Inspection on 26/09/06 for 21 Searing Way

This inspection was carried out on 26th September 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

21 Searing Way 12/03/09

21 Searing Way 28/12/05

21 Searing Way 04/10/04

21 Searing Way 10/05/04

21 Searing Way 12/09/02

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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 21 Searing Way Tadley Hampshire RG26 4HT Lead Inspector Craig Willis Unannounced Inspection 26th September 2006 10:00 21 Searing Way DS0000012085.V311311.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 21 Searing Way DS0000012085.V311311.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. 21 Searing Way DS0000012085.V311311.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 21 Searing Way Address Tadley Hampshire RG26 4HT 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) 0118 981 7929 0118 981 7929 www.new-support.org.uk New Support Options Limited To be confirmed Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 21 Searing Way DS0000012085.V311311.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users only to be admitted between the age of 18 years and 60 years. 28th December 2005 Date of last inspection Brief Description of the Service: 21 Searing Way is registered to provide care and accommodation to five 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 and the kitchen, which has a dining area. There is an enclosed garden to the side and rear of the home that service users are able to access. The home is located in a residential area of Tadley, approximately 300 metres from local shops. The manager provided information to CSCI on 25/8/06 that the fees at the home are £1412.12 per week. 21 Searing Way DS0000012085.V311311.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), a site visit to the home on 26th September 2006 and follow up telephone conversation with the manager on 2nd October 2006. During the site visit the inspector met all of the service users and observed their interactions with staff. Due to the communication needs of service users there were no direct conversations between them and the inspector. The inspector spoke with two members of staff and the manager. CSCI surveys were returned from three service users and four 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? The shower room has been decorated and fitted with a new shower. A new table and chairs have been bought for the kitchen / dining room. 21 Searing Way DS0000012085.V311311.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. 21 Searing Way DS0000012085.V311311.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 21 Searing Way DS0000012085.V311311.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 three 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. Visits to the home to meet staff and other service users would be offered to potential service users, including an overnight stay. Service users move into the home on an initial three-month trial period. 21 Searing Way DS0000012085.V311311.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 three 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. Care plans contain details of how service users should be supported to make decisions. Evidence was seen that one service user has previously had an advocate, although they have now moved out of the area. The manager reported that she has met with a local advocacy service to establish support for all service users and is waiting to hear back from them. Three of the four 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. 21 Searing Way DS0000012085.V311311.R01.S.doc Version 5.2 Page 10 Risk assessments were in place for all 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. 21 Searing Way DS0000012085.V311311.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 to meet the lifestyle needs of service users through suitable activities, maintaining relationships with family and friends, respecting service users’ rights and providing good food. EVIDENCE: Service users are supported to take part in a range of educational and leisure activities, including rambling, shopping, use of a local day activity service and trampolining. Details of the support service users need to take part in activities are recorded in the care plans. Service users are supported to keep in touch with family and friends. All four relatives who completed a CSCI comment card said they were made to feel welcome in the home and were happy with the overall care provided. Staff were observed providing support in a friendly and respectful way, which maintained the privacy and dignity of service users. 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 21 Searing Way DS0000012085.V311311.R01.S.doc Version 5.2 Page 12 in the kitchen in pictorial format to make it more accessible to service users. Mealtimes are flexible to fit in with service users’ activities, with one service user having a later lunch on the day of the visit. The kitchen was well stocked with a variety of good quality food. 21 Searing Way DS0000012085.V311311.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 and health care needs of service users. EVIDENCE: Details of the personal care support service users need are set out in their care plans. All three service users who completed a CSCI comment card said staff treated them well and they felt well cared for. Records are maintained of service users’ visits to health services, including GP, dentist, physiotherapist, neurologist, speech and language therapist and optician. The records kept included details of any advice given by the practitioner. All three service users 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. Medication administration records had been fully completed and staff spoken with said that there were good systems in place to obtain medication from the pharmacist. All staff administering medication have undertaken assessed training, which is updated every six months. One service user is supported to take medication with their food. Their care plan states that the medication must not be concealed in the food and the service user must be informed that 21 Searing Way DS0000012085.V311311.R01.S.doc Version 5.2 Page 14 their medication is on the food. Staff were observed following these practices during the visit. 