Inspection on 06/03/07 for 14 Maple Way

This inspection was carried out on 6th March 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

14 Maple Way 24/07/08

14 Maple Way 20/12/05

14 Maple Way 11/07/05

14 Maple Way 15/11/04

14 Maple Way 16/06/04

14 Maple Way 16/02/04

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Fairways

Treloar College

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

CARE HOME ADULTS 18-65 14 Maple Way Headley Down Alton Hants GU35 8AZ Lead Inspector Geoff Senior Unannounced Inspection 6th March 2007 09:30 14 Maple Way DS0000055527.V332501.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 14 Maple Way DS0000055527.V332501.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. 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 14 Maple Way Address Headley Down Alton Hants GU35 8AZ 01428 717565 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) 26stmarksroad@robinia.co.uk The Robinia Group PLC Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 2005 Brief Description of the Service: 14 Maple Way is registered to provide care and accommodation for one person with a learning disability. The home is owned and operated by Robinia Care Limited, a service provider since 1995. There is no current Registered Manager. Ms C. Monson is acting manager in day-to-day control. The home aims to provide a caring, supportive and empowering environment and offers a high staff to service user ratio throughout the day and night. The service user is supported to participate in a range of activities, available in-house and in the community, according to her needs and wishes. The property is a three bedroom, semi-detached house on a small residential estate in the village of Headley Down, Hampshire. There is a small enclosed garden to the rear of the property and room for off road parking at the front. There are some local facilities - a shop and pub, with additional choice in nearby Hindhead. The reported fees are £5000 per week. 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Key Inspection and was undertaken on the 6th of March 2007. The inspection lasted for 4.5 hours. Discussions were held with the Acting Manager and members of staff. The opportunity to discuss with the service user her experiences and opinions of the home was limited by communication needs and understanding. The staff’s attention to the service user’s needs, their patient, friendly and respectful manner and their treatment of the service user as an individual was however, observed throughout the visit. A range of documentation and records was viewed and an accompanied tour of the premises was undertaken. The views and comments of the service user’s family members were sought in telephone conversation after the visit and are reflected in the text of the report. Comments from parents include: ‘Since moving in X has come on in leaps and bounds’ ‘Staff ensure that X’s health and safety is paramount’ ‘We’re kept in touch with any developments and are included in any decision making’ What the service does well: What has improved since the last inspection? The manager and staff team continue to examine the care and support that is provided, looking to innovate and further develop the service. Staff feel that now the team has settled, and there is less need to use agency staff, a more consistent approach has been established and benefits the service user. 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 14 Maple Way DS0000055527.V332501.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 14 Maple Way DS0000055527.V332501.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ongoing review and assessments are undertaken to ensure that the Home can support the service user’s needs and aspirations. EVIDENCE: The service user has lived at the home for four years. Her needs were subject to an initial pre placement assessment and the service was set up specifically for her. The service is monitored on an ongoing basis and any changing needs are addressed. The Organisation offers staff training to ensure they have the skills to deliver appropriate support. Family contact and input is encouraged and facilitated and the service has developed good links with the community healthcare professionals. 14 Maple Way DS0000055527.V332501.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): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user file identifies individual support needs and offers guidelines to staffing managing the support. Staff have a good understanding regarding residents’ rights to make decisions and to be consulted on matters affecting them. Risk assessments are undertaken and relate to care plans to enable service users to participate in chosen activities with staff support EVIDENCE: The home has developed well-structured and informative service user files. The care plans have recently been revamped to reduce the amount of written information and, reportedly, now contain more specific information and guidelines. These can be linked and cross-referenced with the daily diary and monitoring sheets. The needs of the service user are clearly identified as well 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 10 as the action required by staff to support the needs. The care plans are reviewed on a regular basis, team meetings and liaison with parents are used to pool ideas and further develop the support. It was evident during the visit that the service user is encouraged to make decisions about daily living activities. Staff were observed interacting with her in a patient and non patronising manner and she responded by showing items to staff members or by using facial expressions to communicate. Risk assessments are undertaken for all daily living and leisure activities and relate to care plans to enable the service user to participate in chosen activities, with staff support. 14 Maple Way DS0000055527.V332501.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): 12,13,15,16. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident has the opportunity for personal development, is able to participate in a variety of leisure activities both in the home and the community, Visits to and from family are welcomed without restriction. EVIDENCE: Staff work positively with the service user to establish interests, likes and dislikes. They are supported by the organisation to offer a wide range of formal and informal activities for both recreational and therapeutic purposes. The service user attends sessions at the organisation’s resource centre in a nearby town, on four days of the week. Staff from the home support her, while 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 12 at the resource centre, to give continuity of care. She is also supported to enjoy the local amenities and visits the nearby shop and pub. The service user maintains close contact with family and visits them every two weeks. Her parents are welcome to visit without restriction and are consulted and included in all decisions affecting their daughter’s lifestyle. 14 Maple Way DS0000055527.V332501.