Care Home: Woodhouse Hall

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What the care home does well Staff know people`s needs and treat them as individuals, they encourage people to make informed choices about how they want to live their life, to help people live as independently as possible. Care plans are reviewed and updated regularly to make sure they are up to date and reflect people`s current care needs. People said they were happy living at the home. Their comments included: "I live at Woodhouse, I like it" and " Everyone listens to me". Staff said in their surveys: " The service gives all service users choice, it gives them a choice of activities. Craigmoor gives each person the opportunity to be as independent as possible". " The service does well at ensuring that respect for choice, privacy and dignity is maintained. The care team is well coordinated resulting in day to day achievement of the objectives of the home". " Woodhouse Hall works especially well with people`s individual needs, realistic life choices. I have found the service offered to people to be very friendly and professional". Issues that occur are raised by the manger with the adult protection team to make sure that people are protected from abuse. Staff training occurs to make sure that staff have the skills they need to help and support people. Recruitment processes are robust and there is an equal opportunitys policy in place. This helps to make sure that staff who are not suitable to work in the care industry are not employed at the home. The manager is passionate about her role and manages the home with the best interests of the people who live there at heart. What has improved since the last inspection? Staffing is flexible to make sure that people`s needs can be met during the evenings and weekend. Staff are available to take people out individually or in small groups to make sure people`s social needs are met. The staff group is stable and agency staff are not used in the home, this has improved the continuity of care being provided to people.It has also helped to reduce the number of incidents that occur. There is a domestic employed at the home so that care staff can concentrate their time on looking after the needs of the people who live there.There is an experienced, enthusiastic manager in place who is currently applying to become registered with the Care Quality Commission. People are encouraged and supported to be involved and where possible manage their own finances, this helps to increase people`s independence. People are now helped and supported to make choices to attend further education, and to attend fulfilling activities in the home or outside the home in the local community. One person living at the home phoned the inspector the day after the site visit to tell her how they had enjoyed going to a local event in the village. People can have a key to their bedroom door to help promote people`s individual choices and independence. What the care home could do better: There must be a clear record of who is to supervise new care staff who start work at the home after their POVA 1st check result has been received. This must be recorded to make sure that the supervision is adequate to protect all parties. Where possible the bedrooms should be re configured so that en suite facilities can be made available for people who live at the home. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Woodhouse Hall 14 Woodhouse Lane East Ardsley Wakefield West Yorkshire WF3 2JS     The quality rating for this care home is:   three star excellent 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: Denise Rouse     Date: 0 7 0 4 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. 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. 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. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI 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 29 Information about the care home Name of care home: Address: Woodhouse Hall 14 Woodhouse Lane East Ardsley Wakefield West Yorkshire WF3 2JS 01924870601 01924820939 woodhouse.hall@craegmoor.co.uk www.craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Hazel Margaret Pogson Type of registration: Number of places registered: J C Care Ltd care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home Woodhouse Hall is owned by J C Care, which is a subsidiary of Craegmoor Health Care. The service is registered to provide care and accommodation for up to 13 adults who have a learning disability, although if all rooms are used as single occupancy, only 11 people are accommodated at one time. Woodhouse Hall is a semi-detached property, joined to another care home owned by Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 13 13 Brief description of the care home the same company. The home is situated in its own grounds and ample parking is available to the front of the building. The home is on two floors, with two bedrooms on the ground floor. There is no passenger or stair lift. There is a concrete ramp to the front of the building. The home is on Wakefield Road in East Ardsley, between Leeds and Wakefield. It is within easy walking distance of the main road and is well served by public transport. There are a number of local amenities, which are well utilised by people who use the service. Fees charged on 7 April 2009 ranged from £500 and £1,431 per week. Information is available about what the home can offer people in the form of the statement of purpose, service user guide and previous inspection report. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: A review of the information held on the homes file since its last inspection. Information submitted by the registered provider in the Annual Quality Assurance Assessment, AQAA. Information received from surveys completed by three people living at the home and three staff. An unannounced visit to the home which lasted six hours and thirty minutes, undertaken by one inspector. Evidence gained by direct observation during the site visit. This involved speaking with people living at the home and speaking with the management team and with other Care Homes for Adults (18-65 years) Page 6 of 29 care staff. Inspection of records, including care profiles, medication administration records, staff files and some of the homes policies and procedures. