residents to express their views and concerns. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: This service has a complaints procedure which is produced in a format suitable for the client group registered in this home. It contains pictures and symbols that clearly explain to clients what to do and who to speak to if they have any concerns about life in the house. This policy is also summarised in the Statement of Purpose which is on display in the house, therefore it is easily accessible to everyone entering the home at any time. The home has also produced a document called ‘Say no to abuse’. This is a resident’s guide, also in pictorial format, and gives information such as ‘who to tell’. This home is very new and to date has not had reason to invoke any safeguarding procedures; however the registered manager demonstrated a clear understanding of the necessary reporting processes. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 18 The Mental Capacity Act and information on the Deprivation of Liberty is also available in this home in an easy read format, and includes information relating to ‘advanced decisions to refuse treatment’. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 People using the service experience good quality outcomes in this area. The home provides a physical environment that is appropriate for the residents. The design allows for small clusters of people to live together a non institutional way, and promotes privacy, dignity and autonomy for the residents. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: As you enter this home there is a very relaxed and homely atmosphere. When we arrived, we were welcomed by two staff and the only resident who presently lives in the home. He immediately offered us a drink and went off to the kitchen to prepare it, supported by the staff. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 20 This home consists of five single bedrooms, four on the first floor and one on the ground floor. There is a shower room and a bathroom on the first floor, and a lounge, conservatory / dining room and kitchen / diner on the ground floor. There is a beautiful garden to the rear, where the makings of a vegetable patch are thriving, and it is hoped the residents will be involved in this program as it becomes more established. The resident presently at the home is growing his own tomato plants. We were shown round the home by the resident, who was very proud of his room, which had a patio door leading onto a ‘private roof garden’. His room was personal to him, and he had just acquired a new headboard for his bed, and helped the manager to put up some shelving up above his wash basin. In each of the empty rooms, were laminated charts to assist new / prospective residents to choose the colour scheme and furniture they would like in their new home. The manager told us that one prospective client had already chosen a bright orange for his room. The communal areas were comfortable and homely, and the kitchen provided a spacious area for residents to work on developmental skills supported by staff. We saw this in practice throughout the visit as the resident presently in the home prepared his own lunch, and numerous drinks and snacks throughout the day. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 People using the service experience good quality outcomes in this area. People who live in this home have confidence in the staff who care for them. The staffing allocation is based on delivering good outcomes for residents and is not led by staff requirements. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Although this service registered with the Care Quality Commission in January this year, the first admission to the home only arrived three weeks ago. Staff had been appointed earlier in the year in preparation, and were ready to commence work. There are presently two full time support staff, one activity / support worker and the manager in post, with several other staff due to start imminently. We looked at the files of three staff. The appropriate documentation was present in these files, with the exception of one reference for one support West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 22 worker. We advised the manager this must be obtained prior to this person working unsupervised. We looked at the training program for staff working in this home. The scheduled training included mandatory subjects such as Health and Safety, Safeguarding, medication administration, moving and handling, food hygiene and death and dying. More specialist courses available included; self harm in Learning Disabilities, Epilepsy, Diabetes, Aspergers Syndrome, Autism Focus and many others besides. All staff had either completed, or were in the process of completing a six week induction booklet, and all staff have just enrolled in their NVQ level 3 certificate in care. Observations of care practices and interactions throughout this visit to the home, indicated that the staff on duty were competent and confident in their roles, and were relaxed but clear when delivering support and guidance to the resident. Communication skills were good, and staff knowledge relating to the resident was also good. Staff have all signed supervision contracts; however due to short time that the home has been operational we could not assess this standard any further, West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, 43 People using the service experience good quality outcomes in this area. The manager has a clear understanding of the key principles and focus of this service. He is enthusiastic and demonstrates a strong leadership role whilst developing a transparent service that is providing person centered care based on the views of the residents We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered manager for this home is appropriately experienced and qualified. He has been in post preparing documentation, policies and recruiting since the end of 2008. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 24 He is enthusiastic and keen for this home to provide a high standard of care and support in a person centred way. Despite only having one resident in the home at the moment, he is carrying out assessments, and liaising with numerous commissioners in order to ensure that suitable clients are admitted to this service. His priority is not only meeting the needs of potential residents, but also ensuring there is compatibility with those already in the home. Documentation that we looked at throughout this visit was thorough and well completed. Risk assessments were in place to safeguard both staff and residents. Health and safety checks such as water temperatures, fire call points and smoke detectors are being tested on a weekly basis, and the resident who presently lives at the home is being involved in this process, thus raising his awareness of dangers in the home. Since being operational, there had been no reportable incidents occur in the home, however the appropriate forms were all present, and the manager was able to verbally demonstrate when they would be used. Questionnaires are given to residents shortly after admission, to be completed after the first six weeks of being in the home. To date no one has been in a position to complete one, although the present client had his in his file in preparation. The manager is in the process of assisting the resident to open his own bank account. Meanwhile a small amount of spending money is held within the home. Record of money coming in and money going out is recorded in a small note book, however signatures and details of transactions are limited. We discussed this with the manager who agreed that although this was only a temporary measure, it needed to be more robust. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 3 Version 5.2 Page 26 West Hill Place DS0000073019.V376126.R01.S.doc Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA20 YA23 Good Practice Recommendations The home should consider installing appropriate facilities for controlled drugs as a priority. The home should consider reviewing the records for keeping clients money in the home. West Hill Place DS0000073019.V376126.R01.S.doc Version 5.2 Page 27 Care Quality Commission Eastern Region Care Quality Commission Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: 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. 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