Inspection on 04/10/05 for 188 Whitley Wood Lane

This inspection was carried out on 4th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

188 Whitley Wood Lane 13/03/09

188 Whitley Wood Lane 06/09/06

188 Whitley Wood Lane 01/04/05

188 Whitley Wood Lane 31/01/05

188 Whitley Wood Lane 19/08/04

188 Whitley Wood Lane 27/02/04

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

CARE HOME ADULTS 18-65 188 WHITLEY WOOD LANE 188 Whitley Wood Lane Reading Berkshire RG2 8PR Lead Inspector Kerry Kingston Unannounced 4 October 2005 at 10.00 am 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. 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 188 Whitley Wood Lane Address 188 Whitley Wood Lane Reading Berkshire RG2 8PR 0118 9752066 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) Reading Borough Council Robert Duncan Lynch Care Home 6 Category(ies) of Learning Disabilities registration, with number of places 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 010405 Brief Description of the Service: The Whitley Wood site houses the Reading Borough Council Supported Living Team aswell as the the residential respite care service. The respite care unit provides respite care/short term breaks for up to six adults, of both sexes with learning and associated disabilities. The respite care service is providing care for approximately forty service uusers, on a regular basis. The home was a purpose built unit for long term service users but has been well adapted for use as a respite unit. It is a few miles from Reading town centre and within easy reach of local ammenities. 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place on the 4th October 2005 between the hours of 2.30 pm and 6.30pm Most of the core standards had been assessed at the last inspection and the inspector spent most of the visit interacting with residents who were visiting the home for an overnight stay. Some records and files were also looked at. What the service does well: 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. 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 Page 6 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 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 Page 7 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) None of the above standards were assessed at this inspection. EVIDENCE: 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 Page 8 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 Service users needs are generally well assessed but the care plans are not regularly reviewed. EVIDENCE: Six service user care plans were seen, all contained assessments and addressed individual needs but only three had evidence of reviews included in their files. Staff advised that the assistant manager was developing a system of reviewing all service users regularly and there was an example of a monthly key worker review meeting taking place. The home has also decided to assume the responsibility for reviews (rather than the care managers). 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 Page 9 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) 17 Service users are encouraged to pursue appropriate activities during their stay in the home. Service users are offered an adequate diet and mealtimes appear to be an integral and enjoyable part of their visit. EVIDENCE: The opportunities for service users to participate in community and external activities have increased over the past six months. There were records of day trips, shopping trips, pub visits and gym visits. The inspector observed service users been asked what they would like to do and being accompanied into the community. Two of the service users said they enjoyed their stays and could do what they wanted to do. There were also references to the purchase of craft equipment and entertainment to enable service users to pursue their individual interests within the home. Service users had requested more access to televisions for their bedrooms and additional T.Vs had been purchased. The home is, currently developing their menu planning and is seeking to get more service user involvement in meal preparation and choice. 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 Page 10 A mealtime was observed and service users were seen to use it as a social occasion with sensitive interactions between staff and service users. All service users appeared to very much enjoy the mealtime. 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 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) None of the above standards were assessed at this inspection. EVIDENCE: 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 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) None of the above standards were assessed at this inspection. EVIDENCE: 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 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) None of the above standards were assessed at this inspection. EVIDENCE: 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 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) None of the above standards were assessed at this inspection. EVIDENCE: 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 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 and 39 The home is, currently, well run. The home does not have a formal quality assurance system. EVIDENCE: The registered manager resigned his post at the end of July 05. The home is being managed by the assistant unit manager and there appears to be no negative impact on the care being offered to service users, at this time. The assistant manager and the staff team are continuing to provide good quality basic care and to continue the development work, as necessary. The home does not have a formal quality assurance system or annual development plan. Service users do have several forums, where they are able to express their views and opinions on the day- to- day care offered. There is a formal, minuted, service users meeting and service users views were also expressed at the staff meetings. There was evidence that staff had acted on the views of service users and had recently provided new televisions and bedding at their request. 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 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 x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 188 WHITLEY WOOD LANE Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x x x H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 Page 17 yes 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 39 Regulation 24 Requirement To develop a formal quality assurance system (01.08.05) Timescale for action 01.01.06 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 6 Good Practice Recommendations To review care plans at appropriate frequencies. 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 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 188 WHITLEY WOOD LANE H01 30993 188 Whitley Wood Lane V251765 041005 Stage 4.doc Version 1.40 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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