Inspection on 24/10/05 for 2 Abell Gardens

This inspection was carried out on 24th 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 Abell Gardens 30/10/08

2 Abell Gardens 28/11/06

2 Abell Gardens 21/04/05

2 Abell Gardens 15/12/04

2 Abell Gardens 24/06/04

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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 2 Abell Gardens Furze Platt Road Maidenhead Berkshire SL6 6PS Lead Inspector Katy Brown Unannounced Inspection 24th October 2005 12:40 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 2 Abell Gardens Address Furze Platt Road Maidenhead Berkshire SL6 6PS 01628 780975 020 8568 9783 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) Owl Housing Limited Ms Alison Brooke Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st April 2005 Brief Description of the Service: 2 Abell Gardens is a residential home offering twenty-four hour care. The home is registered for six residents with learning and associated physical difficulties. Service users are between 31 and 80 and most have been resident in the home for several years. The service is provided by Owl Housing. The house is a bungalow with six bedrooms; all of the bedrooms are single and although none of them have en-suite facilities, they all have hand-washing basins. There are two communal toilets and one communal bathroom and there are a variety of aids and adaptations around the building to allow residents to move about more independently. The home has its’ own transport as the local public transport system is limited and it would be difficult for most service users to access it. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours and twenty minutes. There have been no additional visits made since the last unannounced inspection. A tour of the premises took place and residents’ care records and some of the homes’ records were inspected. Four residents, four members of staff that were on duty and the manager were spoken to, during the visit. What the service does well: What has improved since the last inspection? What they could do better: Not all staff are aware of the lead role of social services regarding allegations of abuse. This is a recommendation that has been made. The pre-employment checks and the recruitment records for staff are not kept at the home. This is a requirement from the Care Homes Regulations 2001. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 Page 6 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. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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 the following standard(s): 1. Residents are provided with the information that they need prior to moving into the home. EVIDENCE: The statement of purpose and the service user guide include the information specified in the Care Homes Regulations, although the information refers to the Commission as the NCSC and not the CSCI. The home provides a welcome pack and a service user guide that are produced in a language that is accessible for service users and information regarding the home and the services that are provided is also available on a cassette tape. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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 the following standard(s): 8. Residents are consulted on how the home is run and their views are taken into consideration. EVIDENCE: The residents sat that they attend weekly meetings at Abell Gardens. They talk about policies and procedures and any changes that are to occur within the home. They also talk about meals and menus and events that they wish to attend. There is a key worker system in place where workers are provided with an opportunity to discuss important issues individually with service users. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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): 16 & 17 The staff ensure that the residents rights and responsibilities are respected and the meals that are provided are balanced and nutritious. EVIDENCE: 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 Page 11 The staff interact well with the residents and have a clear understanding of their needs. The staff were observed spending quality time with the residents and residents say that the staff are always approachable. Two residents have made a decision to seek alternative placements and staff are working with these residents, their families and care managers to achieve this. One resident has already been to view an alternative home. All residents are offered a key to their bedroom and staff are respectful of their privacy. The residents have access to all areas of the home and take part in housekeeping responsibilities if they choose. The residents say that the meals at the home are very tasty. Some residents help the staff to prepare meals and one resident has completed a cookery course. The menus are varied and well balanced and they reflect the preferences of the residents. The residents are involved in the menu selection and some discussions take place during the residents meetings. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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): 21. The staff manage the ageing illness and death of residents in a sensitive and respectful way. EVIDENCE: The home has a satisfactory policy for the illness and death of residents and the death of a previous resident was managed sensitively and with care and consideration. Some residents are over the age of sixty-five and the facilities at the home and the staff skills and knowledge have resulted in the residents continuing to remain there, rather than transferring to alternative placements. The residents say that staff are proactive when they are ill and arrange visits to the G.P; home visits are arranged when required. One resident said that she had been admitted to hospital earlier this year and that staff ensured that she was well cared for following her return to the home and that she attended follow up visits to the appropriate professionals. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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 & 23. Residents feel safe and are protected from abuse. The residents are supported to make complaints and all complaints are treated seriously. EVIDENCE: All residents have a copy of the complaints procedure and residents that were spoken to said that they are comfortable making a complaint as their complaints are taken seriously and that staff always resolved any issues or concerns that they had raised or identified. The manager and staff keep a satisfactory record of complaints that are made and the record indicates that the complaints that had been received were investigated and managed satisfactorily. The CSCI has not received any complaints in respect of this service. The home has a satisfactory policy for abuse and has adopted the Berkshire Inter-Agency Procedures. The manager confirmed that staff have received training in the protection of vulnerable adults and several members of staff have received a refresher course. Staff were very clear that the protection of the residents was paramount and advised that any suspicion of abuse would be immediately reported to the manager. Not all staff however, were aware of the lead role of the local social services department with regard to an investigation of abuse and were not clear that there is a vulnerable adults coordinator, to whom they are able to report their concerns. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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): 30. The home is clean and hygienic. EVIDENCE: The home has satisfactory policies in place for the control of infection and staff confirmed that they receive appropriate training. There are separate laundry facilities within the home and soiled articles are transported and cleaned within relevant guidelines. The residents say that their home is clean. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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. The residents are supported by competent staff and the recruitment practices at the home are robust. EVIDENCE: The residents say that the staff at the home are able to meet their needs and that they are always willing to help and offer advice when required. The home has a staff compliment that is a rich mixture of experience and skills and knowledge. Currently there are six members of staff that have achieved NVQ level 2 or above. Other members of the team have either already commenced the qualification or are on a waiting list scheduled for attendance. The home has a satisfactory recruitment policy in place and the policy has recently been reviewed. There have been two new members of staff that have been recruited at the home since the previous inspection. The manager confirmed that all the required checks for staff have been completed and that satisfactory criminal records bureau disclosures and checks against the protection of vulnerable adults lists had been received. The home does not keep all the staff recruitment records outlined in Schedule 4. This is required by the Care Homes Regulations 2001. The residents meet prospective employees prior to their employment, although the residents do not take part in the actual interview process for staff. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 Page 16 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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 & 42 The manager is qualified and competent and ensures that the residents’ safety and welfare is met through the health and safety policies and procedures and care practices at the home. EVIDENCE: The manager has worked with children and adults with learning disabilities for twenty years. She is a Registered Nurse for Learning Disabilities and has an NVQ level 4 in management. She has been employed at the home for four years and has continued to update her training and skills to meet the changing needs of the residents and staff. The home has satisfactory health and safety policies and procedures in place and staff confirmed that they complete training in health and safety. The manager confirmed that regular maintenance checks are completed for equipment used at the home and a visit by the fire fighting equipment and fire alarm specialists earlier in the year raised no concerns. Regular fire checks and drills are carried out at the home. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 Page 18 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 Abell Gardens Score X X X 3 Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000046689.V249566.R01.S.doc Version 5.0 Page 20 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. 34 Standard YA34 Regulation Schedule 4 Requirement That the registered person ensures that the staff recruitment records specified in the schedule are kept at the home. Timescale for action 24/11/05 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 YA23 Good Practice Recommendations That the manager ensures that staff are aware of the local authority involvement regarding the procedures for reporting incidents of abuse or allegations of abuse. 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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 2 Abell Gardens DS0000046689.V249566.R01.S.doc Version 5.0 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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