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations. But only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will take place. What the care home does well: What has improved since the last inspection? Staffing is flexible to make sure that peoples needs can be met during the evenings and weekend. Staff are available to take people out individually or in small groups to make sure peoples social needs are met. The staff group is stable and agency staff are not used in the home, this has improved the continuity of care being provided to people.It has also helped to reduce the number of incidents that occur. There is a domestic employed at the home so that care staff can concentrate their time on looking after the needs of the people who live there. Care Homes for Adults (18-65 years) Page 8 of 29 There is an experienced, enthusiastic manager in place who is currently applying to become registered with the Care Quality Commission. People are encouraged and supported to be involved and where possible manage their own finances, this helps to increase peoples independence. People are now helped and supported to make choices to attend further education, and to attend fulfilling activities in the home or outside the home in the local community. One person living at the home phoned the inspector the day after the site visit to tell her how they had enjoyed going to a local event in the village. People can have a key to their bedroom door to help promote peoples individual choices and independence. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 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 the service and their representatives have the information needed to make an informed choice about if the home is the right place for them. Evidence: There have been no new admissions since the last inspection of the home. The manager understands the importance of the pre admission process and would consult with all necessary parties and health care professionals, to make sure that the pre admission assessment would be thorough and would reflect the persons needs and aspirations. Trial visits to the home are offered to people so that all parties can see how the individual may settle into the home. If it is felt the home could not meet peoples needs they are not offered a place at the home. Information is available to people in the statement of purpose, service user guide and last inspection report. A brochure about the home is currently being re designed so Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: that people can understand this better. This makes sure that people have the information they need to make an informed choice about if the home is the right place for them. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are involved and encouraged to make decisions about how they live their lives, they are involved where possible in planning their care, so that they get the support they need. Evidence: The AQAA stated People are supported and encouraged to take an active role in making decisions about their life and promote their own independence.People are supported in as much choice and responsibility as they are capable and comfortable to deal with. Care plans are in place for each person these are individualized and person centered, they illustrate individual needs and promote independence whilst respecting peoples privacy and dignity. Risk assessmants are in place and have detailed information about triggers and warning signs for staff to look out for in peoples behavior, to help keep people safe and support them. The care plans and risk assessmants are reviewed regularly or as a persons needs change, with the individual or their chosen Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Representative. This helps to keep all parties fully informed, and to make sure peoples needs are being met. There was excellent information about how people should be supported with personal care, social and health needs. There was very clear emphasis on furthering peoples independence and social experiences, and involving them in the daily life of the home. People are given support to be as involved as they can be so they they feel fulfilled, and peoples goals and aspirations can be achieved or worked towards. Your Voice meetings are held to gain peoples views,issues raised are acted upon. People were seen to be encouraged to make choices and decisions about what to eat, if they wanted to go out, and how they wanted to spend their time. A variety of communication methods were used by people such as speech, pointing, touch, clapping and facial expression. Staff showed that they has a good understanding of how each individual communicated. There was a detailed record called the Communication dictionary, for each person living in the home. This really helped staff understand exactly what people were telling them, and what peoples needs were and staff acted upon this information. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People choose how they want to live their life supported by the staff. people receive and take part in preparing their own food which meets their nutritional needs. Evidence: People are supported to lead varied lifestyles, and are supported in their chosen leisure activities by their key workers and staff from the home.There is a good variety of activities available to people in the home and in their local and wider community. Recently a one to one music therapy session has been commenced which was seen by the visiting inspector to be thoroughly enjoyed. People are taken out to local shops and events and some have now gained season tickets to Knowsley Safari Park. On the day of the site visit people went out to Howarth for the afternoon and one person phoned the inspector the day after to tell them what they had chosen to eat and say they had had a great time. People said in their surveys that they could do Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: what they wanted during the day, evenings and weekends. One person commented I go walking, fishing, play pool and see my brother. Visiting is open and one visitor was spoken with on the day of the site visit, they