21 Searing Way DS0000012085.V311311.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 and is also displayed by the front door. Two service users who completed a CSCI comment card said they know what to do if they want to make a complaint. One service user indicated on the comment card that they sometimes know who to talk to if they are unhappy. Three of the four relatives who completed a CSCI comment card said they are aware of the home’s complaints procedures. The manager said she would ensure everyone is given information of the action to take if they wish to complain. Two complaints have been received since the last inspection. Both of these have been investigated by the manager, who confirmed that action has been taken to address issues with staff for the parts of the complaints that were substantiated. These issues related to the cleaning of a service user’s wheelchair and staff attitude towards an agency worker. 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. 21 Searing Way DS0000012085.V311311.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): 24 and 30 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 garden to the side and rear, with a seating area and lawn that service users are able to access. The shower room has recently been redecorated and fitted with a new shower. A new table and chairs have also been bought for the kitchen. The manager reported that there is a maintenance contract with the Housing Association that owns the building, which provides a good service. The specialist accessible bath has recently been fixed, following a leak in the shower hose. The manager said she was hoping to have a new bath fitted in the next financial year. Ceiling tracking is fitted from one bedroom into the bathroom through a connecting door, enabling one service user to be hoisted from their bedroom to the bathroom. Staff reported that this door is kept locked when not in use, to preserve the privacy of service users. 21 Searing Way DS0000012085.V311311.R01.S.doc Version 5.2 Page 17 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. 21 Searing Way DS0000012085.V311311.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, 33, 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. The home’s staffing problems will be resolved when recently recruited members of staff start work. EVIDENCE: The manager reported that six of the nine staff employed have achieved the National Vocational Qualification (NVQ) at level two or above. During the visit, staff were observed interacting with service users in a friendly and respectful manner. Two of the four relatives comment cards received said they felt there were not always sufficient staff on duty. One of the service users comment cards said that there were sometimes no drivers working. The home’s rota indicates that there are generally three staff on shift during the day and two overnight, one of whom is sleeping and on-call. The manager reported that the home has had staff vacancies which have been filled by bank and agency staff, although they have been let down on at least two occasions when staff that had been booked did not arrive. The manager also said that two new members of staff were due to start in the week following the visit and she had arranged a contract with a member of agency staff who was a driver. The manager was confident that 21 Searing Way DS0000012085.V311311.R01.S.doc Version 5.2 Page 19 these arrangements will resolve the staffing problems and ensure there are sufficient drivers available to meet service users’ needs. The manager reported that one new staff member has been employed since the last inspection in December 2005. The manager confirmed that she had obtained a Criminal Records Bureau (CRB) disclosure for this person and two written references prior to them starting work. The documents were not inspected during the visit as the manager was not present and they were locked away to maintain confidentiality. The manager did not know whether details of CRB checks and references had been obtained for all agency staff working at the home and agreed to ensure these were in place. Staff spoken with said that they received very good training that helped them to meet the needs of service users. 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 and the most recently recruited member of staff confirmed that they were completing their induction within the stated time-scales. Courses staff have completed include first aid, medication administration, moving and handling, food hygiene, fire safety, health and safety, infection control, adult protection, autism, epilepsy and the administration of rectal diazepam and person centred planning. The most recently recruited member of staff confirmed that they did not support service users alone who were prescribed rectal diazepam as they had not completed the required training. 21 Searing Way DS0000012085.V311311.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. There are good systems to promote the health, safety and welfare of service users and staff. EVIDENCE: The manager has been appointed since the last inspection and has submitted an application for registration to CSCI. The manager said she receives good support from the senior management staff and is able to speak with them whenever she 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. Senior managers from the organisation visit the home each month to review the 21 Searing Way DS0000012085.V311311.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. 21 Searing Way DS0000012085.V311311.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 3 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 3 X 3 X 3 X X 3 X 21 Searing Way DS0000012085.V311311.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 21 Searing Way DS0000012085.V311311.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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