Inspection on 07/02/07 for 12 Ryder Road

This inspection was carried out on 7th February 2007.

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

12 Ryder Road 17/10/08

12 Ryder Road 18/10/07

12 Ryder Road 10/11/05

12 Ryder Road 07/04/05

12 Ryder Road 26/10/04

12 Ryder Road 22/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Honeybourne House

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

CARE HOME ADULTS 18-65 Ryder Road 12 Ryder Road Stoke Plymouth Devon PL2 1JA Lead Inspector Jane Gurnell Unannounced Inspection 7th February 2007 09:30 Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 1 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 Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 2 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 Stationery 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. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ryder Road Address 12 Ryder Road Stoke Plymouth Devon PL2 1JA 01752 219779 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Michael Batt Foundation (Valued Life Projects) Mr Mark John West Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning disabled adults some of whom may have a mental disorder Age 18-50yrs Date of last inspection 10th November 2005 Brief Description of the Service: 12 Ryder Road is a care home providing personal care (if required) and accommodation for three people, aged 18 - 50, with learning disabilities, who may also have mental health issues. It is owned by the Michael Batt Foundation (VLP) which is a not for profit organisation providing services for people with a range of needs who require support and care to live in the community. The home was opened in 2000 and is a two storey terraced property located in the residential area of Stoke in Plymouth. All the homes bedrooms are single and are on the 1st floor. None of these have en suite facilities. The home has a bathroom on the ground floor, consisting of a combined bath/shower and a toilet; and a bath/shower room on the 1st floor with a separate toilet. There are separate lounge and dining rooms and the home has a small back yard and small front garden. A sheltered area is provided outside where service users may smoke if they wish. All areas are accessible to the service users. The weekly fees for this service are calculated on an individual basis depending upon the service user’s support needs. Information relating to the services provided by the Michael Batt Foundation can be obtained from their Head Office at Third Floor, Poseidon House, Neptune Business Park, Cattedown, Plymouth, PL4 OSJ, telephone number 01752 310531. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken during the morning of 7th February 2007. The Registered Manager, Mr Mark West, was present. The inspector spoke the one service user who was at home at the time and the member of staff on duty. A tour of the building was made and documents relating to the support needs of the service users were examined. A visit was made to Michael Batt Foundation’s head office on 12th February 2007 to examine the confidential documents relating to the admission of newly referred service users and also staff recruitment. What the service does well: The house is comfortable, warm and very clean. There is plenty of good food. Residents have enough things to do to be happy. They can go to college and are helped to find a job. There are always enough staff to help. The resident’s get all the help they need. Each resident can have their room just as they want it. The staff know how to help people and the staff do their best. If a resident has a problem it is easy to get help. The staff are safe to be with. If you want to live there the staff will tell you about what it is like. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 6 The staff are good at helping people to move in and be happy. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are given opportunities to visit the home to decide whether they would like to live there and to meet the other service users and staff. EVIDENCE: One service user had been admitted to the home since the previous inspection. Although he wasn’t present at the time of the inspection, the Registered Manager confirmed that he had had the opportunity to visit the home on several occasions to meet the other service users and the staff prior to making a decision to move in. Documents relating to his pre-admission assessment were held at the Foundation’s head office and gave a clear description of his needs as well as his expectation of the service. The Foundation provides a Service User Guide in different formats, such as pictorial and on audiotape, depending upon each prospective service user’s needs and abilities, thereby enabling them, with the support of visits and explanations to make an informed choice about the suitability of the home. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are enabled to participate in, and make decisions about, all aspects of their lives. Confidentiality is respected. EVIDENCE: Discussions with one of the service users and the staff confirmed that service users are actively consulted and enabled to make choices and decisions about their lives. Service users are supported to take risks that have been carefully assessed. For example, one of the service users spending periods of time in the house unsupported by staff as part of moving towards a more independent lifestyle. The staff member on duty was fully aware of the needs of the service users and these were clearly documented in each service user’s support plan ensuring that the support provided by staff is done so in a consistent manner. Any restrictions on choice or freedom had been agreed with the service user and other people involved in the person’s care: any restrictions in place were made to protect the service user’s health and safety and recognises the service Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 10 user’s responsibility towards others. The service user confirmed that he was aware of any restrictions on choice or freedom and was able to describe and explain why these agreements were in place. The attitude and approach of the staff team promotes independence and empowers service users to make decisions about lifestyles and daily routines. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can learn life skills, attend work and educational placements, participate in any community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with a service user and staff member showed that service users are enabled to live as full a life as they wish to with opportunities for personal development. Service users are encouraged to carry out all the domestic tasks in the home and participate in leisure activities of their choice including holidays: at the time of the inspection, a service user was arranging his forthcoming holiday with the Registered Manager. A service user explained that they all talk and agree on issues such as their day-to-day activities and commitments, shopping and meal planning and housework. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 12 Service users are encouraged and enabled to find paid employment: all 3 service users were attending college and had part-time jobs. The home does not provide transport as service users are encouraged to use public transport wherever possible. Staff cars are used occasionally, for which service users make a contribution towards the cost of petrol. The service user spoken with was clear that he considers this to be his home and feels empowered to make decisions because the staff and management team listen to what he says. Service users choose the menu, do the shopping and prepare meals, drinks and snacks. Each week they have a takeaway or meal out and this is paid for by the organisation. Contact with relatives and friends is encouraged and there are no limitations in place regarding visitors to the home. