Inspection on 06/09/06 for 188 Whitley Wood Lane

This inspection was carried out on 6th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

188 Whitley Wood Lane 13/03/09

188 Whitley Wood Lane 04/10/05

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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Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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 Reading Berkshire RG2 8PR Lead Inspector Kerry Kingston Unannounced Inspection 6th September 2006 2.15pm 188 Whitley Wood Lane DS0000030993.V307433.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 188 Whitley Wood Lane DS0000030993.V307433.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. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 188 Whitley Wood Lane Address Reading Berkshire RG2 8PR 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) 0118 9015347 Reading Borough Council Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: The Whitley Wood site houses the Reading Borough Council Supported Living Team as well as 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. There are approximately forty people, using the service 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 amenities. The fees are £3.80 to £5.41 per night. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced site visit which took place between the hours of 2.15 pm and 6.45 pm on the 6th September 2006, to collect additional information to inform the report for the key inspection. The information was collected from a pre-inspection questionnaire completed by the manager, discussions with two staff members, the manager, observations of and discussions with four service users and two service user surveys. A tour of the home, service user and other records were also used to collect information, on the day of the visit. Overall the standard of care is good and the staff team is committed to further development to maintain and improve care for the residents. 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 DS0000030993.V307433.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 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 the following standard(s): 2 The quality in this outcome area is good. Service users are carefully assessed and the home offers a respite care programme that is able to meet their needs. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: The person who has been most recently admitted has a full assessment by the Community Team for people with learning disabilities, a carers assessment, a respite care plan for six months, goals for six months and the respite frequency of 36 nights per year. It was noted that respite care in the home was discussed in detail with the service user. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 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 the following standard(s): 6,7 and 9 The quality in this outcome area is good. The home meets the diverse individual needs of service users and encourages as much choice and risk taking as is appropriate, within the parameters of the respite service. Care plans are not regularly reviewed. This judgement has been made using the available evidence, including a visit to the service. EVIDENCE: All service users have individual care plans, these show the amount of time spent at the home but it may be beneficial to reflect more fully why they are receiving a respite service. Some files (for those service users who have not been visiting the home for many years) have goals and development plans, as appropriate, but others did not make it clear why they were spending time at the home, i.e. whether it was for the relief of the family or for the individual development of the service user. The person who has been admitted most recently had detailed paperwork, which included goals. The acting manager advised that this was a developing process and would be used for all future admissions. The care managers have a new system of review but service users 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 9 care is not always reviewed regularly, the home was advised that providers have a responsibility to review care plans to ensure that they are offering the appropriate care. The acting manager said that the home is already developing a system of six monthly internal reviews to ensure all risk assessments, care plans and personal care guidelines are up-to-date. This was reflected in two of the files seen. Care plans include all the necessary information to ensure that service users needs can be properly met whilst they are in residence, these include personal needs, likes/dislikes, preferences of food/ care and all daily living activities, assessments and health needs. There is good evidence of service users making choices wherever possible. Resident meeting notes showed that staff encouraged service users to be involved as possible and the manager and staff described new developments taking place to ensure service users can be kept interested, involved and can put forward their own views by using a communication method that they are comfortable with. Staff were observed offering day-to-day choices with regard to personal care, having meals and what to eat. Service users were expressing their choices very confidently. Appropriate risk assessments are in place, they are completed with service user and family/carers involvement. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 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 the following standard(s): 12,13,15,16 and 17 The quality in this outcome area is good. The home offers the respite service users a rewarding and positive lifestyle whilst they are in residence. This judgement has been made using available information, including a visit to the service. EVIDENCE: The home ensures that service users are able to access their usual daytime activities, most service users attend day centres or other community activities. Additionally there are trips out at weekends and some evening external activities. These include any local social clubs that are usually frequented by the service users, bowling, zoos, cinema, local shops, church and ‘in house’ activities such as computer, crafts, cooking and music. Public transport is used but can be difficult to access for some service users. The home has plans to share a ‘people carrier’ with another service and is working towards this goal. Three service users said that they have plenty to do and can do as they want. Staff record when service users are offered activities that they sometimes don’t wish to participate in, it is very clear that service users preferences are listened to. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 11 Service users live at home and attend respite for short periods of time, the most frequent stays are for one service user who stays four nights every week and goes home at weekends, this is a long standing arrangement, more recent arrangements are more formal, stays are of shorter duration and lesser frequency. The home has good relationships with families/carers so that they are able to offer appropriate care to service users that do not conflict with their home life. Two service user surveys said that they liked staying at the home and three service users spoken to confirmed that they enjoyed their stays. Four service users were observed arriving at the home and all appeared to be happy and comfortable to be there. Menus were varied and interesting, service users were observed choosing food that was not on the menu but that they liked, they were seen helping themselves to fruit and yoghurts. Staff were observed being careful about special diets and sensitively encouraging appropriate behaviours at the table. Service users very much enjoyed the meal and positive interaction between staff and service users was observed throughout the mealtime period. