Inspection on 28/10/05 for 25 Welby Close

This inspection was carried out on 28th October 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

25 Welby Close 03/07/08

25 Welby Close 31/08/06

25 Welby Close 26/04/05

25 Welby Close 04/11/04

25 Welby Close 10/05/04

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Fairways

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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 25 Welby Close 25 Welby Close Maidenhead Berkshire SL6 3PY Lead Inspector Katy Brown Unannounced Inspection 28th October 2005 13:40 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 25 Welby Close Address 25 Welby Close Maidenhead Berkshire SL6 3PY 01628 824154 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) The Disabilities Trust Mr Geoge Tuffour Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th April 2005 Brief Description of the Service: 25 Welby Close is a residential home offering twenty-four hour care. The home is registered for three residents with learning difficulties. Service users have lived in the home for several years. The service is provided by The Disabilities Trust. The house is situated in a residential area. There are three bedrooms; all of the bedrooms are single and although only one of them has an en-suite facility, the two other residents have their own private bathrooms and toilets. There is also one communal toilet on the ground floor of the home. The home has its’ own transport. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours. There have been no additional visits made since the last unannounced inspection. A tour of the premises took place and residents’ care records and some of the homes’ records were inspected. Two residents and two relatives were spoken to during the visit and two members of staff and the manager were also spoken to. What the service does well: What has improved since the last inspection? What they could do better: This inspection did not raise any concerns and no requirements or recommendations have been made. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 Page 6 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. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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): 1 & 2. Residents are provided with the information that they need prior to moving into the home and have received care needs assessments. EVIDENCE: The statement of purpose and the service user guide include the information specified in the Care Homes Regulations. Both documents have recently been reviewed. All the residents that live at the home had received care needs assessments prior to their admission. Relatives and residents confirmed that they attend care reviews and changes in need are acted on. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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): 8. Residents are consulted on how the home is run and their views are taken into consideration. EVIDENCE: The residents say that they attend meetings at Welby Close. They talk about various topics chosen by the residents including, staff changes in the home, trips that might be of interest, and complaints. They also talk about events and outings that they wish to attend. There is a key worker system in place where workers are provided with an opportunity to discuss important issues individually with residents. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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): 12, 15 & 17. The residents take part in a variety of activities and are encouraged to maintain relationships with friends and relatives. Residents are provided with balanced and nutritious meals. EVIDENCE: The residents say that they attend a variety of educational and leisure pursuits. All the residents attend college where they learn daily living skills including, cooking and numerical skills. Staff encourage the residents to take part in a variety of community activities including, trips to restaurants, bowling and the cinema. Relatives said that they are always welcome at the home and do not always arrange scheduled visits. The residents are able to telephone their friends and family and staff will take them on home visits when required. One resident said that with the support of staff, he now visits with a relative in his home, whom previously, he only had written correspondence with. The residents are able to select the meals that they prefer and are encouraged to prepare their own meals. They make a variety of snacks and beverages 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 Page 11 throughout the day and support is provided for residents whose weight is being supervised. The meals that are provided at the home are varied, balanced and nutritious. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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 the following standard(s): 18, 19 & 21 The residents’ are provided with a good and flexible standard of care that reflects their wishes and meets their health and social needs. Policies are in place to support staff to manage the ageing illness and death of residents in a sensitive and respectful way. EVIDENCE: Staff that were spoken to were very clear about individual residents’ likes and dislikes and were seen treating them with respect and dignity and in a way that made them happy. Residents said that they visit the doctor, chiropodist, dentist and optician and that the dietician is also involved with those individuals that require supervision with their weight. Relatives said that the staff demonstrate a good awareness and understanding of the residents needs and that they are well cared for and treated in a respectful way. Individual records are kept for health related visits and any care or health needs that have been identified during appointments, are followed through carefully by staff. One resident who is receiving support from the dietician said that he was happy with this input and felt good about himself, as he has lost weight. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 Page 13 One resident said that he has recently been prescribed with new glasses and is encouraged by staff to wear them. The home has a satisfactory policy for the illness and death of residents, which was reviewed earlier this year. The residents say that staff arrange visits to the G.P when they are unwell and home visits are arranged when required. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Residents feel safe and are protected from abuse. The residents are supported to make complaints and all complaints are treated seriously. EVIDENCE: All residents have a copy of the complaints procedure and residents that were spoken to said that they are comfortable making a complaint, as their complaints are taken seriously and that staff always resolved any issues or concerns that they had raised or identified. The manager also encourages the residents to make complaints during their house meetings. The manager and staff keep a satisfactory record of complaints that are made and all complaints are investigated and managed appropriately. The CSCI has not received any complaints in respect of this service. The home has a satisfactory policy for abuse and has adopted the Berkshire Inter-Agency Procedures. The manager confirmed that all staff have received training in the protection of vulnerable adults. The residents and relatives said that they felt safe at the home and that staff protect them from harm. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The residents live in a safe environment that is able to meet their needs. EVIDENCE: A tour of the premises identified that the home is well decorated and the furniture looks nice. Residents have their own bedroom and bathroom. The lounge and dining room are combined although the room is spacious and not cumbersome and a warm and homely atmosphere presents throughout the environment. The garden is spacious and residents and staff maintain the area. Recently staff have purchased a new fridge, tumble dryer and dish washer. One resident said that the dishwasher was a great improvement, as it meant that he no longer had to wash his dishes by hand. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 34 The residents are supported by competent staff and the recruitment practices at the home are robust. EVIDENCE: The residents say that the staff at the home are able to meet their needs and that they are always willing to help and offer advice when required. The home has a staff compliment that is a rich mixture of experience and skills and knowledge. Currently there are two full time support workers employed at the home. One has NVQ level 3 and the other has NVQ level 4. The home has a satisfactory recruitment policy in place. There have been three members of staff that have left the home since the previous inspection and one member of staff has transferred from another unit. Records indicate that all the required checks for staff have been completed. The residents said that they meet prospective employees prior to their employment, although they do not take part in the actual interview process for staff. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 & 43 The manager ensures that the home is well run and that the views, opinions and welfare of the residents is met through the policies and care practices at the home. EVIDENCE: The residents and relatives say that the home is well run and the manager is liked and trusted. The manager has been working with adults with learning disabilities for eight years and has an NVQ level 4 in care and the advanced management award. The views and opinions of the residents and relatives are sought on a regular basis and The Disabilities Trust has provided residents forums in the past to enable them to share their views and express their concerns in a national setting. The home has satisfactory health and safety policies and procedures in place and staff confirmed that they complete training in health and safety. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 Page 18 The manager confirmed that regular maintenance checks are completed for equipment used at the home and a visit by the fire fighting equipment and fire alarm specialists earlier in the year raised no concerns. Regular fire checks and drills are carried out at the home. 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x 3 x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 25 Welby Close Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 3 DS0000011285.V249572.R01.S.doc Version 5.0 Page 20 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 25 Welby Close DS0000011285.V249572.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Berkshire Office 2nd Floor 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. 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