Inspection on 14/06/05 for 1 Abell Gardens

This inspection was carried out on 14th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

1 Abell Gardens 10/09/08

1 Abell Gardens 22/09/06

1 Abell Gardens 16/11/05

1 Abell Gardens 28/01/05

1 Abell Gardens 18/10/04

1 Abell Gardens 10/02/04

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Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 ABELL GARDENS Furze Platt Road Maidenhead Berks SL6 6PS Lead Inspector Sandra Grainge Unannounced 14 June 2005 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 1 Abell Gardens Address Furze Platt Road Pinkneys Green Maidenhead Berks SL6 4DS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Owl Housing Limited Miss Susan Gilbert Care Home (PC) 6 Category(ies) of Learning disability (Pc YA LD 6) registration, with number of places 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28.01.05 Brief Description of the Service: k1, Abell Gardens is a single story purpose-built care home situated in a quiet residential road on the outskirts of Maidenhead. Accomodation is provided in single bedrooms. The bungalow has a secluded rear garden that is for use by the residents of the property. There are a limited number of car parking spaces on the property and in the access road. Owl Housing Ltd, a non profit making charitable society is registered to provide accomodation,support and personal care for up to six younger adults who have learning and physical difficulties. The aim of the home is to create a warm, friendly atmosphere in which people are enabled to achieve their personal objectives and reach their full potential. The homes objectives are to promote the individual rights to privacy, dignity and respect; to facilitate the achievement of personal objectives through appropriate educational and employment opportunities; to provide access to relevant organisations and information in pursuit of meeting each persons spiritual and cultural needs; to promote ways and means to extend social networks to achieve prominence, social standing and a sense of belonging within the community; to encourage participation in regular communication with family and friends; to encourage the use of generic services, building and maintaining viable working relationships to meet the individuals health care needs; and to support and enable each person to contribute to all aspects associated with daily life activity. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that was carried out by a locum inspector. It took place over five hours. There had been no additional visits to the home since the last inspection in January. The home was not fully occupied. There were five service users, who prefer to be called residents, in the home and they were able to meet the inspector. The Registered Manager was on duty with four staff; a new staff member was receiving induction training. The inspection consisted of a tour of the premises, inspection of records, discussion with staff and time spent with residents. None of the residents was able to verbally comment to the Inspector. A Social Service’s Care Manager was holding a resident’s review meeting and the inspector was invited to attend. What the service does well: What has improved since the last inspection? The leadership of the new registered manager and her deputy was now well established and it allowed the staff to be confident in their roles. This resulted in a smooth operation of the home that contributed to the provision of a safe and secure environment in which the residents were settled and content. Planned review meetings are regularly held. Staff supervision is in place. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4and 5 Prospective service users are given the information they need to make a choice about the home. EVIDENCE: A statement of purpose and service user guide was available; the documents contained the complaints procedure. This must be updated to include details of the CSCI not NCSC. No new residents had been admitted to the home since the last inspection. Staff were able to describe the assessment and admission procedures that had been used recently when a prospective service user had been considering a placement in the home. Existing residents had contracts on file. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 and 10 Each individual resident’s needs are assessed and their preferences are recorded. Care placement reviews are held regularly; they involve the resident who is given the opportunity and support to comment and make decisions. EVIDENCE: Individual care plans are available for each resident and they contain information about comprehensive assessment and clear plans for action. Risk management strategies are in use. A bed rail has recently been provided to prevent a resident from falling out of bed; a risk assessment must be carried out concerning the use of this equipment for each individual situation and in addition a programme of maintenance is needed. A social services care review meeting was held during the morning; this illustrated involvement of the resident and presentation of detailed care records by staff for the future welfare of the resident. The review was presented well and enjoyed by the resident. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12,13,14,15,and 17 Residents are given opportunities for personal development and participation in culturally appropriate leisure activities in the local community. When possible family links are supported and maintained. Many arrangements are made to create fun activities and celebrations at which residents can meet and keep in contact with their friends. Staff were respectful of residents privacy and dignity. EVIDENCE: Notice boards contain detail of parties and planned outings. Residents were pleased to show photographs on display that record their participation in events both in and outside the home. The review meeting included detail of activities, holidays and plans for the management of diet and good nutrition. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 and 21 The staff worked in a way that put the best interests of the residents first. Personal care was given in a sensitive and informed manner. Routines were flexible and arrangements were made for the provision of professional healthcare when necessary. EVIDENCE: Staff were seen to offer residents a choice of clothing and personal style. Although none of the residents had the ability to verbally express their views it was clear that the staff were able to understand their behavioural and physical responses. Arrangements had been made for gender appropriate staff to be available when needed. The residents care plans showed that referrals were made for specialist advice and support. None of the residents was able to be responsible for the administration of their own medication. They were protected by the home’s medication policies and procedures. In February a pharmacist had carried out an audit of medication and practice. Arrangements had been made to support both residents and staff following the unexpected natural death of a resident earlier this year. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 There was a complaint procedure in place and although they were unable to tell the inspector that staff responded to their views it was apparent that the residents knew how to behave in order to express themselves and make their wishes known. Staff were able to describe action that they would take in order to protect residents from any form of abuse. EVIDENCE: There was a complaint procedure available in the home and it was included in the statement of purpose. The name of the regulation authority must be updated in this document. A complaint record was kept, only one complaint, that concerned parking, had been received this year. There was evidence in the staff records that training for the prevention of abuse to vulnerable adults had been given. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,26, 28, 29 and 30 These standards were all met with the exception of standards 28 and 29, which were partially met. EVIDENCE: The home is purpose built and offers single room accommodation for all six residents. The premises were clean, homely and comfortably furnished. Standard 28 includes the provision of a kitchen that is safe and homely. The kitchen and equipment were clean and tidy. However, the domestic style units are worn; they have not been designed to withstand the heavy usage that is required of in area that must meet environment health hygiene standards and the use of many members of staff. Standard 29 was partially met because a bed rail had been added to a resident’s bed in order to prevent her falling out. This must be subject to risk assessment and the rail equipment must be checked and maintained. The garden is secluded and large enough for residents to use for recreational activities including swings and a BBQ area. The grounds had been cleared and there were plans in progress to create a vegetable garden and short lawn area. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32,33, 35 and 36 The home was found to have the right numbers of trained and qualified staff to provide residents with good care. EVIDENCE: Staff training and supervision was given. This was evident from the records and conversation that the inspector had with members of staff. The individual members of the team worked well together and enjoyed their work. Some had worked in the home for a long time and were dedicated to care of the residents. A new member of staff was on duty at the time of this inspection. She was supernumerary to the staffing requirements and was being taken through the induction training for the home. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40, 41,42 and 43 There were systems in place to manage the home to protect the residents and operate the service in their best interests. Standard 42, practice of infection control, was partially met. EVIDENCE: Up to date Insurance cover for the home was displayed. Records were kept of health and safety management of the building. Paper towels were not supplied for staff hand washing as part of the infection control measures. It is a requirement that these are supplied. The accident record indicated that there had only been two instances of minor injury to residents since the previous inspection. The registered provider had a management system in place that included financial planning, human resource management, Regulation 26 inspection reporting and quality assurance. 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 2 2 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 ABELL GARDENS Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation Requirement Timescale for action one month 2. 28 3. 4. 29 42 1,(schedul Update the Statemnt of Purpose e) 1 by correcting the name of the regulation authority in the complaint proceedure and send a copy of the corrected document to the CSCI 13(4);16 Plan and design kitchen Action plan development to meet hygiene to be sent and heavy duty use to CSCI in two months 13 Risk assess the use of a bed rail one month and impliment a safety maintenance procedure 16(j) Provide paper towels for staff one month handwashing RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale RG7 4SA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 1 ABELL GARDENS H52-H01 S46772 1 Abell Gardens V227829 140605 Stage 4.doc Version 1.30 Page 19 - 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. 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