Care Home: Westhall Park

Similar services:

• Insight - Eastchurch
• Southfields
• Thorndene
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well Care plans and health action plans cover all aspects of peoples lives,they are clear and accessible to staff and service users. Service users are included in developing care plans and regular meetings take place with keyworkers to consider new opportunities and review the support they receive. Service users are offered a wide range of activities at home and in the community and are supported to keep in contact with friends and relatives. The home promotes the inclusion and participation of service users in personal decisions and decisions about the service such choice of colour scheme when redecorating,in day to day decisions such as meal planning and in recruiting staff. Service users are protected from harm by the policies and procedures in place. Staff are familiar with the needs and preferences of service users and respect their individuality.Staff feel well supported. The organisation provides plenty of core and service specific training for staff. The environment is safe and now more homely,bedrooms reflect individual personalities. What has improved since the last inspection? The manager of the service has become registered and commenced required training. Consistency of management has brought about improvements in all outcome areas inspected and the quality of the service overall.A deputy manager has been appointed. The service users guide and statement of purpose have been brought up to date so that prospective service users and their representatives have correct and accessible information about the home.Pictorial contracts have been produced. Care plans and health action plans have been restructured so that staff have clear guidelines and information to follow and can easily find the information they need. Risk assessments are in place and up to date. A record of health appointments and thier outcomes is kept. Personal information is being stored confidentially. The environment is improved with redecoration of most shared areas and it is more colourful and homely.Improvement has been made to bedrooms,there has been redecoration and refurbishment and/or some new furniture in all of them.Carpets have been cleaned and are unstained. There has been some increase in the number of staff who are undertaking an NVQ in care at level two or above and the organisation has acted on the requirement that it recruit more staff who are from the same cultural background as service users. What the care home could do better: The organisation must make NVQ training more available to staff so that service users benefit from being supported by staff who are fully competent. Bathrooms and toilets need some refurbishment to make them more attractive. Key inspection report Care homes for adults (18-65 years) Name: Address: Westhall Park 4 Westhall Park Warlingham Surrey CR6 9HS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Deborah Sullivan     Date: 2 8 0 7 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: Westhall Park 4 Westhall Park Warlingham Surrey CR6 9HS 01883621359 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): westhall.park@theavenuestrust.co.uk glebe.house@theavenuestrust.co.uk Avenues Support Services Name of registered manager (if applicable) Mrs Sarah-Jane Champion Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Westhall Park is a registered care home for up to six adults with learning disabilities,challenging behaviour and complex needs.The Avenues Trust Limited operate the home. The building is a spacious detached two storey Edwardian house in a residential area.The home has an enclosed garden and private parking area.Service users all have single bedroom accommodation that is on both floors. The village of Warlingham and local public transport are both within walking distance. Larger shopping facilities and a wide range of social and leisure activities are easily accessible Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 6 1 9 0 8 2 0 0 8 Brief description of the care home in nearby towns. The home is near to the Kent and Surrey borders providing convenient access to countryside and parkland. The current fee range can be obtained by contacting the organisation. 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection of Westhall Park took place over five and a half hours. During the visit time was spent with the two service users who were at home,the registered manager,staff and the organisations service manager who was present part of the time. A range of documents including care plans,medication records and staff records were read and the quality of the environment was inspected. Individual discussion took place with two members of staff. Information provided in the AQAA (Annual Quality Assurance Assessment) document completed by the registered manager was of good quality and informative.The AQAA is a document that each registered service is required to complete. Survey forms were distributed to the six service users living at the home,and six relatives,advocates and carers,four staff and seven health and social care professionals.None had been returned at the time of writing this report. Care Homes for Adults (18-65 years) Page 6 of 30 What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Adults (18-65 years) Page 7 of 30 The organisation must make NVQ training more available to staff so that service users benefit from being supported by staff who are fully competent. Bathrooms and toilets need some refurbishment to make them more attractive. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 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 9 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. Accessible information about the home is available for people who are considering moving there and they can feel confident that their needs will be fully assessed before they are offered the opportunity to move in. Potential service users and their representatives are welcome to visit the home during the assessment process. Each service user has an accessible contract. Evidence: The home has a statement of purpose and service users guide,both have been brought up to date,the service users guide is presented in a pictorial format and includes photographs of the home and local area,service users are each given a copy.Accessible contracts have been introduced and there is also a brochure available.No new service users have moved in for over two years,and most have lived at the home since it opened ten years ago. Care Homes for Adults (18-65 years) Page 10 of 30 Evidence: Pre