Inspection on 27/06/05 for 2 Dunstans Drive

This inspection was carried out on 27th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Dunstans Drive 05/09/06

2 Dunstans Drive 30/12/05

2 Dunstans Drive 25/10/04

2 Dunstans Drive 06/05/04

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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 DUNSTANS DRIVE 2 Dunstans Drive Winnersh Wokingham Berkshire RG41 5EB Lead Inspector Marie Carvell Unannounced 27 June 2005 at 11.50am 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. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Dunstans Drive Address 2 Dunstans Drive Winnersh Wokingham Berkshire RG41 5EB 0118 9795362 n/k n/k New Support Options 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) Mrs Caroline Lisa Bilsby Care Home 4 Category(ies) of Learning Disability (LD) registration, with number of places DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 25/10/04 Brief Description of the Service: Dunstans Drive offers twenty four hour residential care to four service users with learning and associated physical disabilities. The accommodation is purpose built and is sited on a residential estate offering all ground floor accommodation. Toynbee Housing Association Group owns the building and the care is provided by New Support Options. The home is situated approximately ten minutes from Wokingham and Reading town centres; all community fcilities are easily accessible with shops within walking distance. The home has its own vehicle and there is good access to public transport. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this inspection on a weekday from 11.50am until 3.25pm. This was the first visit to the home for the allocated inspector. A tour of the communal areas of the home and bedrooms, at the invitation of service users were seen. A sample of service user, staff and records required to be kept in the home, including health, safety and fire records were examined. Time was spent with service users and staff on duty. Feedback was given to the deputy manager and senior support worker at the end of the inspection. At the last inspection in October 2004, four requirements and three recommendations were made, regarding the storage of hazardous materials, risk assessing the laundry and ground floor bedrooms, safety of medication, reviewing service user plans and recording of supervision. These have been complied with. What the service does well: What has improved since the last inspection? DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 6 Since the last inspection a full time senior support worker and two part time support workers have been recruited. It is anticipated these staff members will be in post by the end of July. Staff have developed service users choices including more activities and outings. Communication systems between service users and members of staff have improved. 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. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.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 DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.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) 2,4 and 5 There is a detailed admissions procedure, which includes a full assessment of need and a programme of introduction to the home. Copies of contracts between the service provider and purchasing authority are on file. EVIDENCE: The four service users have lived together in the home for many years. One service user’s records were examined. Information regarding the initial assessment and background information was available on file and well documented. Care management, healthcare and social assessments are regularly reviewed and updated. Each service user has a copy of the home’s Service User Guide, which includes terms and conditions, this is in pictorial format. The manager is currently updating the information contained in this document. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.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 and 9 Service users have detailed service user plans and are involved as much as possible with decision making. Appropriate risk assessments are in place and regularly reviewed. EVIDENCE: The home has recently introduced PATH (Planning Alternatives Tomorrow with Hope). This involves the working towards individual service user aspirations; with timescales and an in depth care plan, which involves all care staff. This is working well in the home and staff discussed PATH with enthusiasm. Regular meetings take place to review progress. Service users have detailed 24-hour guidelines, which records decisions made by the service user about all aspects of daily life. This information was well documented and detailed. Risk assessments are well documented detailed and reviewed on a regular basis. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15,16 and 17 Service users enjoy a wide range of activities and leisure opportunities. Staff assist service users to maintain and develop appropriate relationships. Service users are assisted to make informed choices regarding all aspects of daily living. A varied and well balanced diet is provided, based on the food choices of service users. EVIDENCE: All service users have a detailed weekly programme of activity. Activities include attendance at a variety of clubs, church services, swimming, iceskating, computers, bowling, art and creative writing are some of the many activities. Several service users are involved in gardening and tend the vegetable bed. The home has its own transport and regular days out are arranged. Each service user, with assistance from staff, are involved with keeping their bedrooms tidy. