Inspection on 24/10/05 for 2 Buckby Lane

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 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 Buckby Lane 12/03/09

2 Buckby Lane 08/08/06

2 Buckby Lane 25/04/05

2 Buckby Lane 06/09/04

2 Buckby Lane 26/04/04

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Hillview Farm

Dalewood Respite Care

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 2 Buckby Lane Riverdene Basingstoke Hampshire RG21 4PS Lead Inspector Peter J McNeillie Unannounced Inspection 24th October 2005 09:30 2 Buckby Lane DS0000012082.V262485.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 Buckby Lane DS0000012082.V262485.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 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 2 Buckby Lane Address Riverdene Basingstoke Hampshire RG21 4PS 01256 334820 01256 334 820 keith.creasey@new-support.org.uk 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) New Support Options Limited Mr Keith Creasey Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2005 Brief Description of the Service: 2 Buckby Lane is a residential care home accommodating up to 4 persons with a learning disability. Residents are accommodated in individual single rooms sited on two floors. The home is situated in a residential area 10/15 minutes walk from Basingstoke town centre, shops, and other community facilities. Management of the home is by New Support Options Ltd who also are responsible for the operation of a number of similar facilities located across the South of England. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second of two statutory annual inspections for 2005/2006. During this inspection the inspector who was assisted by care staff spoke with all of the residents (although communication was difficult) and the manager by telephone later in the day. Evidence was also gathered from a tour of the building, reading records, care plans, previous reports comments by management/staff and observations. Communication with some residents was extremely difficult/impossible. The inspector would thank staff for their guidance in assisting him in attempting to obtain residents views who by their body language and general demeanour gave the impression they were very happy living in the home and had developed good relationships with their carers What the service does well: What has improved since the last inspection? What they could do better: There were no issues identified for action following this inspection. 2 Buckby Lane DS0000012082.V262485.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 Buckby Lane DS0000012082.V262485.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 Buckby Lane DS0000012082.V262485.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): 1,2 and 3. Prospective residents are issued with information they need to make choice about living in the home which has a well developed system of assessing and identifying residents needs which assures residents safety and assessed needs can be met. EVIDENCE: 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 9 A dual formatted (written and pictorial) statement of purpose (which included all of the information as specified in schedule 1 of the regulations) and a service users guide was available. A copy of the service users guide is given to all residents /residents representatives on admission. No new service users have been admitted in the past six years, when they are made, admission would be in accordance with a corporate policy and procedure that requires a full multidisciplinary assessment of needs and risk of all potential residents be undertaken by the manager or another member of senior staff. The process involves a visit to the prospective resident; overnight stays in the home, consultation with existing residents and a trial period of residence in the home before a bed would be offered. Records viewed which confirmed assessments of need and risk for all current residents are reviewed on a regular basis in consultation with a number of other external health care professionals including doctors, continence advisors, nutritionists, physiotherapists, occupational therapists and the community learning disability team also included an acknowledgement that the resident or their representatives had been consulted and were involved in the assessment. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 10 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): 7,8 and 9 There is a clear and consistent care planning system in place which ensures residents needs are met within a risk management policy that involves residents in making decisions that affect their day to day lives EVIDENCE: Dual formatted (written and pictorial) readily accessible, detailed care plans (which are reviewed regularly) based on multidisciplinary assessments of need and risk was available for all residents. All plans viewed included an acknowledgement that residents and/or their representatives had been consulted and participated in the production of the plan. Apart from day to day issues, all plans highlight areas of special need. Records seen and comments by care staff confirmed a system of care planning that fully consults with residents and totally reflects their views; aspirations, wishes and choices is being further developed and extended to ensure they meet corporate guidelines and improve residents quality of life. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 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 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 communication , social activities,family contacts and the provision of varied and nutritious meals were well managed and reflected residents choices EVIDENCE: 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 12 Individual support programmes that reflect residents needs and choices involving one to one contact were available for all residents These programmes including external support workers who involve the user in areas such as personal shopping, the use of local facilities, cinemas, libraries, sports halls, pubs visits etc. Residents are also assisted to choose and participate in individual holidays. Photographs confirmed one person’s visits to a number of overseas destinations. A number of in-house programmes were also available such as craft use of a ball pool cooking, computer, sensory room etc. Residents are able to receive and visit relatives when they wish. Transport is available for the service users to visit home; this service is also made available to friends and relatives to visit the home to ensure contact is maintained. Relationships between staff and family who visit on a regular basis were of long standing. Menus seen based on individuals likes, dislikes and choices were displayed in a format (egg pictures/photographs) that residents could understand were colour coded to ensure a balanced diet, i.e. fibre, protein, carbohydrates is served. Records also confirmed regular nutritional assessments and consultation with specialist health care professionals had been carried out on all residents and that extra monitoring re fluid intake, weight which forms part of a care plan is undertaken for a resident. Mealtimes are flexible to meet individual residents needs and wishes. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. EVIDENCE: All personal care is delivered in private in the resident’s own room or in the bathroom by the gender of staff of their choice. Residents choose their own bedtimes, clothes, activities, hairstyles, hobbies bedroom décor etc. Staffs were seen to knock and wait before entering resident’s rooms despite the fact that in, many instances the resident was unable to communicate. Residents are free to exercise total choice (subject to a risk assessment) in all aspects of their lives, bed, meal and bath times, food, what clothes they wear gender of staff that give intimate care etc. All residents have all been assessed and if appropriate provided with personal mobility/technical aids following consultation external health care specialists. Currently wheelchairs, beds, shoes, walking frames as well as environmental communal aids have been provided. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 14 All drugs are securely stored and administered in accordance with a corporate medication policy and procedure which was viewed, as were accurate records of the administration and disposal of unwanted drugs. A pharmacist who also visits the home to offer advice dispenses all drugs administered in the home via a monitored dosage system. No service users are self-medicating. Risk assessment and evidence to confirm consultations as who is responsible for the administration of resident’s drugs and medication was available. Records seen confirmed all staff administering drugs and medicines had received training. Staff confirmed residents or their representatives were free to choose their own GP and the source of other personal services egg chiropodists, dentists optician etc and would receive assistance in accessing any service in the community. Any restriction on choice with regard to a GP was outside the control of the resident or the homes management. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22and 23 The home has clear policies and procedures in place, which ensures residents, are protected from abuse and enable them to complain. EVIDENCE: A written / pictorial/symbol complaints procedure that includes details on how to contact The Commission for Social Care Inspection (CSCI) was available and forms part of the service users guide. A record of complaints indicated no complaints had been received since the last inspection. The homes corporate adult protection policy and procedure, which operates in tandem with The Hampshire County Council policy and procedure, was available. Records confirming all staff had received training in the procedures to follow should they suspect abuse has occurred were seen. Staff spoken with confirmed they were fully aware of the procedure to follow should they witness or suspect the abuse of any resident. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 A safe, well maintained, clean and suitably furnished home and accessible garden is provided for service users which meets their needs. EVIDENCE: A tour of the building indicated that the building was fit for its stated purpose, accessible, safe, well maintained meeting service users individual and collective needs. Following a recent assessment a stair lift is due to be installed ensuring a resident’s needs are fully met and the placement to continue. Furniture was comfortable and homely and in keeping with the décor. All residents and the building have undergone a specialist assessment to ensure that any special equipment and personal aids required are available. Aids currently in use within the home include hoists(various)special chairs, raised toilets, beds, special shoes, beds stair lift and handrails. The rear garden which is safe, well tended and accessible safe to all residents 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 17 is used a great deal in the summer where a gazebo is used as shelter for a ball pool. To the front of the property a small unused garden has been converted into parking spaces this has reduced tensions with neighbours regarding on street parking. The home was clean, hygienic and free from adverse odours. An infection control policy and procedure was in place. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, and 35 Residents needs are met by sufficient numbers of well trained.stable and supported staff who are recruited and selected using a procedure designed to protect all service users EVIDENCE: Records confirmed all new staff are involved in an corporate/ in house five-day induction training programme followed by The Learning Disability Awareness Framework (L.D.A.F.) accredited training (induction and foundation) prior to being involved in a National Vocational Qualification (N.V.Q) training programme. Core training such as fire safety, food hygiene, first aid moving and handling etc is mandatory for all staff. All training needs are reviewed on a regular basis through regular supervision (records available). As part of their terms and conditions of employment all new staff agree to participate in an NVQ training programme. At the time of the inspection only 11 of care staff had completed an NVQ programme with a further 33.35 due to complete a course by Christmas 2005 a total of 42.3 which is short of the target expectations of the standards which expects 50 of staff to be trained. This matter will be reviewed at a future visit to the home. Following previous inspections a requirement was made concerning the number of staff available at weekends to ensure residents needs could be met at all times. Since the inspection C.S.C.I. has met with the homes manager and senior external managers and is now satisfies that all needs can be met 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 19 including emergencies and that the staffing profile is satisfactory and meets the residents needs. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 The management of the home seeks the views and opinions of residents residents representatives, safeguards the health and safety of staff and residents through the implementation of safe working practices EVIDENCE: 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 21 The homes registered manager is qualified to N.V.Q. level 4 in accordance with the 2005 expectations of the standards. A quality monitoring system that seeks the views of service users or their representatives has been implemented, results from previous surveys had been sent to C.S.C.I. .Results from these surveys have had a direct result in reviews of the service and the system of care planning and residents involvement in producing plans at both a corporate and home level.. Monthly visits that are required to be undertaken by a representative of the organisation as required by regulation 26 and the forwarding of the subsequent reports to C.S.C.I. are taking place. A corporate health and safety policy was in place as were records of weekly health and safety checks staff training in the techniques of moving and handling, first aid, health and safety, the procedures to follow in the event of fire (including evacuation) and accidents. All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade, all radiators and hot pipes were covered and a record of servicing equipment used within the home available. 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 Buckby Lane Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000012082.V262485.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations 2 Buckby Lane DS0000012082.V262485.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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