admission assessment information was read on service users care plans and an example of the assessment forms to be used for future new admissions was available. The manager discussed the arrangements for introducing people to the home,this goes at their own pace and includes visits to the home,getting to know staff and overnight stays if this is helpful for them. Health and social care professionals and relatives are part of the assessment process,reviews take place within six weeks of admission to monitor how the person has settled in. Care Homes for Adults (18-65 years) Page 11 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each service user has a clear,up to date and accessible care plan,there have been significant improvements in the quality of the information they contain. Service users are supported to make decisions and informed choices and to take acceptable risks. Service users are offered opportunities to make decisions about how the home is run. Evidence: Each person has an individual care plan and health action action plan folder,the last inspection had identified shortfalls in the presentation and accessibility of care plan information for both service users and staff whilst noting that some of the information was of a very good standard.Since then more consistency of management has brought about improvement in the quality of information. The care plans of two service users were read during this visit.They are person centred,clearly indexed and information about the care and support they need was easy to find.The majority of the information Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: is presented pictorially,much is laminated so it remains presentable and there is plenty of evidence that service users are involved in drawing up the plans.Their goals,aspirations and preferences are recorded and information was up to date.Sections of the care plans have headings such as --How you support me and All about me, with the content reflecting that the manager and staff had put effort into including as much relevant detail as possible. Detailed guidelines are in place for staff to follow on how to support service users and their preferences for support relating to areas of daily living, such as helping with domestic tasks and their bedtime routines,all contain pictures. Behavioural management guidelines are clear and reviewed as are individual risk assessments,examples of risk assessments are those for shaving or smoking. Discussion with staff who were on duty took place and they were able to explain some of the ways in which service users communicate their preferences that are transfered onto care plans and had good understanding of how to support them ,including how to manage behaviours that may challenge. The home places importance on gaining and responding to the views of service users,they have regular keyworker and opportunities meetings,are involved in staff recruitment,choose meals and are consulted about changes to the decor of the house. Service users are given support to manage their personal finances and there are procedures in place for recording expenditure.Personal information is now being stored more securely, whilst it is available to service users at all times. Care Homes for Adults (18-65 years) Page 13 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers service users opportunities to take part in a range of activities of their choice at home and in the community. Contact with friends and relatives is promoted. Meals are healthy and nutritious and service users contribute to planning the menus. Evidence: Service users have opportunities to take part in a range of activities at home and in the community.Each person has a personal activity programme on their care plan,there is a balance of activities outside the home,at home and free time. Some activities in the community that service users can choose to go to are swimming,having lunch out,shopping at local supermarkets or individually for personal items,going to the cinema and walks.One person went out to a woodwork group Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: during the visit and some others were on a day trip to Brighton. One person is a member of the community group that monitors the presentation of the private road the house is in. One service user had chosen to stay at home,they like peace and quiet and were enjoying watching TV and spending time by themselves. Sessions offered at home include art and craft,games,gardening and cooking. Individual opportunities sessions meetings take place with keyworkers as well as regular keyworker sessions.The opportunities sessions focus on discussion around an activity or aspiration the person is interested in and how it can be achieved,the sessions which use pictorial information are documented with actions to follow through.One person was keen on sailing and this was arranged for September,another had said they would like a swing in the garden so pictures of appropriate models to choose from were being obtained. One person is supported to practice thier faith and attend church with family members. The home has its own transport,not all staff are drivers and sometimes service users are supported to use public transport.Staffing allows for flexibility depending upon activities away from the home as some people need one to one or two to one support. House routines are flexible as far as possible and service users choose when to get up and go to bed.During the visit staff were respectful towards service users and service users were comfortable in spending time with or communicating with them. Staff respected privacy and offered choices such as what to have for lunch or to do.One person smokes,this is risk assessed and they do not smoke indoors. Independence is promoted,service users now bring their laundry down daily and help with some domestic tasks,they are encouraged to keep bedrooms clean and tidy. Meals are chosen by service users,laminated pictures of food help them to choose.No food is bulk bought it is purchased by staff and service users locally.The menu is healthy and varied,the main meal is taken in the evening.The manager said that produce grown in the vegetable patch was harvested and enjoyed by service users. Care plans include information on how people like to be supported with eating and drinking and cultural assessments identify any related dietary needs. Contact with friends and relatives is kept up,a member of staff said that one person is taken to visit an elderly relative.One person who has no family has been supported to restart contact with a person who worked in a home the service user used to live in and who now keeps in written contact.Relatives who may not be able to visit very often are sent mini newsletters about the person at the home that includes photos of some of their activities.Monthly coffee mornings are held in rotation by a group of Avenues homes that service users can attend. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: Care Homes for Adults (18-65 years) Page 16 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 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 support needs of service users are well met,they are involved in planning their support and preferences are record. Medication procedures are in place that protect service users. Evidence: Health action plans and care plans are person centred containing good quality personalised information and pictures.There are sections explaining in the first person how the service user likes to be supported,examples are how they prefer to wash and dress and how they communicate.Staff who were involved in the inspection were familiar with peoples personal care preferences and communication needs.It is recorded that one person has chosen not to wear their hearing aid.Keyworkers involve service users in discussion about the health action plans at keyworker meetings. Support with personal hygiene is given and service users are encouraged to be independent with personal care and tasks such as choosing their clothes. Two people have mobility difficulties and the necessary aids and equipment such as raised toilet seats and a walking frame are provided. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: Service users are supported to access a range of health services such as the dentist,GP,district nurse,chiropodist and specialist community nurse,the home recently referred a service user for speech and language therapy.Dates of appointments with health professionals and the outcomes are now being recorded,such as a recent review of a persons medication.Annual well man checks take place. Medication is securely stored, all staff administering it have received medication training and have annual in house assessments of their competence,these were in the process of being completed.Medication recording sheets were correctly completed as were other medication records inspected.One service users medication record lacked a photograph of them,the manager undertook to address this as soon as possible.Clear guidelines are in place for the administration of PRN medication and records of when it has been given.The medication room is due for refurbishment,when this takes place a wash hand basin should be fitted.No service users self medicate. The AQAA tells us that the service has consulted one service user over the flowers they may like for their funeral.Cultural assessments take place and spiritual preferences recorded. Care Homes for Adults (18-65 years) Page 18 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. Service users can feel confident that if they are unhappy about the service their concerns will be understood and addressed. The safeguarding systems in place protect service users from abuse. Evidence: The home has a complaints procedure that is available pictorially,it is included in the service users guide.There is also a form for relatives or people visiting the home to offer comments about the service.The complaints procedure has clear timescales for responding to complaints should they arise.No complaints had been made since the last inspection. All the service users have limited verbal communication skills and would need support from someone else to make a complaint.Staff involved in the inspection were aware of individual communication methods and during discussion gave examples of how they would know if a person was not happy about something such as by awareness of mood,gestures or speech. One service user who has no relatives is waiting for an advocate to be provided. The home has safeguarding procedures and staff said they were aware of them and would not hesitate to report any suspected abuse,staff receive safeguarding training and recruitment procedures include thorough vetting of applicants.One safeguarding matter that was promptly reported by the home to the local authority since the last visit has been closed. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: Guidelines are in place for the management of challenging behaviours that service users may present and staffing levels can be flexible so that if a person needs one to one or two to one support to keep themselves and others safe when they go out this is provided. Care Homes for Adults (18-65 years) Page 20 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. Service users benefit from living in a clean and well maintained environment that has been made more homely for them. Bedrooms are individualised and reflect personal tastes and interests. Evidence: Since the last visit improvements have been made to the environment,it is now more homely looking and some more robust furniture has been provided.The dining room,kitchen,upstairs corridor,lounge and some service users bedrooms have been redecorated.There are new kitchen chairs and tables,tables had linen tablecloths on.The lounge has new curtains and there are new curtains in other areas,there is more colour overall in the decor,the last visit identified that most of the walls were pale cream coloured.The manager has introduced more ornaments,pictures and collages and framed photographs of service users around the premises.The carpets have been professionally cleaned,had no stains and the house was clean and hygienic throughout. The lounge is large and comfortable, there is a small conservatory that has some sensory equipment,it is due for refurbishment.During the visit the maintenance man was present undertaking some further improvements in the garden Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: and house. All the bedrooms were visited,they were clean and well furnished,some bedroom furniture had been replaced,for example one person had a new bed and another had chosen bean bags to sit on in their room in preference to chairs.One person is a Liverpool football club supporter their room reflects this.There was some staining around the light switch in one bedroom caused by the service users habit of throwing shoes in there,the manager said night staff regularly remove the staining. There is one bathroom upstairs and one downstairs,service users can choose which they use,both were clean and hygienic but needed some attention to make them more attractive.The floor in one toilet needed replacing,the manager was aware of this and had requested the work be