Inspection on 25/04/05 for 2 Buckby Lane

This inspection was carried out on 25th 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 Buckby Lane 12/03/09

2 Buckby Lane 08/08/06

2 Buckby Lane 24/10/05

2 Buckby Lane 06/09/04

2 Buckby Lane 26/04/04

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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 25th April 2005 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 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 2 Buckby Lane Address Riverdene Basingstoke Hampshire RG21 4PS 01256 334820 01256 334820 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) New Support Options Limited Keith Creasey CRH 4 Category(ies) of LD Learning disability - 4 registration, with number of places 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users only to be admitted between the age of 18 - 65 years. Date of last inspection 06.09.2004 Brief Description of the Service: No 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 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 H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this inspection which took place between 09:00 am and 12:45 pm the inspector talked with service users care staff, and an external manager. Communication with the majority of service users was all most impossible however the inspector did observe the manner in which all groups inter reacted with each other and formed the view relationships were based on affection and mutual respect. Evidence was also gathered from a tour of the building, reading records (including care plans)and previous reports. What the service does well: What has improved since the last inspection? What they could do better: The levels of care staff especially at weekends needs to be improved. Daily notes completed by staff need to be more detailed and informative Communication methods with residents need to be improved and the better use of non verbal communication methods(eg pictures and photographs) employed. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 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 H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 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 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 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. The home has a well developed system of assessing and identifying residents needs which ensures residents safety and whether needs can be met. EVIDENCE: No new service users have been admitted in the past six years. A corporate policy and procedure that requires detailed assessments of needs/risk be produced by the manager or other member of senior staff is undertaken. The process involves a visit to the prospective resident, overnight stays and consultation with existing service users and a trial period of residence being undertaken prior to a permanent bed being offered . Detailed up to date multidisciplinary assessments of need and risk for all of the current residents were available. These included evidence to confirm consultation with a number of external health care professionals eg care managers, physio/occupational therapists, learning disability specialists, nutritionist, care manager as well as the service user /service user representative or relative to ensure all identified needs can be met. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 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) 6,7,8 and 9. There is a clear and consistant care planning system in place which ensures residents needs are met within a risk management policy. EVIDENCE: Care plans which are reviewed on a regular basis based on assessments of need and risk were available for all service users. Plans reflected the actions to be taken to ensure identified needs will be met. Records confirmed service users and/or their representatives are consulted about the plans and are involved in reviews. The inspector was advised and shown corporate literature regarding the development and implementation of a more user friendly personal centred planning approach. When fully implemented the home’s statement of purpose will need to be revised to reflect any changes. Service users’ rights to take risks are seen as fundamental. Detailed written risk assessments on a number of areas of day to day living activities, bathing, community access, swimming, use of kitchen, etc were seen and form key part of the overall assessment/care planning process. The daily notes kept on residents in some instances was a one word entry such 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 10 as satisfactory, entries need to be more detailed to ensure staff have clear information about the needs of the residents. All notes made about resident should include the initials or signature of the writer. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 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 standard(s) ) 12,13,15,16 and 17. The social activities,family contacts and the provision of varied and nutritious meals were well managed and reflected residents choices. EVIDENCE: 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 12 Individual support programmes that reflect residents needs and choices involving one to one contact were available for 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 persons 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 and friends. Transport is available for the service users to visit home. This service is also made available to friends and relatives to visit the home and ensure contact is maintained. Those responsible for the efforts in ensuring family contact is given such a high priority are to be commended. Visits from family members were regular, relationships between staff and family often went back many years. Menus seen which were based on individuals likes , dislikes and choices were available but were not displayed in a format (eg pictures/photographs) that residents could understand. 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 paticular individual. Mealtimes are flexible to meet individual residents needs. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 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 standard(s) 18,19,and 20. Arrangements for the delivery of personal support and the meeting of emotional and health care needs( including medication) was satisfactory. EVIDENCE: All personal care is delivered in private in the residents own room or in the bathroom by the gender of staff of their choice. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 14 Residents choose their own bedtimes, clothes, activities, hairstyles, hobbies bedroom décor etc. Staff were seen to knock and wait before entering residents rooms despite the fact that in, many instances the resident was unable to communicate. All drugs which are securely stored. A corporate medication policy and procedure was in available as were accurate records of the administration and disposal of unwanted drugs A pharmacist who also visits to offer advice and ensure all medication is being handled safely and correctly 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 residents 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 eg 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 controll of the resident or the homes management. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 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 standard(s) 22 and 23. The home has suitable policies and procedures for the protection of service users and arrangements for the recording of complaints. EVIDENCE: A corporate Adult Protection Policy and Procedure that is activated in tandem with the procedure produced by Hampshire County Council was available. Training records confirmed all staff had received training in the protection of vulnerable adults. Care staffs spoken to confirmed they were aware of the procedure to follow should they witness or suspect a resident was being abused. A corporate complaints procedure produced in both a written and pictorial format was available and formed part of the service users guide which had been issued to all service users and their representatives (records seen) included information on how to contact The Commission for Social Care Inspection( C.S.C.I.).A record of complaints indicated no complaints had been received since the last inspection. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 16 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 17 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 and 30 A safe, well maintained clean and suitably furnished home is provided for all residents to meet 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. Aids such as hoists, grab rails special baths were available. The rear garden which is safe, well tended and accessible safe to all residents 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 reduces 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. All wash hand basins were equipped with soap and towels. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 18 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 19 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) 33 Residents are supported by an effective staff team, however the number of staff on duty at weekends needs to be reviewed to ensure residents needs are met. EVIDENCE: Following previous inspections a requirement was made that the number of staff(two) on duty on each daytime shift at weekends was insufficient to meet service users needs at all times . In discussion with staff it was established there was still insufficient staff at weekends to allow residents to go out with an escort and leave enough staff in the home to assist other residents who require at least two persons to help them with some personal needs. During this inspection the inspector spoke on the telephone with a senior external manager who gave a personal verbal assurance this outstanding matter would be dealt with as a matter of urgency. All care staff are employed in accordance with a corporate recruitment and selection policy and procedure. Records confirmed all staff after completing an application form sign a Rehabilitation of Offenders Declaration, are interviewed and only commence employment following satisfactory reference (2)Criminal Record Bureau( CRB) and Protection of Vulnerable Adults( POVA) checks. All employment is subject to a probation period. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 20 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 21 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 and 42 The management of the home offers a service based on the views of residents or their representatives in an environment where health and safety considerations are of paramount importance. EVIDENCE: 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 22 Records confirmed a quality monitoring system that seeks the views of service users or their representatives has been implemented .Previous comments from residents resulted in residents being involved in staff selection, staff training programmes and taking up a place on the main corporate board. Visits as require by regulation 26 and the forwarding of the subsequent reports to C.S.C.I. have and are taking place. A corporate health and safety policy was in place as were records of weekly health and safety checks undertaken including records to confirm that all staff had received 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 and. all radiators and hot pipes were covered. The records of servicing equipment used within the home were available. 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x 2 x 3 x CONDUCT AND MANAGEMENT OF THE HOME 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 x x 3 x x 3 x H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 24 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 33 Regulation 18(1)a Requirement You are required inform CSCI how you will ensure sufficient staff are available at all times to meet service users needs. Timescale for action 24/05/05 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 Good Practice Recommendations 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 25 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI 2 Buckby Lane H54 S12082 2 Buckby Lane V222903 250405.doc Version 1.30 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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