Inspection on 08/08/06 for 2 Buckby Lane

This inspection was carried out on 8th August 2006.

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 24/10/05

2 Buckby Lane 25/04/05

2 Buckby Lane 06/09/04

2 Buckby Lane 26/04/04

Similar services:

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 Craig Willis Unannounced Inspection 8th August 2006 09:00 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Buckby Lane Address Riverdene Basingstoke Hampshire RG21 4PS 01256 334820 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) keith.creasey@new-support.org.uk www.new-support.org.uk 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.V305048.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2005 Brief Description of the Service: 2 Buckby Lane is registered to provide care and accommodation to four people between the ages of 18 and 65 who have learning disabilities. Each service user has a single bedroom and shares the use of a bathroom and a shower room. Service users share the use of a lounge, with a dining area and the kitchen. There is an enclosed garden to the rear of the home that service users are able to access. The home is located in a residential area, approximately half a mile from Basingstoke town centre. The manager provided information to the CSCI on 3/6/06 that the fees at the home are £1438.70 per week. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to write this report was gained from a review of the information the provider sent to the Commission for Social Care Inspection (CSCI) and a site visit to the home on 8th August 2006. During the site visit the inspector spoke with one of the service users, observed the interactions between two service users and staff and spoke with the manager. Staff were not able to be spoken with during the visit as they were all going out to support service users. A phone conversation was held with two staff members on the day following the visit. CSCI surveys were returned from one service user and three relatives. A tour of the building was made. Documents relating to the running of the home were inspected during the visit. What the service does well: What has improved since the last inspection? Two of the bedrooms, the bathroom, shower room and lounge have been redecorated. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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.V305048.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems to assess the needs of service users before they move into the home. EVIDENCE: The files of two service users were inspected during the visit. Each contained an assessment of their needs that was completed before they moved into the home. This assessment covers the individual needs of service users, including communication and personal care needs. No new service users have moved into the home since the last inspection. The manager reported that if they were looking to support a service user to move in, any assessment of their needs would include the impact that the new person would have on other service users. Visits to the home to meet staff and other service users would be offered, including an overnight stay. Service users move into the home on an initial three-month trial period. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had good care planning and risk assessment systems, which supports service users to make decisions about their lives and take managed risks. EVIDENCE: The personal files of two service users were inspected during the visit. Each service user had a care plan that was developed from their initial needs assessment. These plans are reviewed monthly and had been changed where the needs of the service user had changed. Work has started to support service users to develop person centred plans, setting out their likes and dislikes. Care plans contain details of how service users should be supported to make decisions. Evidence was seen of the involvement of a local advocacy service to support one service user to make decisions about how their care is provided. All three relatives who completed a comment card for CSCI stated that they were consulted about the care of their relative where the service user is not able to make decisions themselves. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 10 Risk assessments were in place for both service users whose files were inspected. These documents set out the assessed hazards to service users and action to minimise the risk of harm. The risk assessments are reviewed every six months, or more frequently if necessary. The manager reported that support was provided for one service user who became upset with the actions of other service users at times. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good support for service users to take part in suitable activities, to maintain relationships with family and friends and provides good food. Service users rights are respected, although this would be improved by the provision of keys to service users so they can lock their bedrooms. EVIDENCE: Service users are supported to take part in a range of educational and leisure activities, including swimming, theatre, pub visits, social clubs Service users are supported to keep in touch with family and friends. All three relatives who completed a CSCI comment card said they were happy with the overall care provided by the home. Staff were observed providing support in a friendly and respectful way, which maintained the privacy and dignity of service users. Locks are fitted to all bedroom doors, although one service user stated in a CSCI comment card that they did not have a key. The manager agreed to ensure that keys were provided to this service user, so that they could lock their door when they go out. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 12 The home has a planned menu that takes into account the likes and dislikes of service users and provides a varied and balanced diet. This menu is displayed in the kitchen in pictorial format to make it more accessible to service users. One service user spoken with said the food was good and they could always have something different if they wanted to. Mealtimes are flexible to fit in with service users’ activities. The kitchen was well stocked with a variety of good quality food. Specific guidelines for the support one service user needs with eating and drinking were available. These had been developed in consultation with a speech and language therapist. Staff spoken with demonstrated a good understanding of the needs of this service user. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good support to meet the personal care and health needs of service users. The medication procedures in the home are good, although action is needed to ensure that administration records are fully completed and spoiled medication is returned to the pharmacist. EVIDENCE: Details of the personal care support service users need are set out in their care plans. The one service user who completed a CSCI comment card said staff treated them well and listened to them. Records are maintained of service users’ visits to health services, including GP, dentist, chiropodist, speech and language therapist and occupational therapist. The records kept included details of any advice given by the practitioner. The service user who completed a CSCI comment card said they were able to see a doctor and dentist when they wanted to. Medication is stored in a locked cabinet in the office. There was one box on the medication administration record that had not been completed to say whether the service user had taken their medication. The medication that this box referred to had been removed from the blister pack. In the medication cabinet there was a bottle containing a large number of spoiled medication, which needed to be returned to the pharmacist. The manager said he would 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 14 follow up both of these issues with staff to ensure that administration records were fully completed and spoiled medication was regularly returned to the pharmacist. All staff administering medication have undertaken assessed training, which is updated every six months. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are confident their complaints will be taken seriously and acted upon and the home has good adult protection systems, which help to keep service users safe. EVIDENCE: The home has a complaints procedure available, which sets out who will deal with a complaint and how long the provider will take to respond to a complaint. The procedure has been supplied to all service users in an accessible pictorial format. One service user who completed a CSCI comment card said they know what to do if they want to make a complaint. Two of the three relatives who completed a CSCI comment card said they are aware of the home’s complaints procedures. The manager said he would send out details of the complaints procedure to all relatives to ensure everyone is aware of the action to take if they wish to complain. No complaints have been received since the last inspection. The home has an adult protection policy and a copy of the local authority adult protection procedures. Staff have received adult protection training and those spoken with demonstrated a good understanding of abuse and action to take if abuse was reported or suspected. One adult protection strategy meeting has taken place since the last inspection, although the manager did not have confirmation that this case had been closed. The manager agreed to follow this up with the local authority. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides a safe, homely environment for service users. EVIDENCE: A tour of the communal areas of the home was made during the visit. The home is well maintained and decorated throughout. Furnishings are domestic and of good quality. The home has an enclosed rear garden with a seating area, ball pool and lawn that service users are able to access. Two of the bedrooms, the bathroom, shower room and lounge have recently been redecorated. The manager reported that there is a maintenance contract with the Housing Association that owns the building, which provides a good service. The toilet seat in the downstairs shower room is broken. The manager said there had been a number of problems with this due to design of the toilet. It was agreed that the manager would follow this up with the housing association to find a solution. The home has a separate laundry room, which means laundry is not taken through food preparation of storage areas. There are hand-washing facilities in the kitchen, laundry room, bathrooms and toilets. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 17 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good systems to protect service users and meet their needs through the staff training programme and recruitment procedures. EVIDENCE: The manager reported that four of the ten staff employed have achieved the National Vocational Qualification (NVQ) at level two or above and one is currently working towards the qualification. During the visit, staff were observed interacting with service users in a friendly and respectful manner. The manager reported that no new staff have been employed since the last inspection in October 2005. The manager provided a list of Criminal Records Bureau disclosure numbers that had been obtained for all staff employed at the home. Staff spoken with said that they received very good training and could not think of training they needed that was not available. A record is kept of all training that staff have undertaken and staff appraisals include a training needs assessment. Staff complete an induction based on the Learning Disability Awards Framework. Courses staff have completed include first aid, medication administration, moving and handling, food hygiene, fire safety, 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 19 health and safety, infection control, adult protection, autism, epilepsy and communication skills. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by a competent manager and there are good systems to promote the health, safety and welfare of service users and staff. EVIDENCE: The manager has completed an NVQ level 4 in Care and the registered Manager’s Award. The manager said he receives good support from the senior management staff and is able to speak with them whenever he needs to. The home has sent out questionnaires to relatives to gain their views of the quality of the service that is being provided. The manager reported that service users are consulted with on an individual basis due to their communication needs. The information is used to feed into a service plan, which included goals for the service to achieve over the year. The service user who completed a CSCI comment card said that the home has meetings to talk about what is good at the home and what should be changed. Senior managers from the organisation visit the home each month to review the 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 Page 21 service quality. Reports of these visits contain actions that are required to improve the service. The home has a fire risk assessment and regular checks are made of the fire warning system and the equipment. The gas boiler is serviced annually and annual tests of portable electrical appliances are completed. Assessments are completed for chemicals used in the home, which are stored in a locked cupboard. The temperatures of the fridge and freezer are taken daily and recorded. Accidents and incidents to service users and staff are recorded and reported where necessary. 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X 2 Buckby Lane DS0000012082.V305048.R01.S.doc Version 5.2 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.V305048.R01.S.doc Version 5.2 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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