done. During the visit the two people at home were spending time in the lounge and their rooms and the one person at home for lunch made their meal in the kitchen and later was supported to pick some apples in the garden. Service users choose the colour schemes when their rooms are redecorated,rooms include personal possessions such as CD players,TVs,photos,videos and collages of the occupant with pictures and text showing activities at home and in the community. The pictures included feeding ducks,swimming and aromatherapy.Service users are offered keys to their rooms. There is a front and back garden,a vegetable patch has been started in the back garden.Both areas are fenced,service users can access the front garden independently but access to the back without staff supervision is subject to risk assessment as it is overlooked by nearby properties and some service users may display inappropriate behaviour.The kitchen has been made more freely available for people to use under staff supervision,again risk assessments for its use are developed. Care Homes for Adults (18-65 years) Page 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recruitment procedures are inclusive and thorough. Staff are well supported and supervised and understand the needs of individual service users. Staff receive core and specialist training,there must be more availability of National Vocational Training for staff to make sure they are fully qualified and competent. Evidence: The home was fully staffed,four staff including a shift leader were on duty during the morning,another carer came on duty later in the morning.Two waking staff are on duty at night.All the service users are male and the majority of staff are male,there was a mix of male and female staff on duty,three staff accompanied service users who were going out on their trip. The last visit highlighted that the staff group did not reflect the cultural background of the service users,the organisation has demonstrated that it recognises this and has attempted to recruit staff that match the backgrounds of service users,one person has so far been recruited as a result.No current recruitment is taking place as the home is fully staffed but the manager and service manager confirmed the commitment to achieving the aim. Staff recruitment is Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: partially managed by the head office,staff involved in discussion confirmed the organisations recruitment had been thorough with either two or three references being taken up plus CRB checks.Full employment histories are now asked for from applicants.Recruitment records for three staff were inspected and were satisfactory. Service users are offered the opportunity to be part of the recruitment process,they can meet applicants and be part of the interview panel,whilst they have limited verbal communication questions they wish to ask are prepared in advance with keyworkers. Staff receive induction and core training.The organisation has its own training centre and most courses are internal,core training is updated regularly.Service specific courses are available such as epilepsy,autism and person centred planning.The AQAA tells us that staff have equality and diversity training. Staff said that training was good and plentiful,one commented that -The door is always open to training. There has been slight increase in the number of staff who are undertaking an NVQ in care.This training is provided internally and there has is a waiting list due to a shortage of assessors,the service manager said the intention is to train more assessors and reduce the waiting time. Staff said they felt well supported by the management team,they had regular recorded supervision and team meetings.The manager and deputy manager provide supervision. Care Homes for Adults (18-65 years) Page 24 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements to the home are benefiting the people who live there and improving their quality of life.There home is well managed and has a friendly atmosphere. Service users are protected from harm by the use of safe working practices. The service and organisation as a whole undertake internal quality assurance monitoring. Evidence: The manager has been in post since June 2008 they became registered this year,are experienced,had worked at the home for some time and have commenced their NVQ4.The manager is supported by a deputy manager and service manager.Before the manager was in post the home was without a registered manager for two years,there was inconsistency of management and a deterioration in the service reflected in the last report.Over the past year the organisation and manager have demonstrated a commitment to improving the standard of the service.An improvement plan was submitted following the last inspection which has been followed Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: through and the home has an internal development plan.Investment has been made on improving the environment,staffing,management and documentation. The service presents as more homely and there is a friendly atmosphere where service user inclusion is promoted. Internal quality assurance takes place.The service manager visits the home monthly and produces a report of their findings,actions needed and outcomes are recorded.The organisation undertakes internal audits on specific topics,and the views of service users are sought via keyworker and house and opportunities meetings.Annual stakeholder surveys are sent out. The AQAA Policies and procedures are reviewed regularly and are available for staff. During the visit staff were using safe working practices.The fire procedure has been made available pictorially and evidence was seen that magnetic door closures were to be fitted on bedroom and other doors so that fire safety was improved. Staff said that they felt well supported and one person said--The management team is very good. Care Homes for Adults (18-65 years) Page 26 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 27 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 1 32 18 The registered person 30/09/2009 shall,having regard to the size of the care home,the statement of purpose and the number and needs of service users ensure that at all times suitably qualified,competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. The trust must demonstrate how they intend to increase the opportunities for staff to gain an NVQ in care by providing sufficient places on the training. Care Homes for Adults (18-65 years) Page 28 of 30 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 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!