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): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff endeavour to support the service user in a manner that is dignified and respects the individual’s privacy. Healthcare needs are addressed. Medication systems are supported by clear procedures and documentation. EVIDENCE: The service user requires assistance with aspects of personal care and hygiene. The management ensures that the staff are instructed and supervised to provide this thoughtfully and sensitively. Service user preferences for the way personal care is provided are documented in the care plans, including the toiletries to be used at bath time and the time preferred for getting up and going to bed. The healthcare needs are monitored and addressed. The home has developed positive relationships with the local healthcare agencies that provide support and advice. 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 14 Medication storage and records are adequate for the needs of the home. Medication administration records were clear and up to date. The home has Company procedures in place for dealing with medicines. Staff at the home receive training before they are allowed to administer medicines. It was recommended that the home obtain a copy of the Royal Pharmaceutical Society of Great Britain guidelines- ‘The Administration and Control of Medicines in Care Homes’. This would be used when reviewing how Medicines in the custody of the Home are handled and when reviewing training needs. 14 Maple Way DS0000055527.V332501.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): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has complaints procedures in place and the resident is protected by staff awareness of abuse issues EVIDENCE: The complaints procedure provides the required information and is available to the resident, visitors and staff. Due to communication issues it was not possible to discuss the complaints procedures with the resident. The home has procedures in place to be followed should abuse be suspected. Staff members spoken to during the inspection were aware of the procedures and indicated that they would report any concerns immediately. The home deals with some aspects of the service users personal finances. Records are kept of all transactions. 14 Maple Way DS0000055527.V332501.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): 24,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean and homely environment in which to live and work. There is a comfortable lounge, suitable kitchen, personalised bedroom, sufficient bathroom and toilet facilities and a pleasant garden area. EVIDENCE: The home is a three bed roomed property situated in a residential area of Headley Down. A keypad entry system is in place restricting admission to staff and visitors who are admitted by staff. All visitors are requested to complete the record book when entering and leaving the property On the day of the inspection the home was clean and reasonably decorated. Risk assessments have been undertaken and efforts made to ensure a safe environment for the service user and staff. On the ground floor there is a comfortable lounge with television, video and audio equipment and a kitchen with fitted units and a dining area. 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 17 On the first floor the resident has a large bedroom that is suitable for her needs and contains personal items such as photographs and pictures. There is also an activities room, an office and a bathroom. The bathroom and toilet facilities looked clean and tidy at the time of the inspection. Doors to the bathroom and bedroom are not locked as the resident has been assessed as not able to hold the keys. The resident is able to manage the stairs independently and does not require any specialist equipment. There is a small garden to the rear of the property where a specially adapted swing has been fitted for the use of the resident. 14 Maple Way DS0000055527.V332501.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): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a staff team who have many years experience working with the needs of the current service user. Staff are offered a range of training opportunities to help them understand and meet the service users needs. Recruitment procedures provide fro the protection of the service user. The home conducts good support and supervision networks for the care staff EVIDENCE: Staff spoken to confirmed, “ it’s good organisation for training”. The home has a training programme for the care staff that not only considers the statutory obligations but also enables staff to undertake training in areas that relate to the different presenting needs of the service user. 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 19 There are eight care staff employed in the home. Four have completed national vocational qualifications to level two and three. The others are currently undertaking the organisation’s foundation training. The staff morale appears to be good, as is the level of communication and interaction with each other and the service user. All conversations observed were inclusive and client centred. The home conducts good support and supervision networks for the care staff. One to one supervision is available on a regular basis. The acting manager confirmed that appropriate checks are undertaken on prospective staff prior to appointment and commencement of duties. 14 Maple Way DS0000055527.V332501.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): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run with an open and inclusive atmosphere. The ethos of the home supports and encourages the development of the service user. Policy and practice endeavours to ensure the health and welfare of service user is promoted and protected. EVIDENCE: The acting manager appears to foster an open and positive atmosphere in the home enabling staff, service user and relatives to feedback thoughts, ideas and concerns for the service. 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 21 Representatives of the organisation undertake monthly visits and, where necessary, set targets for improvement and compliance. Staff from the organisation’s head office undertakes an annual quality audit. A questionnaire is also sent out to families. The format allows only for ‘tick-box, smiley face’ responses. This could be enhanced by offering space for written comment. The health, safety and welfare of service users, staff and visitors is addressed in induction and training and through written guidance and routine maintenance and service checks. 14 Maple Way DS0000055527.V332501.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 X 2 3 3 X 4 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X 14 Maple Way DS0000055527.V332501.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. 1 Refer to Standard YA20 Good Practice Recommendations It was recommended that the home obtain a copy of the Royal Pharmaceutical Society of Great Britain guidelines‘The Administration and Control of Medicines in Care Homes’. This would be used when reviewing how Medicines in the custody of the Home are handled and when reviewing training needs. 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. Extracts may not be used or reproduced without the express permission of CSCI 14 Maple Way DS0000055527.V332501.R01.S.doc Version 5.2 Page 25 - 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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