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 11 Daily records and service user reviews record that regular contact is maintained with friends and family. Service users are involved, as much as possible with food shopping and menu planning. Menus are well balanced and varied, taking into consideration individual choices. Food stocks were plentiful with fresh fruit, vegetables and salad. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 Service users physical and personal care needs are well met. Medication is administered in a safe and appropriate manner. EVIDENCE: Service users physical and personal support needs are detailed in service user plans. Care given is recorded in daily diaries and is evidenced that care is provided to a high standard. On the day of this unannounced visit, service users were relaxed, were well groomed and appropriately dressed. One service user signed in Makaton to the inspector that she was happy. Service user records clearly evidence that regular healthcare checks take place. Medication administration records were well maintained with no obvious gaps in recordings. All staff who administer medication receive medication training. Guidelines are in place for individual service user’s PRN (when necessary) medication. These need to be signed and dated. Medication was stored appropriately in a locked cabinet. Medication policy, procedure and guidance are in place. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 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 standard(s) 22 and 23 The home has a clear complaints procedure; this needs to include additional information to meet the standard. One recent complaint was not recorded. All staff receive training in the protection of vulnerable adults from abuse. The home does not have a copy of the Multi-Agency Policy and Procedure for the Protection of Vulnerable Adults from Abuse. EVIDENCE: The home’s complaints procedure, given to service users needs to include the name, address and phone number of the Berkshire CSCI office. The last complaint recorded in the home’s complaint book was dated 19/04/04. However, the inspector was informed that a complaint have been received in May 2005 regarding care issues. This was not recorded. All staff receive training in the protection of vulnerable adults from abuse. The home does not have a copy of the multi- agency procedures. The deputy manager was advised to contact Wokingham SSD Vulnerable Adults Coordinator for a copy. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 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 standard(s) 24, 25 26,27 and 30 The home is comfortable, safe and meets the needs of the service users. EVIDENCE: The home is well maintained, although there are delays in getting routine minor maintenance tasks completed. Furniture is of a good standard and the home is in good decorative order. Service user bedrooms are appropriately furnished and personalised to reflect individual choice. Appropriate aids and adaptations are fitted to assist service users with independence. There is one bathroom and one shower room, both with toilets. In addition there is a separate toilet. All are fitted with appropriate aids and adaptations to meet the needs of the service users. Consideration should be given to the removal of the second cold water tap, in the toilet, as this is not used and is a potential risk to wheelchair users, hitting their head when using the wash hand basin. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 15 Communal areas consist of a large lounge and kitchen. All areas of the home were found to be clean, comfortable, homely and free from unpleasant odours. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff individually and collectively were able to demonstrate that they have the skills, knowledge and experience to effectively meet the needs of the service users. EVIDENCE: Staff on duty have been in post since the home opened in 1998. Staff are well trained, experienced and professional in their approach. Staff on duty had detailed knowledge of the service users needs and the inspector gained the impression of a good rapport between service users and staff on duty. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Service users live in a safe environment where risks to their safety are assessed, minimised, monitored and managed effectively. EVIDENCE: Examination of a number of health & safety records indicated that all necessary checks and servicing of equipment in relation to fire safety and the maintenance of the water system are routinely undertaken to safeguard the health & welfare of service users. Unnecessary risks to service users are identified using comprehensive risk assessments. So far as possible the risks are reduced or eliminated by putting in place effective procedures, aids and other equipment. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. 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 3 3 Standard No 22 23 ENVIRONMENT Score 1 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 DUNSTANS DRIVE Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 22 Regulation 22 Requirement That the manager, updates the complaints procedure to include details of the CSCI and that a written record is maintained of all complaints received by the home. Timescale for action 12/07/05 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 23 Good Practice Recommendations That the manager obtains a copy of the multi-agency procedures for the protection of vulneralbe adults from abuse. DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 1015 Arlington Business Park Theale Berks RG7 4SA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DUNSTANS DRIVE H52-H01 51745 2 Dunstans Drive V228721 090605 Stage 4.doc Version 1.30 Page 21 - 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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