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: A service user confirmed that he is consulted about the level of personal support he needs, confirmed that he is being supported to live more independently. All three service users support plans were examined and these provided very clear descriptions of personal, emotional and health care needs. This clarity is important to ensure that the support team are fully aware of each service user’s specific needs and can respond in a consistent manner. Incidents of inappropriate behaviour as a result of service user anxiety were documented and monitored by the Team Leader, who is a member of the senior management team, to identify if further support and guidance is necessary to overcome these difficulties. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 14 Service users are offered support from other healthcare professionals such as nurses and psychologists from the Community Learning Disability and Mental Health Teams, to enable them to express their concerns, to deal with situations that make them angry and to develop more appropriate coping strategies. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse, neglect and self-harm. Service users can be confident that the Registered Provider always deals with complaints seriously and any concerns from service users are listened to and acted upon immediately. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. Regular house meetings are held to discuss the day-to-day running of the home as well as any issues of concern which are dealt with immediately, although it was also clear from discussion that service users can raise any issue at any time. Staff have received training in the protection of vulnerable adults and are aware of their responsibilities should they suspect a service user is at risk. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is satisfactory providing service users with a comfortable and homely place to live. EVIDENCE: The home is clean and hygienic with a satisfactory quality of furnishings. Several rooms have been redecorated by the service users since the last inspection and include the lounge rooms and the hallway. Each service user has a single bedroom on the 1st floor, none of which have en suite facilities or wash hand basins. A service user confirmed he did not need a wash hand basin in his bedroom and is happy to use the sink in the bathroom. The bedrooms were not examined on this occasion but a service user said that his room was very comfortable. Bedroom doors are fitted with locks providing privacy and security for belongings. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 17 There are shared rooms on the ground floor consisting of a dining room off the kitchen, a lounge room and an additional room where service users can eat meals or relax, as they wish. Both this room and the lounge room can be used by staff to sleep in at night. A sheltered area is provided outside where service user may smoke if they wish The Registered Manager confirmed that a new kitchen would be fitted in the near future demonstrating the Foundation’s commitment to providing a safe and pleasant environment for the service users. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are robust. Staff are enthusiastic, have a good understanding of the service users’ needs and work positively with service users to improve their quality of life. EVIDENCE: The Foundation has a department that ensures recruitment practices are safe. A sample of staff files were examined and showed a robust recruitment procedure. All the required information was available, including Criminal Record Bureau checks and 2 written references, ensuring as far as possible only suitable staff are employed. Regular staff meetings and individual supervision sessions took place and addressed the principles and values of the Foundation, staff performance and training and development needs, as well as day-to-day support issues. The Foundation has a designated staff member to coordinate and arrange training to maintain an overview of what the organisation requires, as well as ensuring that individual staff members receive the training they need. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 19 The Registered Manager and staff members confirmed that staff were expected to attend relevant training on topics such as social role valorisation, person centred planning, human development, adult protection, conflict management and emergency first aid, ensuring they have the skills and confidence to support the service users on a day-to-day basis and also at times of crisis. The majority of staff are either enrolled in or have completed the Learning Disability Award Framework (LDAF), a nationally recognised qualification. The service user and staff member on duty confirmed that there are usually two staff on duty until 10pm with one staff member sleeping in at night. One service user does not require staff supervision as he is working towards a more independent lifestyle. There is an ‘on call’ system whereby members of the management team are available both in and out of office hours. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach is open, inclusive and positive, providing clear leadership and guidance. Service users’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager was competent and experienced to run the home and confirmed that he is nearing completion of the Registered Manager’s Award, a recognised management qualification. He has also completed the “Humanistic Approach to Support” Course, a LDAF course that follows a person-centred philosophy of care and support. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 21 Lines of accountability were clear and the organisation has a management structure that enables it to cover absences when required, and provide an effective ‘on call’ system to support staff. Tests and checks of fire safety equipment had been carried out as required and staff on duty were aware of fire safety procedures. The organisation had devised a booklet using photographs and pictures explaining what to do in the event of a fire, demonstrating excellent practice, and the Registered Manager had gone through this with service users and staff members. Staff have completed training in fire safety, first aid, food hygiene and health and safety ensuring they have the skills to deal with emergencies. The Foundation has a Quality Assurance Auditor who is responsible for assessing whether the services provided meets the service users’ needs to their satisfaction as well as ensuring their safety and that of the support staff. These assessments are detailed and include all aspects of a service user’s personal, health, emotional and social support needs. The results of these assessments are shared with the service user and their family or representative to plan future service support and personal goals. Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 3 Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ryder Road DS0000003450.V302621.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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