said The residents get out much more now. Our relative is helped to visit us at home, and will be coming home to stay with us at Easter, staff are very good at supporting us with these visits. XXX is growing in confidence, and talking a lot better. We can relax knowing XXX is looked after here. People can choose who they want to see and whom they want to meet with to maintain their personal relationships. People are encouraged to choose what they would like to eat, and where possible they help to prepare their own food and drinks.Those who need special diets or need their nutrition monitored have this undertaken so that people have the right support they need to maintain their health. Menus were not fixed and meal times were flexible, staff knew peoples likes and dislikes well. This makes sure that peoples dietary needs are met. People were being encouraged to try new foods and an African afternoon was going to be held to introduce people to the music, culture and foods of Africa, this helps broaden peoples experience. Care Homes for Adults (18-65 years) Page 16 of 29 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. People have their health needs met and the medication systems in place protect people who live in the home. Evidence: Staff had good knowledge of peoples personal support needs. Staff were thoughtful, discreet and respectful of peoples privacy and dignity.The people living in the home looked well cared for, well dressed and groomed. People spoken with were relaxed and appeared happy and able to express themselves comfortably to staff. Records are kept of health appointments and their outcome. Staff escort people to appointments or health care professionals visit the home, to make sure that peoples health care needs are met.Staff encourage and support people with their personal hygiene,a lot of time is spent with people so that they feel comfortable and allow the staff to help them with bathing if this is required. Staff receive training about how to use de escalation techniques and have information available to them about peoples specific physical and mental health conditions, this helps the staff to support people. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: The home uses a monitored dosage system the medication systems in place help to protect people living in the home. There was currently no medication fridge in use at the home, but no medication required cold storage. There was a fridge in the sleepover room which could be used for medication requiring cold storage, the manager said that a new drugs fridge was being ordered. Currently no one is able to self medicate, however people would be assessed and where possible this would be accommodated if the person was safe to undertake this, to promote their independence.Staff who give out medication have received training to be able to do this safely. Care Homes for Adults (18-65 years) Page 18 of 29 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 live at the home are able to make their views known, any issues raised are dealt with and people are protected from abuse Evidence: There is a complaints procedure displayed in peoples bedrooms, it has pictures on it to help people to understand what they should do if they are not happy about an issue. People were seen to be comfortable expressing their views, which are listened to and acted upon by the staff. Regular Your Voice meetings are held for people living in the home and any issues raised are looked at and dealt with appropriately. People surveyed said they knew how to make a complaint. Staff working at the home have police checks undertaken to make sure that they are suitable to work with vulnerable adults, this helps to protect people. New staff starting work at the home are supervised once their POVA 1st check has been received, before their full Criminal Records Beureau check result has been received. On the staff rota there should be a clear record of which member of staff is allocated to carry out the new staffs supervision, to make sure that supervision is adequate and protects the people who live there. Staff receive safeguarding training, this includes the cleaner and the handyman this Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: makes sure that staff know what action they must take if a safeguarding incident were to occur. All incidents are reported by the manager to the safeguarding team this helps to protect people from abuse. There is a whistle blowing policy in place which helps to inform the staff of how they can raise any issues to help keep people safe. There are good systems in place to make sure people are protected from financial abuse. Staff are appropriately trained in the management of violence and aggression, control and restraint, de-escalation and breakaway techniques in order to maintain everyones welfare and prevent risk of harm to all parties. The manager has given training and support to other home managers locally in clinical analysis of incidents and events, which has helped to reduce the number of incidents that occur in the home. She has also delivered a training session Safeguarding Awareness to other managers in the area.The relationship with the adult protection team has developed well and every 3 months the area manager meets with the adult protection team to make sure all issues reported have been dealt with correctly.If a safeguarding incident occurs the persons care plans and risk assessmants are reviewed and other agencies such as the police are involved if this is necessary to make sure that people continue to be protected from abuse. Care Homes for Adults (18-65 years) Page 20 of 29 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 environment is homely and comfortable and meets peoples needs. Infection control measures are in place to help protect people. Evidence: The home is warm, clean and has a pleasant relaxed atmosphere. There is a secure door entry system in place which helps to keep people safe and prevent unauthorized access to the home. Bedrooms are decorated to each individuals choice and are personalized to make sure people feel at home.The home is maintained to make sure that it is pleasant for people to live in. There has been new dining room and living room furniture purchased since the last inspection. The back garden is secure and is going to be developed with raised beds so that staff and people living in the home can use the garden for growing vegetables fruits and flowers. One person living in the home showed the inspector their bedroom and also a new room they were going to move to. This move was going to enhance the facilities that were being provided for this individual. Other bedrooms were going to be re configured to provide en suite bathrooms for some people. This should be undertaken to help enhance the facilities available to people. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The laundry facilities in place are suitable and adequate for the home. Hand wash facilities are available throughout the home, this ensures that infection control measures are in place.People are reminded and encouraged to wash their hands when necessary and this also helps to maintain the correct standards of hygiene within the home. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are looked after by adequate numbers of well trained staff. Evidence: Since the last inspection staffing has become more stable and agency staff are not used at the home. A bank of staff are available to help meet peoples needs and provide continuity of staffing which helps to provide continuity of care.Fifty percent of the staff hold a National Vocational Qualification in Care at level 2 or 3, this helps to make sure that staff have the knowledge they need to give good care. Two people living at the home indicated that the staff looked after them well one by giving a thumbs up sign and the other person said The staff were alright and we all get on oK. Staffing levels were adequate to meet peoples needs on the day of the site visit and staff confirmed that there was flexibility in the rotas which helped to make sure that at peak times of activity the home was covered by enough staff. An overtime rate is available for times when staff are asked to work due to incidents or to help support people.This has helped to stabilize staffing at the home. A key worker system is in place to help support people and their families. Three Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: people said in their surveys that the staff treated them well. One person said Everyone listens to me. The recruitment process is thorough and equal opportunities policies and procedures are in place. Potential staff are shown round by the manager who makes sure that they are aware of the wide variety of needs people have and discuss the special skills staff need to develop to make sure they can look after people who live in this home safely. New staff are not taken on if it is felt they would not be suitable to work in this environment. Staff training is provided for all staff to make sure that they have the skills they need to be able to give care safely. Staff are encouraged and supported to develop their skills so that they reach their full potential. This year the home are hoping to meet the criteria to enter the Leading Light Award. Staff spoken with said The manager is the best I have ever had, she listens and acts on what I say, the staff work as a team, there are less issues now which speaks for itself. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have an experienced manager running the home, who has peoples best interests at heart. Peoples health and safety is protected to make sure that the home is a safe place for people to live. Evidence: The manager is experienced, approachable and is passionate about the job that she undertakes. She operates an open door policy for staff and people who live in the home to make sure that issues can be raised with her at any time. She is about to undertake her fit persons interview with the Care Quality Commission and is about to finish her Registered Managers Award qualification.The AQAA states The home is managed in an open and transparent way and the home manager is committed to providing positive leadership in a relaxed atmosphere.The manager knows the people who live in the home well and looks at how things can be implemented to make sure that their needs are at the center of everything that the home does. One visitor spoken with said Since the new management team took over things have improved, The manager is approachable, she has persevered with things and I am Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: quite happy that XXX is well looked after, it is a friendly home,there are good staff here now, I have nothing to complain about. One person said when asked about the manager She is ok. One member of staff spoken with said The manager is the best I have ever had, she listens and acts on what we say, staff work as a team, there are less issues now which speaks for itself. Quality assurance systems are in place to make sure that the standard of the service being provided to people is being monitored. Any issues raised are dealt with by producing an action plan.Peoples views are asked for and surveys are sent to people living in the home, and to relatives and health care professionals yearly to find out what people think about the home. The company are appointees for residents finances, there are good records of financial transactions which are undertaken to make sure that people are protected from financial abuse. Peoples health and safety is protected by ongoing maintenance undertaken. There are policies and procedures in place to make sure that accidents and incidents are monitored and appropriate action is taken to help keep people safe. Care Homes for Adults (18-65 years) Page 26 of 29 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 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 23 There should be a clear record of who is supervision new care staff who commence work at the home after their POVA 1st check result has been gained. To make sure that supervision is adequate and protects the people who live there. The bedrooms should be re configured to provide en suite bathrooms where possible, to enhance the facilities that are available to people. 2 24 Care Homes for Adults (18-65 years) Page 28 of 29 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 29 of 29 - 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!