Inspection on 02/04/07 for 30 Richmond Road

This inspection was carried out on 2nd April 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

30 Richmond Road 24/10/05

30 Richmond Road 13/04/05

30 Richmond Road 26/07/04

30 Richmond Road 20/04/04

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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 30 Richmond Road Caversham Reading Berkshire RG4 7PR Lead Inspector Ms Chris Schwarz Unannounced Inspection 2nd April 2007 09:10 30 Richmond Road DS0000011046.V333933.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 30 Richmond Road DS0000011046.V333933.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. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 30 Richmond Road Address Caversham Reading Berkshire RG4 7PR 0118 9463282 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) londonroad@tiscali.co.uk Milbury Care Services Limited Ms Helen Randall Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users not to be admitted aged 65 years and over. Date of last inspection 24th October 2005 Brief Description of the Service: 30, Richmond Road is a care home registered to provide personal care and accommodation for 5 younger adults with learning disabilities. The home currently accommodates four service users with learning disabilities, two of whom have profound physical disabilities. The home is located in a suburb of Reading and is a two-storey building. All the homes bedrooms are single and two have en-suite facilities. The aims and objectives of the home are to provide a secure and comfortable home; encourage and support residents to make decisions and choices in their lives; support and assist service users to make and maintain satisfying relationships; assist service users to develop their skills; and enable service users to engage in valued day time occupation and use the community facilities. Fees for this service range from £1049.37 to £1435 per week according to information supplied with the pre-inspection questionnaire. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over the course of a day and covered all of the key standards for younger adults. A key theme of the inspection was assessment of how the home meets needs arising from equality and diversity. Prior to the visit, a questionnaire was sent to the manager alongside comment cards for distribution to service users, relatives and visiting professionals. Any replies received from the comment cards have helped form judgements about the quality of care at the home. Three health care professionals, a social worker and five relatives responded. They were unanimous in describing the service as a well run home which clearly works hard to ensure that service users are treated individually, that their needs are well met, they have good opportunities to access the community and health care needs are effectively handled in partnership with outside agencies. Communication between the home and all respondents was described as being very good. There was praise for staff and the manager and the only concern expressed was the effectiveness of some agency staff. The inspection consisted of discussion with the manager, observation of care practice, a tour of the premises, examination of some of the required records and meeting with service users. At the end of the inspection, feedback was given to the manager. What the service does well: The needs of prospective service users are assessed prior to admission, to ensure that the service does not offer a placement to someone whose needs it cannot meet. Well structured care plans have been produced for service users, ensuring that needs have been identified and can be met. Service users are enabled to make decisions and be as independent as possible, providing them with choice and involvement. Service users are enabled to take responsible risks, ensuring that their independence is promoted. Service users take part in a wide range of appropriate activities and make good use of the local facilities, providing stimulation and variety. Service users are enabled to keep in contact with friends and family, maintaining important social links. The rights of the individual are respected, promoting fulfilment and affording service users respect. Meals are appropriately managed to ensure that service users receive the nutrients they require to keep them healthy. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 6 Personal support needs are recorded in care plans to ensure that service users receive the assistance they require. Physical and emotional health care needs are well managed to ensure that service users keep well. Medication practice is generally safe and ensures that service users receive the medicines they require. Effective complaints procedures are in place to listen to the views of service users and their representatives. Adult protection is well managed with appropriate policies, procedures and staff training in place to reduce the risk of harm to service users. A clean, comfortable and homely environment has been created for service users, ensuring that they have appropriate surroundings in which to live. Competent and qualified staff work at the home, ensuring that service users are cared for by people with the skills and knowledge necessary to meet their needs. Thorough recruitment practices are undertaken, to ensure that service users are protected from unscrupulous persons working with them. Training is undertaken by staff to ensure they are equipped to meet the needs of service users. The home is managed by a competent and qualified person, ensuring continuity of care and that needs are met. There is effective monitoring by the provider to ensure that standards of care meet the needs of service users. Health and safety are well managed, ensuring that staff, service users and visitors are not placed at risk of harm. What has improved since the last inspection? What they could do better: Accurate records need to be consistently maintained of medication administered to service users, to ensure that they receive the medicines they require. It is recommended that records are kept of each house/service user meeting, to provide supporting evidence that service users are consulted about their care and given opportunities to contribute to how the home is run. A recommendation is made that staff who have not attended Protection of Vulnerable Adults training in the past year receive an update, to ensure that their skills are refreshed in this area of practice. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 7 It is recommended that the forms confirming Criminal Records Bureau clearance are signed and dated by the provider, to verify who has transferred information from original documents, and when. It is recommended that notes are consistently kept of staff meetings, to provide evidence of matters discussed and decisions taken. 