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Inspection on 14/06/05 for 29 Briants Avenue

Also see our care home review for 29 Briants Avenue for more information

This inspection was carried out on 14th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents have contracts to let them know their rights and responsibilities in the home. Care plans and other records help staff make sure that they give the right care for their needs. Any risks are identified and steps taken to make residents safe. Residents enjoy college, work experience and leisure activities. They help choose and prepare the meals and help look after the home. They are able to make complaints and staff are trained to protect them from abuse. The home is well cared for and further improvements are planned. Staff are given necessary training and this is kept up to date. Staff relate well to the residents and are consistent in their approach. There are good health and safety systems in place.

What has improved since the last inspection?

There is a new front door and new carpets are planned for the lounge and hallways. The staff vacancy has been filled.

What the care home could do better:

A paper shredder would help keep residents information confidential. A different Carbon monoxide detector may give a clearer warning if there is a problem with the boiler.

CARE HOME ADULTS 18-65 BRIANTS AVENUE 29 Briants Avenue Caversham Reading Berkshire RG4 5AY Lead Inspector Jill Chapman Unannounced 8 June 2005 @ 14:00 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. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Briants Avenue Address 29 Briants Avenue Caversham Reading Berkshire RG4 5AY 0118 947 9795 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) The Disabilities Trust Ms Shanta Sharma Care Home 3 Category(ies) of Learning Disability (LD) registration, with number of places BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 30/11/04 Brief Description of the Service: 29, Briants Avenue is part of The Disabilities Trust. The home provides a 24 hr service for people with Autistic Spectrum Disorder. Service Users are encouraged to overcome the disabling effects of their Autism and associated conditions, by participating in a variety of daytime activities and life experiences that promote and develop independence. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection carried out on a weekday afternoon, over a four-hour period. All of the residents were seen during the visit and were able to give their views on the home and the care they receive. The inspector also spoke to the manager and two staff. Records were sampled and the communal areas of the home were seen. The inspector joined residents and staff for an evening meal. This was a positive inspection with evidence of well happy and well cared for residents. The requirements from the last inspection have been carried out. What the service does well: What has improved since the last inspection? There is a new front door and new carpets are planned for the lounge and hallways. The staff vacancy has been filled. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 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. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 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 BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 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) 5 Residents have information about what the home provides and know their rights and responsibilities. EVIDENCE: Residents’ contracts were sampled and these have been reviewed to include details stated in the standard. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 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 & 9 Care plans record residents care needs and show how these can be met. Risk assessments help staff know how to keep them safe. Residents’ can choose what to do unless it is unsafe. EVIDENCE: Residents care files were sampled and show that care plans are up to date and are reviewed regularly. Advice was given to consider reorganising some of the format of care plans to make them easier to understand. Annual reviews are held and it was seen that residents are encouraged to give their views either verbally or in writing. There is a system in place for assessing risk. Files sampled show that risk assessments are up to date and cover a variety of risks. There are risk assessments in place to support decisions made by staff to override residents’ choice to keep them safe. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 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, & 17. Residents’ benefit from a varied and fulfilling lifestyle. They are happy with the range of activities they are involved in. Staff help them to maintain contact with their families. A varied diet is provided to keep residents healthy. EVIDENCE: Discussion with residents and staff and from looking at records show that residents are involved in a variety of appropriate activities. Each resident has a timetable of activities, which is tailored to their needs. These include college attendance, work placements, music lessons in house and working on the homes allotment. Residents described their activities and it was clear that they enjoy these. The home is within walking distance of parks, the river and the local church. Residents have bus passes and use these to go into Reading town centre. The home does not provide holidays for residents, however two go on holiday with their families. During college holidays the home arrange day trips. Residents confirmed their contact with families and friends. Review records show that families are encouraged to be involved decisions about in their care. Menus are planned with the residents and a good variety of meals are provided. Staff are aware of likes and dislikes. Residents told of their BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 Page 11 involvement in shopping and cooking. A meal sampled was appetising and the atmosphere at the table was relaxed and happy. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 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 & 20 Residents’ care is given according to their preferences and needs. They have easy access to local healthcare. Staff know how to look after and give their medication safely. EVIDENCE: Files sampled showed that residents preferences in personal care are recorded so that staff know how to help them. Health care appointments and consultations are kept in separate files and healthcare professionals are encouraged to record their views and advice. Residents confirmed their access to local healthcare professionals. The medication system was seen and shows that this is stored securely and staff are trained to give this safely. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 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 & 23 Residents know that they can make a complaint. Staff know how to protect residents from abuse. Residents money is kept safe. EVIDENCE: There is a complaints procedure in place. Residents have their own copy and a pictorial version is available for a resident who cannot read. There have been no recent complaints. There is a Vulnerable Adult procedure in place and staff spoken to were familiar with this. There is a system in place to keep residents money safe. This was checked and found to be accurate. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 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) Residents benefit from a well cared for home which is situated close to local facilities. EVIDENCE: The home is well situated for access to the local and town centre facilities. Residents have large single bedrooms on the first floor. The home is kept clean and well decorated, residents confirmed their involvement in routine cleaning tasks. Since the last inspection a new front door has been fitted. The communal carpets are due to be replaced soon . there is a good sized garden and the patio is due to be relaid to ensure safety. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35 There are enough staff on duty to meet residents needs. They benefit from staff who have received relevant training. EVIDENCE: The staff team comprises of three full time and one part time staff. A vacancy has been filled recently and this has reduced the amount of overtime worked by the manager and a full time staff member. Staff deployment appears to meet the needs of the current service users. There was a good relationship between the staff and residents. A requirement regarding recruitment records has been met. Staff confirmed that they have had a variety of training related to the needs of the residents. A programme of NVQ is in place. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 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 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) 41 & 42 Residents’ records are generally kept secure. Improved confidentiality can be achieved by buying a paper shredder. Staff keep equipment well maintained to keep residents safe. The type of Carbon Monoxide detector should be reviewed to make sure it is the most suitable type to ensure safety. EVIDENCE: Service users records are stored securely in the staff office. A shortfall is that there is no shredder so that redundant records can be disposed of in a confidential manner. Health and safety records were sampled and show that regular checks and servicing is carried out to ensure safety. Health and safety risk assessments sampled were up to date. The central heating boiler is in a cupboard in a bedroom. A paper Carbon Dioxide detector is in place. BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 ENVIRONMENT Score 3 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 2 x x x x x x Standard No 11 12 13 14 15 16 17 x x 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 BRIANTS AVENUE Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 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. 1. Standard 42 Regulation 13 Requirement The type of Carbon Monoxide detector should be reviewed to make sure it is the most suitable type to ensure safety. Purchase a paper shredder to keep redundant records confidential. Timescale for action 14-07-05 2. 41 17 14-07-05 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 Good Practice Recommendations BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading 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 BRIANTS AVENUE H51-H01 11069 29 Briants Ave V227944 080605 Stage 4.doc Version 1.30 Page 20 - 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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