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Inspection on 27/03/09 for 1 Butler`s Drive

Also see our care home review for 1 Butler`s Drive for more information

This is the latest available inspection report for this service, carried out on 27th March 2009.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 1 Butler`s Drive 1 Butler`s Drive Carterton Oxon OX18 3HA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Kane     Date: 2 7 0 3 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 22 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 22 Information about the care home Name of care home: Address: 1 Butler`s Drive 1 Butler`s Drive Carterton Oxon OX18 3HA 01993844923 Telephone number: Fax number: Email address: Provider web address: lindaeastwood@btinternet.com Name of registered provider(s): Type of registration: Number of places registered: Harry Watts care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 5. The registered person may provide the following category 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 category: Past or present dependence on alcohol (A) Mental disorder, excluding learning disability or dementia (DE) Date of last inspection Brief description of the care home The home is situated close to Carterton town centre and its facilities. Three doctors surgeries provide medical services and chiropody, and dentists and opticians are available locally. Residents accommodation is in a detached house, linked by a covered walkway to the Robert & Doris Watts Care Home for older people next door. The home was converted from private domestic use to a care home for adults in 2003. Care Homes for Adults (18-65 years) Page 4 of 22 Over 65 0 0 5 5 Brief description of the care home Because of the domestic nature of the house, it is only suitable for residents who are physically independent and who do not need continuous help and supervision from staff. There are three spacious ground floor rooms, two with en-suite washbasins and toilets and one with separate facilities. There is a shower on the ground floor. A conservatory provides a communal room, overlooking a small patio and garden at the rear of the house. The first floor has a sitting room, bedroom and bathroom with an over-bath shower. Residents do have their own kitchen facility, but meals can be are provided from the Robert & Doris Watts Home. Residents of Butlers Drive can join the residents in the adjacent home for their meals and social events as much or as little as they wish. Access to the home is via the Robert & Doris Watts building. The laundry for both homes is housed in the former double garage, off the linked walkway. The current range of fees can be obtained by application to the manager. Care Homes for Adults (18-65 years) Page 5 of 22 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 was an unannounced key inspection process that included reviewing the Annual Quality Assurance Assessment information provided by the service and a visit to the home. The visit started on Friday, 27th March 2009 at 2.30pm and last just over one hour. During the visit we spoke with residents and staff who live and work in the home and asked their opinion of what is provided. We looked at records for care planning, recruitment and the administration of the service. We also looked at policies and procedures documents. Care Homes for Adults (18-65 years) Page 6 of 22 What the care home does well: What has improved since the last inspection? 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 7 of 22 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 8 of 22 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. There is evidence that the home undertook detailed assessments of residents prior to their admission and that staff have a good understanding of their individual support needs. Evidence: At the time of this visit only two residents were living in the home. One resident had moved from the care home next door and knew the home well. The other resident had recently moved to the home. The new resident told us that they were given good information about the home and were able to visit with their family to see if they liked it before they moved in. The home has a new process for the assessment of prospective new residents. From what we saw and from information shared to us by the new resident this process is thorough. The assessment includes sufficient information from healthcare and other relevant professionals and risk assessments. Care Homes for Adults (18-65 years) Page 9 of 22 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. Personal support is offered to residents in a way that promotes their independence and allows them to take informed decisions about their lives. Evidence: The care planning records for both residents living in the home at the time of the visit were seen. The records include a Care Programme Approach, this means that a single care plan that all mental health practitioners involved with the individuals concerned contribute, develop and review. These records include assessments and reviews carried out and gave a good picture of the person concerned and identified how their care needs would be met. Individuals are supported to make informed decisions about their lives and this is supported by a risk assessment process. Written risk assessments are included within care plans. From information provided by staff and from speaking with residents changes in care and support are provided as an identified need occurs. Care Homes for Adults (18-65 years) Page 10 of 22 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. There are good opportunities for residents to take part in a variety of activities in the home and in the local community. Evidence: From what we observed and from speaking with residents there is a wide variety of opportunities for residents to take part in activities both in the home and in the local community. One resident told us that she particularly enjoyed going to boot sales, shopping trips into Oxford and going to the cinema. The home makes every endeavour to ensure that residents maintain good links with their family and friends. Family visits are supported. Residents spoken with said that they enjoy the meals provided and that mealtimes are