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. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 8 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 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 9 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. The needs of prospective service users are assessed prior to admission, to ensure that the service does not offer a placement to someone whose needs it cannot meet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have not been any new admissions to the service since the last inspection. At the inspection in April 2005, paperwork relating to the last person admitted was reviewed and found to be satisfactory. Some of the relatives completing comment cards commented that admission had been appropriately handled and a social worker said “very thorough information is collated.” 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 10 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. Well structured care plans have been produced for service users, ensuring that needs have been identified and can be met. Service users are enabled to make decisions and be as independent as possible, providing them with choice and involvement. Service users are enabled to take responsible risks, ensuring that their independence is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were in place for all service users, with three out of four recently updated. The files contained a photograph of the service user and basic information such as date of birth, doctor details and next of kin. Likes and dislikes had been noted and there was information on contacts such as family and friends. A copy of the Service Users Guide was in place on each file examined and there was evidence of reviews of care needs taking place. Individual support requirements were well presented with use of photographs to accompany the text of, for example, correctly positioning a hearing aid. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 11 Needs in respect of communication were noted and communication “passports” had been produced. Individual risk assessments were in place to support service users with daily living tasks and accessing the community. Most assessments had been updated as part of the care plan file updates with the remainder due to be evaluated. Missing person procedures were in place in the event of anyone being absent from the home. Detailed behavioural support guidelines were in place where service users have challenging behaviour; these had been produced by the provider’s behavioural specialist advisor. Charts were being maintained to record behaviours. People completing comment cards indicated that the home is service user focussed and led. There was indication from the comment cards that spiritual needs are being met and that the home responds as service users’ overall different needs change. All respondents said that care needs were being well met. One person said “I think they provide a kind and warm friendly family environment” and “he is so loved and well cared for”. A community nurse commented “the staff team ensure each service user’s individuality is recognised and care is planned accordingly.” Service users’ money was being appropriately managed with records to verify expenditure. Cash and passbooks were securely stored and a check of a couple of tins showed that balances corresponded with the records. Some service user/house meetings have taken place at the home although records had not been consistently kept to verify frequency and content. It is recommended that a record be kept of each meeting, to provide supporting evidence of the service consulting with users and seeking their views. From observation of practice it was possible to see that service users were given choices of food and drink, whether they wanted to join in activities and who assisted them with personal care. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 12 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 excellent. Service users take part in a wide range of appropriate activities and make good use of the local facilities, providing stimulation and variety. Service users are enabled to keep in contact with friends and family, maintaining important social links. The rights of the individual are respected, promoting fulfilment and affording service users respect. Meals are appropriately managed to ensure that service users receive the nutrients they require to keep them healthy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The range of activities available to service users is commendable and there was considerable evidence from observation at the home, photographs and feedback from comment cards that service users have busy lives. Good use is made of local transport which is close by, accessible to people with disabilities and free of charge to the service users, plus the home has its own transport 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 13 which can seat all service users at once. On the day of the inspection, which was considered a quiet day for activities, an aromatherapist visited the home, then service users went to see a play in Reading, returning for lunch and then out to play rugby in the afternoon. There had been a successful holiday to Center Parcs last year with another planned for this year. A social worker commented that his client “is supported to engage in a very active lifestyle” and added that there were “good links with community to develop participation in appropriate activities.” An occupational therapist commented “clients are involved in all aspects of choosing their daily lives including meals, activity participation, clothing and daily routines.” She added “clients are encouraged to participate in community activities, in particular….the council’s Everyday Active Scheme for learning disability sports participation.” Someone commented that their relative “does many activities I thought would never be possible.” Another said “She is regularly at church, or in contact with church, which is hugely important to us.” Another relative said “The home’s manager works incredibly hard to ensure that my sister has constructive activities.” A community nurse commented “the staff team are creative in order to maximise opportunities for the service users.” Relatives who completed comment cards said that the home supports service users to keep in contact with them and that they are kept informed of important issues affecting service users. Post for one service user was given to her with a choice of who she would like to open it and read the contents. The kitchen was well stocked with food and clean and tidy. There was lots of fresh fruit available and a good choice of different fruits. Menus reflected a range of meals provided for service users and they enjoyed the crispy pancakes served for lunch. Assistance was given to those requiring it in a gentle and unrushed manner. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 14 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 excellent. Personal support needs are recorded in care plans to ensure that service users receive the assistance they require. Physical and emotional health care needs are well managed to ensure that service users keep well. Medication practice is generally safe and ensures that service users receive the medicines they require. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Health care needs are well recorded in care plan files with good use of photographs to show which equipment is needed for each service user. Risk assessments were in place for cross gender care and notes maintained where same sex staff had not been able to attend to personal care needs. Records of medical appointments were well maintained and showed that service users are supported to attend routine and specialist appointments to keep them healthy and well. On one file, there was evidence of multi-disciplinary discussion of consent to medical treatment. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 15 The home had the necessary aids and adaptations to meet current care needs and to enable service users to be as independent as possible. Records of service user weights were being maintained. The home uses a monitored dose system of medication administration. Medicines were kept securely on the premises with staff undertaking competency assessments before being able to handle medication. Medication administration records were overall well maintained, although had not been signed as given for the morning of the inspection. A requirement is made to address this, in order that accurate records are consistently kept by the home. A social worker commented “good quality care good support re: individual’s health.” A doctor indicated that the home works in partnership with the surgery and that staff have a clear understanding of service users’ needs and medication was appropriately managed. He was not aware of any complaints about the home and he was satisfied overall with the care provided to people living at Richmond Road. An occupational therapist commented “due to residents’ complex health care needs I have been involved in long pieces of work with several clients. Any guidelines, advice or recommendations in my experience are dealt with promptly and to an excellent standard.“ A relative said “considering the many health challenges that have been thrown at the home’s manager, it is astonishing how well the home cares for my sister so very well.” She added ”care during illness has been exceptional, it was a very difficult time for the staff and my sister.” A community nurse said that her team “have a very good relationship with the staff team at Richmond Road. They always seek advice from whichever profession is appropriate, they have good links with the GP and other health agencies.” She added that “some of the service users have complex health care needs and ill health is inevitable at times. The staff team respond quickly and actively to address health care needs.” 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 16 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. Effective complaints procedures are in place to listen to the views of service users and their representatives. Adult protection is well managed with appropriate policies, procedures and staff training in place to reduce the risk of harm to service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All those who responded via comment cards knew how to make a complaint about the service. There is a complaints procedure in place and the log book showed that one concern had been dealt with appropriately by the manager. The Commission has not received any complaints by service users or their representatives about quality of care. A social worker commented “the few concerns I have had to raise are always dealt with very thoroughly.” There had not been any adult protection concerns at the home and the Commission is not aware of any adult protection issues. There are Protection of Vulnerable Adults and whistle blowing procedures in place, copies of which are given to new staff. Local authority inter-agency guidelines had also been obtained by the home. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 17 Staff had undertaken Protection of Vulnerable Adults training although for some staff this was three years ago. It is recommended that staff who have not attended training in the past year receive an update, to ensure that their skills are refreshed in this area of practice. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 18 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. A clean, comfortable and homely environment has been created for service users, ensuring that they have appropriate surroundings in which to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is located in a pleasant residential area and is not distinguishable as a care home. Accommodation is on two floors, with two upstairs bedrooms and three downstairs. All bedrooms were of a good size and had been decorated and arranged to reflect different tastes and personalities. Two of the bedrooms have en-suite facilities. There are sufficient toilets and bathrooms, with adaptations as required. The lounge/dining room is bright and spacious with access to the garden. There are plans for all communal areas to be redecorated this year, which will freshen up the paintwork. The kitchen and laundry areas were clean and tidy. All parts of the home were clean and free from odour. The enclosed garden 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 19 was well maintained with different areas to sit in. At the front of the property there is parking for staff and visitors. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 20 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. Competent and qualified staff work at the home, ensuring that service users are cared for by people with the skills and knowledge necessary to meet their needs. Thorough recruitment practices are undertaken, to ensure that service users are protected from unscrupulous persons working with them. Training is undertaken by staff to ensure they are equipped to meet the needs of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was positive feedback about the staff and management of the home from the people completing comment cards. A social worker commented “very skilled manager and consistent well-trained team” and added that there was ”excellent communication with me and family.” He went on to add that “Richmond Road is probably the best care home I visit – a joy to work with.” 