Inspection on 28/12/05 for 21 Searing Way

This inspection was carried out on 28th December 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

21 Searing Way 12/03/09

21 Searing Way 26/09/06

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 Peter J McNeillie Unannounced Inspection 28th December 2005 09:00 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 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.V274807.R01.S.doc Version 5.1 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.V274807.R01.S.doc Version 5.1 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 New Support Options Limited Mrs Diane Sarah Lait Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users only to be admitted between the age of 18 years and 60 years. 16th May 2005 Date of last inspection Brief Description of the Service: 21 Searing Way is a single storey purpose built bungalow providing care and support for up to five persons with a learning disability. All service users are accommodated in individual bedrooms rooms designed to meet their assessed needs. New Support Options Ltd who are also responsible for a number of other similar services across the South of England manages the home. The home is situated in a residential area close to local a health centre, library, swimming pool, social club and shops. The town centres of Basingstoke, Reading and Newbury are approximately 10 miles distance and can be accessed using specially designed house transport or local buses 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two unannounced inspections for 2005/2006. During the inspection, which took place between 8:45am and 11:45am, the inspector who was assisted by the acting manager spoke with a number resident’s, the manager, and staff on duty. Evidence was also gathered from a tour of the building, reading records, previous inspection reports, a pre inspection questionnaire, service user comment cards, comments by management/staff and observations. During the previous inspection in May 2005 the majority of the core standards were inspected. At that time no concerns were noted and no requirements made, a situation that mirrored itself during this visit. During this inspection only those core standards not previously inspected and standards /areas commented by residents and staff were looked at. Comments regarding all other core standards can be found in the previous report dated 16th May 2005. What the service does well: What has improved since the last inspection? No changes noted. 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 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.V274807.R01.S.doc Version 5.1 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.V274807.R01.S.doc Version 5.1 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): These standards were not inspected during this inspection. There were no concerns when last inspected EVIDENCE: Please refer to previous inspection report dated 16th May2005. 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 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): These standards were not inspected during this inspection. There were no concerns when last inspected EVIDENCE: Please refer to previous inspection report dated 16th May2005. 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected during this inspection.There were no concerns when last inspected. EVIDENCE: Please refer to previous inspection report dated 16th May2005. 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 11 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): These standards were not inspected during this inspection.There were no concerns when last inspected. EVIDENCE: Please refer to previous inspection report dated 16th May2005. 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 12 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 The home has clear policies and procedures in place, which ensures residents, are protected from abuse and enable them to complain EVIDENCE: A written personalised pictorial/symbol complaints procedure that includes details on how to contact C.S.C.I. was available and forms part of the service users guide. An audio taped version is also available and is played to the service user to ensure a full understanding of the procedure. Personalised pictorial versions of the procedure were displayed in service users bedrooms. A record of complaints indicated no complaints had been received since the last inspection. The homes corporate adult protection policy and procedure which operates in tandem with The Hampshire County Council policy and procedure was available as were records to confirm all staff had received training in the protection of vulnerable adults. Staff spoken with confirmed they were fully aware of the procedure to follow should they witness or suspect the abuse of any resident. 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. A safe, well maintained, clean and suitably furnished home and accessible garden is provided for service users which meets their needs. EVIDENCE: The purpose built building and well presented and attractive gardens had been fully assessed to meet the individual and collective needs of all residents. A number of individual and communal aids had been provided including, special beds, grab rails, hoists and a shower. The high standard of decoration/maintenance within the building and the attractive garden including the provision of safety surfaces on the exterior of the property demonstrated a high commitment by the homes staff and management to the residents. All of the communal rooms and individual bedrooms had been pictorially signed with high quality appropriate signs to assist and promote residents understanding. The fully decorated building, which appeared safe and secure, was clean and free from adverse odours. An infection control policy and procedure was in place. A washing machine fitted with a high temperature programme and a sluicing mode was available as were hand towels and soap by all wash hand basins. 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 14 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 15 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 Residents needs are met by well trained staff. EVIDENCE: Corporate policy’s and procedures require that all new staff are involved in an initial in house five-day induction programme on commencing employment. Initial training is followed by an accredited Learning Disability Awareness Framework (L.D.A.F.) training programme (induction and foundation) prior to being involved in a National Vocational Qualification ( NVQ )training programme. Currently 55 of staff have received training up to NVQ level 2 which is in excess of the original 2005 targets. NVQ training has been, or is being arranged for the remaining 45 of staff. Progress will be evaluated at future visits to the home. Core training such as fire safety, food hygiene, first aid moving and handling etc is also mandatory for all staff as is regular supervision where any additional training needs are identified and arranged via a corporate training calendar. 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 16 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 Service users benefit from a well run home. EVIDENCE: Since the last inspection the registered manager has commenced maternity leave. The Commission for Social Care Inspection (C.S.C.I.) has been informed and approved of the interim arrangements. The Acting Manager of the home had been registered previously at similar care home managed by New Support Options where she demonstrated she was competent and able to ensure the aims and objectives of the home were carried out.. 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 17 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 X 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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X 21 Searing Way DS0000012085.V274807.R01.S.doc Version 5.1 Page 18 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. 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.V274807.R01.S.doc Version 5.1 Page 19 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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