flexible. Facilities are available for the preparation of meals in the home or meals can be supplied from the care home next door. From the evidence seen and comments received this home would be able to provide a Care Homes for Adults (18-65 years) Page 11 of 22 Evidence: service to meet the needs of individuals from various religious, racial or cultural backgrounds. Care Homes for Adults (18-65 years) Page 12 of 22 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. Residents are able to make choices about how they are supported with personal and health care. The home has a satisfactory system for supporting residents to look after their medicines. Evidence: Information in residents care plans, from staff and residents themselves indicates that residents are able to make choices and they are supported by staff to be as independent as possible. Personal support would be provided by staff where appropriate as most residents are able to manage this for themselves. One resident commented that staff are very nice and understanding and if they were low staff would notice it. Residents can register with the local GP and other local community healthcare services, optician and dentist. They are supported where necessary to attend appointments. Residents medication is securely stored in the next door care home until a suitable approved cabinet is fitted in the home. The policies and procedures in relation to personal healthcare and support have been updated in the last twelve months. The home has a arrangement with a local supplying pharmacist who can provide advice Care Homes for Adults (18-65 years) Page 13 of 22 Evidence: and training for staff. Care Homes for Adults (18-65 years) Page 14 of 22 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has the necessary complaints policy and procedure in place and the people who live in the home and others can be confident their concerns will be listened to. Residents are protected from possible harm and abuse. Evidence: The home has a complaints policy and procedure. Information on how to use this is available. Residents who we spoke with were aware what they needed to do if they had a concern and said they felt sure that they would be listened to. There have been no complaints made to the Commission about this service in the last televe months. The home has recently updated its policies and procedures around residents finances and safeguarding from abuse. Staff spoken with at the time of the visit had a clear understanding of what they should do. The Commission is not aware of any information about this home in relation to the safeguarding of vulnerable adults in the last twelve months. Care Homes for Adults (18-65 years) Page 15 of 22 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. People who use this service are provided with a homely and comfortable environment to live in. Evidence: The home is a domestic family home in style. A full tour of the home was done and residents bedrooms were seen with their permission. The home was very clean throughout. One resident said that she takes care of her own room and helps around the home to keep it tidy. It was seen that some areas of the home that redecoration had recently taken place and that new carpets are planned for the hallways. The home has a programme for renewal and repair. A new office has been created from converting the homes garage. Care Homes for Adults (18-65 years) Page 16 of 22 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. There are sufficient numbers of experienced staff employed who have the skills to carry out their jobs. Evidence: The residents we spoke to were complimentary about the staff. They confirmed that they felt that the staff treated them well and listened and responded appropriately. From the information provided by the manager the home has a staff team of three full time members of staff and three part time members of staff. Two staff have attained an NVQ level 2 or above. The recruitment files were seen for two members of staff employed by the home since the last inspection. The records seen supported that the necessary checks are carried out and that copies of relevant training and qualifications were kept. A recently recruited member of staff confirmed the recuitment process and provided detail of the induction training programme undertaken. The manager intends to source a dedicated training scheme to cover all mandatory training in the home. Care Homes for Adults (18-65 years) Page 17 of 22 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. The home is run effectively and safely and in the best interest of the people who live there. Those who use the service or come in contact with it are consulted about the quality of what is provided. Evidence: Since the last inspection the home has developed its service and since February 2009 its focus has been to provide care and support for people with mental health issues. A new manager has been appointed and he is currently going through the process of registering with the Commission. Ongoing management support is provided from the current registered manager, Linda Eastwood, who also runs and manages the Robert and Doris Watts Home next door. The registered provider, Harry Watts, takes a keen interest in the day to day running of the care service. With only two residents and the new service provision starting in February 2009, quality assurance processes have been informal. Both residents and staff have confirmed that they are asked for their views and opinions about the running of the home and say they feel listened to. The new manager has reviewed and updated policies and procedures, information and Care Homes for Adults (18-65 years) Page 18 of 22 Evidence: guidance for safe working practices is available for staff and there is a programme of safety checks in place to protect the people living and working in the home. Care Homes for Adults (18-65 years) Page 19 of 22 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 20 of 22 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 Care Homes for Adults (18-65 years) Page 21 of 22 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 22 of 22 - 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. 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