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 18,19 and 20 The quality in this outcome area is good. The personal needs of service users are well met by the home and health care issues are addressed, if it is appropriate to do so. The medication administration system is safe. This judgement has been made using available information, including a visit to the service. EVIDENCE: Care plans evidence that all personal and health care needs are noted. Service users likes/dislikes/preferences are noted and staff were observed adhering to that information (i.e. personal care preferences). Health care is not routinely dealt with by the home but any necessary health care records/guidelines are kept. Health matters are addressed if appropriate and necessary. The medication procedure is robust and staff work hard to ensure that parents/carers adhere to it. Some have to be continually reminded of the safe systems employed to ensure medication can be safely handled. Only staff who have received medication administration training administer medication, it is always administered by two staff. The home return all medication to the service users home when they are discharged and an accurate record of what is received and returned home is kept. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 22 and 23 The quality in this outcome area is good. Service users and their families/carers views are listened to and acted upon. Service users are protected from any form of abuse. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: There have been five complaints, and some parental concerns noted in an individual file, since the last inspection. These concerns have not been recorded in the form of a complaint, this was discussed with the manager. All complaints and concerns are recorded in detail and the actions taken and outcomes also recorded, they were all dealt with positively. There have been no vulnerable adults incidents since the last inspection. Body maps and records of how any injuries occur are kept on files, the action taken in response to these injuries could contain more detail. The home does not use physical restraint although staff receive SCIP training. Money is not held on behalf of service users. No behavioural guidelines were seen (on the five files looked at), staff said that the home does not meet the needs of those with serious challenging behaviours and service users complain if they do not feel safe with others. Most of the staff team are trained in the protection of vulnerable adults and the two staff spoken to were able to explain what action to take if any abuse issues and how to deal with complaints. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 24 and 30 The quality in this outcome area is good. The home offers comfortable and spacious accommodation, which suits the needs of respite care service users. This judgement has been made using available information, including a visit to the service. EVIDENCE: The home is not designed as a domestic dwelling but is made as homely and comfortable as possible. It is well kept, spacious and very clean and hygienic. The kitchen dining and sitting areas are welcoming and well used. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 The quality in this outcome area is excellent. A very experienced and well-qualified staff team support the service users staying in the home. This judgement has been made using the available evidence, including a visit to the service. EVIDENCE: There are a minimum of two staff during daytime hours 7am –10pm, one waking night staff and one sleeping in staff. It is a very experienced and wellqualified staff team, twelve of the twenty-two staff have been in post for over five years, there have been two new staff appointed since the last inspection. Twenty of the twenty-two staff have N.V.Q 2 or above and staff confirmed that they have good opportunities to pursue further core, developmental and professional training. The staff team are very knowledgeable, have regular supervision and Health and Safety training is up-dated regularly. Staff records are held at the personnel department of the local authority but the manager was able to describe all the necessary checks and procedures involved in the recruitment process. The manager has a checklist to ensure that agency staff have the correct checks and are safe to employ. One to one staffing is provided if this is necessary to meet the assessed needs of an individual service user. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 16 Staff have time to do all the necessary chores and were observed spending quality time with service users. Staff also resource the supported living service that is run from the same building but the rota’s ensure that this work does not impinge on the residential task in the respite service. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 The standard in this outcome area is good. The home is well managed, is developing and ensures the safety of staff and service users. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: The acting manager is to apply for registration imminently. He has twelve years experience in the home, is doing an N.V.Q. 4 in care and will then do an N.V.Q.4 management. The manager described several developments that are taking place and his and the teams’ ideas for further developments. Staff felt they were well supported and that there had been organisational improvements since the new managers’ appointment. The quality assurance system is developing. Carers/families have been sent Questionnaires and the information has been collected and collated, there was a 57 return rate, plans are being drawn up for a method of ensuring ‘real’ Service user involvement and ‘imaginative’ ways to gain individual service user 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 18 reactions, particularly from those who have difficulties with verbal communication. An annual development plan is to be produced after the completion of the quality assurance exercise. The manager discussed several areas of development currently being pursued that is; six month reviews, procurement and use of an appropriate vehicle, methods of further inclusion of service users to gain their opinions and physical enhancements to the environment. All Health and Safety checks are completed, staff have training up-dates and the home has a designated health and safety officer on the staff team. Safe working practices are supported by detailed risk assessments and staff were observed consulting the Health and Safety advisor about a newly identified hazard, the advisor outlined what action he would take and when. Accidents and incidents are recorded in detail and analysed by the manager 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 19 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 3 34 X 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 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 2 X X 4 X 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 20 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. 2. Refer to Standard YA6 YA39 Good Practice Recommendations To ensure all care plans are reviewed at appropriate frequencies. To further develop the quality assurance system, to include an annual development plan. 188 Whitley Wood Lane DS0000030993.V307433.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks 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 DS0000030993.V307433.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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