Inspection on 10/10/06 for 22 Woodlands Road

This inspection was carried out on 10th October 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

22 Woodlands Road 26/09/08

22 Woodlands Road 08/11/05

22 Woodlands Road 23/05/05

22 Woodlands Road 03/03/05

22 Woodlands Road 09/09/04

22 Woodlands Road 24/03/04

22 Woodlands Road 18/11/03

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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 22 Woodlands Road Sonning Common Reading Berkshire RG4 9TE Lead Inspector Catherine Kane Unannounced Inspection 10th October 2006 15:00 22 Woodlands Road DS0000013224.V315584.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 22 Woodlands Road DS0000013224.V315584.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. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 22 Woodlands Road Address Sonning Common Reading Berkshire RG4 9TE 01189 721460 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) dw@disabilities-trust.org.uk Dysons Wood Trust Josephine Gatheri Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: 22 Woodlands Road is a care home which provides long term care for three people with autistic spectrum disorder and learning disabilities. It is an ordinary house in an ordinary residential street. The organisation which runs the home specialises in providing such services. The fees for this service range from £1,145 to £1,747 per week. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 3.00pm on Tuesday, 10 October 2006. The inspector was in the service for three hours. The inspection was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that the CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the service and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standard of the service. The registered manager was on duty at the time of the inspection and the inspector also spoke with another senior manager of the same organisation by telephone. She spoke with one member of staff on duty and one agency staff member. The inspector spent some time with residents while they were waiting for their evening meal and saw how staff help them look after their medicines. She also looked at residents’ care plans and other records kept in the home and made a tour of part of premises. The inspector would like to thank the manager and her staff team for their assistance with the inspection. She also thanks residents, their relatives and all others who shared their experience of this home. What the service does well: The home continued to have a friendly, welcoming atmosphere with positive relationships between residents and staff. The home has a stable core staff team who have worked in the home for several years and who have a good understanding of residents’ support needs. Meals provided are good. Personal care and healthcare support provided in this home is good. Staff say morale is high. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. 22 Woodlands Road DS0000013224.V315584.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 22 Woodlands Road DS0000013224.V315584.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. 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. EVIDENCE: The admissions procedure is good although not tested, as there have been no new admissions to the home. The current residents have lived together in this home for several years. 22 Woodlands Road DS0000013224.V315584.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system in place to provide staff with the information they need and for assessing risk is good. EVIDENCE: During the inspection the inspector viewed one person-centred care plan. This was easy to understand, written in plain language, and considered all areas of the individual’s life including health, personal and social care needs. The plan is regularly reviewed and includes comprehensive risk assessments. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural backgrounds. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities for people who use this service to take part in a variety of interesting activities are good. EVIDENCE: On the day of the inspection the inspector was in the home during the afternoon. She spent some time with two residents and the staff on duty. One other resident made it clear that they did not wish to spend time with the inspector. All three residents had some limited communication and were able to let the inspector know about some things that are important for them. From notes read and information shared by staff, the inspector understood the nature of their autistic spectrum disorder to be able to respect their familiar routine. On the day of the inspection one resident had been swimming and two residents 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 11 had attended woodwork session at the day service. Since the last inspection residents have been able to attend more sessions at the local day service and at college. Many other activities provided were in-house; these included listening to music, massage chair and puzzles. All three residents have frequent contact with their families and this is very important to them. Three comment cards were received from residents’ relatives who indicated that they were satisfied with the care provided by the home. The inspector was in the home whilst residents were preparing for their evening meal. Regular drinks and snacks are available. A varied menu is provided and residents’ special dietary needs are catered for. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of residents are well met. EVIDENCE: Essential information needed by staff to be able to provide personal and health care support was included in residents’ files. Staff help residents to look after their medication and see they get to see their local GP and other community healthcare services when needed. Two comment cards were returned from residents’ GPs. They indicated that they were satisfied with the overall care provided in this home. GPs commented that staff are caring, helpful and sensible and keep good records. Another comment card was returned by a district nurse who commented that residents appear happy and well cared for. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 13 Residents’ medicines are securely kept in a locked medicine cabinet located in the home’s office. The home uses a pharmacist-produced medication administration record (MAR). Staff confirmed that records were kept of staff assessed as competent to administer residents’ medicines. During the inspection the inspector looked at how residents’ medicines are looked after and discussed with the manager how residents are helped to take their medicines. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a protection from abuse policy and the complaints procedure is good. EVIDENCE: The manager declared that the home has received no complaints in the last year. The Commission has received no information relating to complaints in the last year. Staff have attended specific training on protecting vulnerable people from abuse and about local adult protection procedures in line with the Oxfordshire Multi-Agency Codes of Practice. The Commission has received no information relating to adult protection issues in the last year. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was neat, tidy and clean at the time of the inspection. EVIDENCE: During this inspection the inspector had a tour of the shared areas and was invited by a guest to see their bedroom. The lounge, dining room and kitchen were furnished and decorated in a modern style and clean and tidy. The home has been kept in a good state with a programme of maintenance and repair. Since the last inspection areas of the home have been redecorated and new carpets have been fitted in two residents’ bedrooms. A new sink and secure cupboards have been fitted in the utility room. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection the inspector spoke with one member of staff and met one agency staff member. Staff commented that morale is high. Since the last inspection one staff member has left and one new staff member has joined the team. The file for the new member of staff was not available at the time of the inspection. The manager confirmed that this was held at a nearby home which is run and managed by the same organisation, as the member of staff has split duties between the two homes. The manager confirmed that she will obtain a copy of all relevant documentation and keep it in the home. The recruitment process is thorough. The home keeps a record of training completed by staff; staff spoken with confirmed details of the training they have undertaken. The manager confirmed that the Disabilities Trust intends to renew the Criminal Record Bureau (CRB) disclosures made on staff every three years. Staff confirmed that supervision takes place. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager has a good understanding of management areas in which the home needs to improve and has plans in place to address this. EVIDENCE: It is expected that the registered manager shall undertake further training qualifications at Level 4 NVQ in both management and care. Therefore this standard is rated as ‘standard almost met’ - scored 2. The registered manager is currently undertaking the Registered Managers Award. The registered manager is competent to run the home and meet its stated aims and objectives. The manager has sound knowledge and experience in care of people with a learning disability and autistic spectrum disorders, quality assurance systems, equal opportunity issues, development and 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 18 implementation of the service’s policies and procedures, good people skills, strong leadership of staff which leads to confident workers, responds to need, provides an excellent role model and manages the service efficiently. She has a strong ethos of being open and transparent in all areas of running of the home and is aware of current developments, both nationally and by CSCI, and plans the service accordingly. Proprietors’ representatives monthly visit reports have been regularly received. The Commission no longer requires that a copy of this report be sent to CSCI but a copy must be kept in the home and made available for inspection. Prompt action was made to respond to requirements and recommendations from the last inspection. The home has sound policies and procedures in line with current thinking and practice. Efficient systems are in place to monitor staff adherence to policies and procedures during their practice. The home works to a clear health and safety policy and checks take place to ensure that the home meets relevant health and safety requirements and legislation. Records kept were generally good and are routinely completed. Where issues have been identified, these have been acted upon successfully to ensure that residents’ care is not compromised. The Disabilities Trust, who run this service, has financial and accounting systems subject to internal and external audits. 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 19 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 3 X 2 X 3 X X 3 X 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 20 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. 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 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 22 Woodlands Road DS0000013224.V315584.R01.S.doc Version 5.2 Page 22 - 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. 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