Inspection on 21/04/05 for 2 Abell Gardens

This inspection was carried out on 21st April 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

2 Abell Gardens 30/10/08

2 Abell Gardens 28/11/06

2 Abell Gardens 24/10/05

2 Abell Gardens 15/12/04

2 Abell Gardens 24/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 2 ABELL GARDENS 2 Abell Gardens Furze Platt Road Maidenhead SL6 6PS Lead Inspector Katy Brown Unannounced 21 April 2005@ 10:45 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. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 2 Abell Gardens Address Furze Platt Road, Maidenhead, Berks, SL6 6PS 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) 01628 780975 Owl Housing Ltd Ms Alison Brooke Care Home 6 Category(ies) of Learning Disability (6) registration, with number of places 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15 December 2004 Brief Description of the Service: Abell Gardens cares for six adults. It is set in a residential area close to local amenities and the town centre. The home is a bungalow and there is a variety of aids and adaptations around the building to allow residents to move about more independently. All of the bedrooms are single and none of them have ensuite facilities. There are two communal toilets and one communal bathroom. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours. There have been no additional visits made since the last announced inspection. A tour of the premises took place and staff records, residents’ care records and some of the homes’ records were inspected. All five of the staff on duty, four of the six residents, and one visitor were spoken to. What the service does well: What has improved since the last inspection? Staff have received refresher training that enables them to continue to meet the needs of residents. The manager is seeking ways to support a resident who has made a decision that she wishes to leave the home and live on her own. Staff have worked with the doctor and the hospital consultant, to enable a resident to stop taking prescribed medication. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 , 4 and 5 The admission and care planning process for residents’ living at the home is robust and gives them assurance that their care needs will be met. EVIDENCE: The resident who had been most recently admitted to the home; said that he had been provided with an opportunity to visit the home prior to his admission and that a representative from the home visited him at his previous placement to discuss his needs. He had been given a copy of the service users guide and welcome pack, which informed him of the services provided and information about the terms and conditions of the home. Individual records are kept for each resident and an inspection of the records for three residents’ living at the home, confirmed that they had completed needs assessments in place. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Residents are provided with a good standard of care and support that is consistent with the information within the plans of care and risk management plans. The manager and staff encourage residents to take part in the care planning process and provide them with additional support from other agencies when required. EVIDENCE: Individual plans of care are available for all residents and they contain all the information about their personal care and social care needs. Discussion with residents’, staff and visitors indicated that residents’ needs are being met and that clear plans and guidance is in place. Risk management plans have been completed and residents confirmed that they are supported to take sensible risks. Residents that were spoken to said that they attend care review meetings and that they are involved in decisions that are made about their care. Information about advocates is available to everybody and residents are provided with advocacy support when required. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Residents are provided with opportunities to take part in activities and hobbies of their choice and are also encouraged to explore and take part in community events. Relationships with families and friends are encouraged, supported and maintained. EVIDENCE: All residents have individual activities programmes, which enable them to be aware of what things they will be doing each day. The activities that are provided are a combination of community events, college classes and leisure pursuits. Residents that were spoken to said they are supported to continue with their preferred hobbies. One resident said, “I love knitting, I’m always knitting”. Other residents said that they attend a weekly lunch in the church hall and really enjoy bowling. One resident who did not enjoy bowling because of the crowds, said that she chose not go and that staff always respected this decision. Staff support residents’ to write letters to friends and family and residents’ said that they could use the telephone when they wish. Visits by friends and 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 11 relatives are encouraged and staff use the homes vehicle to transport residents’ to the homes of their friends and family when required. Staff that were spoken to said that they have a good relationship with relatives and keep them up to date with relevant information. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 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 standard(s) 18, 19 and 20 The residents’ are provided with a good and flexible standard of care that reflects their wishes and meets their health and social needs. The residents that take medication are protected by the homes policies and procedures and given tremendous amounts of support when making decisions about their medication. EVIDENCE: Staff that were spoken to were clear about individual residents’ likes and dislikes and were seen treating them with respect and dignity and in a way that made them happy. Residents said that they visit the doctor, chiropodist, dentist and optician and that the dietician also visits the home for appointments with some residents. Individual records are kept for identified medication needs and health related visits and any care or health needs that have been identified during appointments are followed through carefully by staff. One resident who is receiving guidance from the dietician said that she was happy with this input and felt good about her diet supervision, as it was crucial for her medical needs. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 13 One resident has recently been prescribed with new glasses and another resident had said to staff that she no longer wanted to continue to take her medication as it was interfering with her sleeping pattern. Staff supported this resident to meet with the doctor and consultant and she is no longer taking prescribed medication. The resident said, “ I am happy that I do not have to take any more medication, as I knew I did not need it”. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Residents views are listened to and both residents’ and visitors, are confident that their complaints will be taken seriously and investigated properly. EVIDENCE: Residents and visitors that were spoken to said that they would be comfortable making a complaint as they believed that their complaint would be taken seriously. All residents have a copy of the complaints procedure and residents who were spoken to said that staff always resolved any issues or concerns that they had raised or identified. The manager and staff keep a record of complaints that are made; however, they do not record the telephone number or address of the person who made the complaint. This makes it difficult to inform the person of what action the home is taking. Since the last inspection, the CSCI has not received any complaints in respect of this service. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Residents are able to be as independent as possible, while living in an environment that is homely, comfortable and safe for them. EVIDENCE: A tour of the premises identified that the home is well decorated and the furniture looks nice. Every resident has their own bedroom and there is a separate dining room and lounge. The home is purpose built and has aids that support residents to be as independent as possible. Residents who are dependent on wheelchairs are able to move around the home freely and safely. One resident said that the home was lovely. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 16 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) 35 Staff receive an induction to the home and a variety of training that enables them to provide a good service to the residents that live there. EVIDENCE: Staff that were spoken to, confirmed that they receive training that helps them meet the needs of the residents and said that they have recently received training in elderly people as some residents are now over the age of sixty-five. Inspection of records identified that new staff receive an induction when starting work at the home; this will enable them to become familiar with residents and their needs and also the homes policies and procedures. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 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 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) 39 The staff at the home seek residents views and opinions and ensure that they are reflected in the way that the home is run. EVIDENCE: In the past, the residents have completed questionnaires about the staff and services that are provided at the home. The manager said that changes would be made if any issues were identified. Representatives from Owl Housing make unannounced visits to the home and then provide the manager with a report of their findings. Residents are spoken to during these visits. Residents said that the manager and the staff do make changes if they are unhappy with anything and feel that their views and opinions are taken seriously. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 2 ABELL GARDENS x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x Version 1.20 Page 19 H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc 16 17 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 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. 1. 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 22 Good Practice Recommendations That the manager and staff record the contact details for the complaintant when recording complaints made about the home. 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection 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 2 ABELL GARDENS H52-H01-S46689-2Abell Gardens-V213841210405-Stage 4.doc Version 1.20 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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