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 21 One person commented “the permanent staff team work to a very high standard” but considered that those who spend less time with service users, such as agency staff, may not be as skilled to meet needs. This was echoed in a second person’s feedback. One person said “Richmond Road is a warm, welcoming home that benefits from a dedicated manager and care team. I have on a number of occasions taken students to visit Richmond Road as I feel it is an example of excellent residential care.” A relative said ”I feel they make sure that all staff are fully knowledgeable of the needs and requirements of all the residents at Richmond Road” and added “I would like to say that at all times the staff at Richmond Road are very professional and kind in their approach to all the residents and their needs and treat them all as individuals which is very important.” Another relative said that staff provide “loving care above and beyond what can be expected from people at work. My sister has known some of the staff for many years and the care they dedicate to her should be praised.” Staff were observed to be attentive to service users, offering choice of who provided assistance. There was good understanding of how each person communicates which was also shared by the student nurse on placement. Three staff had left since the last inspection which has resulted in the need to use agency staff until the recruitment process is completed. Most agency staff had been supplied by an agency that is part of the provider organisation and there were recruitment proformas for each person available in the home. Where occasional external agencies had been used, there was no evidence supplied to the home to verify that staff had been appropriately checked. These occasions were rare and did not affect current practice, as no agency staff were being used at the time of the inspection. The manager is reminded that evidence of satisfactory recruitment checks would be needed, should an external agency be used in the future. Recruitment checks of permanent staff showed that the necessary checks had been carried out although the format used by the provider to show evidence of satisfactory Criminal Records Bureau clearance was not signed and dated in the files examined. It is recommended that the forms be signed and dated, to verify who transferred information from original documents, and when. There was evidence that agency staff receive an induction before commencing work with service users. Permanent staff undertake a detailed corporate induction, which was seen to be in use. Some of the staff have already achieved National Vocational Qualifications with a further number undertaking them. Records of training showed that staff were up-to-date with courses, other than Protection of Vulnerable Adults in some instances (referred to under Standard 23). Senior staff had undertaken training on dementia care with places booked for four carers, in response to the changing needs of people 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 22 living at the home. Sufficient numbers of staff were being provided to care for the four service users currently at the home. Staff meetings are held at the home although are not always recorded. It is recommended that notes are consistently kept, to provide evidence of matters discussed and decisions taken. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 23 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. The home is managed by a competent and qualified person, ensuring continuity of care and that needs are met. There is effective monitoring by the provider to ensure that standards of care meet the needs of service users. Health and safety are well managed, ensuring that staff, service users and visitors are not placed at risk of harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a registered manager who has achieved National Vocational Qualification level 4 and has the necessary skills and experience to run the service. A relative said “The current care manager is what makes the home exceptional. Her leadership skills are outstanding. She has created a home with exemplary standards.” 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 24 There is regular monitoring by the provider during unannounced visits, with reports written of the findings. There had been an annual service review in September last year which took into account views of external agencies, service users and relatives. Health and safety were being effectively managed with certificates to verify satisfactory electrical installation, servicing of the boiler and servicing of disability equipment. The fire log showed that routine testing is undertaken regularly with drills carried out to rehearse evacuation procedures. Checks are made of the home’s vehicle, there is a fire/emergency plan in place and training by staff on health and safety matters is up-to-date. An environmental health officer visited in April 2006 and stated in the report “very good standards and awareness present” and gave the home a bronze award. Checks were being made of fridge and freezer temperatures to ensure that appliances were working within safe temperature zones. Hot water was also being checked and some high readings noted. The manager had alerted the landlord to the problem and was awaiting a site visit to rectify matters. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 25 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 4 13 4 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 2 x 3 x 3 x x 3 x 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 26 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. 1 Standard YA20 Regulation 13(2) Requirement Accurate records are to be consistently maintained of medication administered to service users, to ensure that they receive the medicines they require. Timescale for action 20/04/07 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 YA7 Good Practice Recommendations It is recommended that records be kept of each house/service user meeting, to provide supporting evidence that service users are consulted about their care and given opportunities to contribute to how the home is run. It is recommended that staff who have not attended Protection of Vulnerable Adults training in the past year receive an update, to ensure that their skills are refreshed in this area of practice. It is recommended that the forms confirming Criminal Records Bureau clearance are signed and dated by the provider, to verify who has transferred information from DS0000011046.V333933.R01.S.doc Version 5.2 Page 27 2 YA23 3 YA34 30 Richmond Road 4 YA35 original documents, and when. It is recommended that notes are consistently kept of staff meetings, to provide evidence of matters discussed and decisions taken. 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 28 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 30 Richmond Road DS0000011046.V333933.R01.S.doc Version 5.2 Page 29 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!