Inspection on 11/05/06 for 31 Vauxhall Drive

This inspection was carried out on 11th May 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

31 Vauxhall Drive 09/10/07

31 Vauxhall Drive 29/12/05

31 Vauxhall Drive 18/07/05

31 Vauxhall Drive 18/01/05

31 Vauxhall Drive 29/07/04

31 Vauxhall Drive 23/03/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 31 Vauxhall Drive Woodley Berkshire RG5 4EA Lead Inspector Katy Brown Unannounced Inspection 11th May 2006 11:50 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 31 Vauxhall Drive Address Woodley Berkshire RG5 4EA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0118 9448896 www.new-support.org.uk New Support Options Limited Mr Timothy David Holland Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th December 2005 Brief Description of the Service: 31 Vauxhall Drive is a care home providing 24-hour care and accommodation for up to six young adults who have a learning disability and may have an associated physical disability. The home has two bathrooms on the first floor and a WC with wash hand basin on the ground floor. All bedrooms are single, and the two bedrooms on the ground for have an en-suite facility and adaptations to meet the needs of those service users who have a physical disability. There is a secluded garden with patio and seating for all to enjoy in the warmer months, and a grassed area to the side with a garden swing. The home is situated in a residential road close to Woodley shopping precinct, a sports centre and the doctors surgery, and is within a 10 Minute Drive to Reading town centre. There are car parking spaces at the front of the house and public transport is available. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Vauxhall Drive is a community home for adults with learning disabilities, providing support to five service users. The site visit/inspection was unannounced and undertaken at the home on 11 May. Prior to the site visit, other inspection activity included; an examination of a pre-inspection questionnaire completed by the acting manager of the home and surveys sent to the service users. 4 surveys were completed and returned to the Commission. Telephone conversations were also held with relatives, a care manager and the manager of Wokingham resource day centre. Three service users were spoken to; two of who had non-verbal communication skills, and three service user files were examined during the site visit. The acting manager and a community connect worker were interviewed, and three care workers files were examined. The home’s record of complaints and staff training records were also examined. What the service does well: What has improved since the last inspection? What they could do better: There were no concerns raised during this visit. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 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. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users aspirations and care needs are assessed. EVIDENCE: All service users had received a care needs assessment prior to moving into their home. The information received from the assessment process, identified that that the living environment and the skills of the staff are appropriate to meet the service users needs. The acting manager completed a re-assessment of need, for all the service users earlier this year. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to make decisions, which are reflected in their care planning process. They are provided with a good standard of care that is consistent with their identified needs and risk management plans. EVIDENCE: Individual plans of care are available for all residents and they contain all the information about their healthcare, personal care and social care needs. Staff keep a daily record of residents’ activities and any visits that they had received or appointments that they had attended. Clear guidance is in place to ensure that the residents’ needs are met. Risk management plans have been completed for the residents and staff are aware of these risks and adhere to procedures. The residents and relatives are involved in the process for identifying risks. Reviews of the care provided and risk management strategies are completed regularly and the relatives’ and care manager that were spoken to, confirm that they attend reviews. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 10 Residents’ say that they are involved in their care planning and that they do make decisions about their lives. A care manager and day services manager spoke positively about the staff at the home and the good standard of care that is provided. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 11 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, 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. Service users are able to take part in age, peer and culturally appropriate activities within the local community, and are enabled to maintain personal relationships with family and friends and make decisions about the way the home is run. EVIDENCE: Relatives that were spoken to, prior to the visit, said that the service users take part in a number of activities, including line dancing, visits to the theatre and cinema, pub meals, clubs and sailability. One service user spoke of his enjoyment of rock music and said that he was going to Reading rock festival later in the year. The residents, staff and relatives have recently completed a ‘path’ that identifies goals and future plans. One resident wants to attend a dog show and another has decided to go on a cruise aboard the ‘Queen Mary’. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 12 A community connect worker has recently been employed at the home; he is currently working with a service user to enable him to build his confidence and learn to trust care staff and other people. He has a dog that accompanies him and the service users enjoy their visits and time spent with the pet. Staff and service user meetings are held and a service user said that they discuss, which recreational activities they want to be involved in. Some service users attend weight watchers and one service user is in part-time, paid employment. There is a key worker system in place and relatives and service users say that the key-workers help to resolve any issues or problems that might arise. Service users are aware of the rules and policies within the home. Relatives confirmed that they are encouraged to visit the home and service users say that their families and friends are made to feel welcome. Relatives have been included on the home vehicle insurance and they are encouraged to use the vehicle, to transport residents’ to the homes of their friends and family when required. Service users say that they enjoy the meals at the home and the menus reflect their likes and dislikes. They do have enough to eat and are given a variety of options if they are offered food that they do not want. Relatives say that the meals are nutritious and well balanced. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 13 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 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ are provided with a good standard of care that reflects their wishes and meets their health needs. They are protected by the homes policy/procedures for managing medication. EVIDENCE: Staff are provided with appropriate information to identify the support service users require within personal care and also to ensure that the service users preferred routine is respected. Service users have specified their carer preference when receiving personal care and staff adhere to a cross gender policy. An action plan is in place to ensure the service users personal care needs continue to be met when only one gender of care staff is on shift. Records demonstrate that service users have had an occupational therapy assessment. Adaptations were evident within the rooms of those service users who have a physical disability, to ensure safe and comfortable moving and handling. All service users have their own room where privacy is assured. The acting manager has a good awareness and understanding of the residents’ health needs and individual records are kept for all health related visits. Relatives and a care manager say that staff are proactive when a residents 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 14 health changes or deteriorates and records indicate that all appointments with health professionals are kept. When a service user was recently admitted to hospital, staff were allocated to support him during his stay and a service user that has a notable deterioration in behaviour, has been referred to the appropriate health professionals and is now receiving specialist intervention. Relatives confirmed that the service users do visit the doctor, dentist, dietician and hospital nurse. There are no service users at the home that self-medicate. All staff that provide support with medication, receive appropriate training and the specialist nurse trains and supervises staff that administer support with specialist health needs. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users views are listen to and they are protected from abuse, neglect and self-harm. EVIDENCE: Service users, relatives and a care manager that were spoken to, said that they would be comfortable making a complaint as they believed that their complaint would be taken seriously. They also confirmed that staff do resolve any issues or concerns that they have. The manager and staff keep a satisfactory record of any complaints that are made and appropriate investigations are carried out. The CSCI has not received any complaints in respect of this service. The home as adopted the Berkshire vulnerable adults, inter-agency procedures and both care staff and the acting manager have received training in abuse. There have been no vulnerable adult investigations in this home within this inspection year. Relatives and service users say that they feel safe at the home. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 16 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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users live in a warm, homely and clean environment. EVIDENCE: A tour of the premises identified that the home is well decorated and the furniture looks nice. Parts of the home, including some bedrooms have been recently re-decorated and new furniture has been purchased. A bid has been made to New Support Options, to secure replacement flooring for the combined lounge/dining area and new kitchen cupboards. A community connect worker is currently working with the service users to create a sensory garden. Service users say that they are happy with their accommodation and one said that he really enjoys his bedroom and spends much time there. The home has satisfactory policies for infection and control and the environment is clean and hygienic. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 17 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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported and protected and have their needs met by competent and trained staff. EVIDENCE: The home has a satisfactory policy for the recruitment of staff; the policy includes the involvement of service users. A resident said that he had previously sat on the interview panel when recruiting new staff, although he no longer chooses to take part. The manager confirmed that all the residents are given a choice whether they wish to take an active role in the recruitment of staff. The staff files for the members of staff most recently employed at the home, identified that all the necessary recruitment checks had been completed, although the home does not yet keep all the correct information about staff as outlined in Schedule 2. Staff records indicate that they receive training that helps them meet the needs of residents and have completed specialist training to meet the needs of a resident whose health condition requires specialist intervention. Staff receive an induction that is compliant with TOPSS specifications and also receive refresher training on a regular basis. Records also indicate that staff are competent and are completing NVQ’s in care. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 18 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 19 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and service users views are sought. The safety and welfare of residents’ is met through the health and safety policies and procedures and care practices at the home. EVIDENCE: 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 20 The registered manager of the home has been on a secondment within New Support Options for a number of months and a senior support worker has been acting manager during this period. The manager has now transferred to another position within the organisation and New Support Options are in the process of recruiting a manager for the home. Relatives, a care manager, the community connect worker and service users say that the home is well run and that they like and trust the acting manager. The home has a satisfactory policy for quality assurance. Relatives and service users say that the acting manager seeks their views and opinions of the service and that changes are made where possible. A relative confirmed that she attended a meeting when the ‘path’ was being developed and had an active role. When advising the acting manager that she wanted to be informed more about the service users and what events had occurred within the home, the acting manager agreed to develop a newsletter that could be accessed by all relatives and stakeholders. The home has satisfactory health and safety policies and procedures in place and an inspection of records identified that regular maintenance checks are completed for equipment used at the home. The fire officer and the environmental health officer have visited the home; however, no requirements were made. Fire fighting equipment checks are completed by the appropriate agencies and staff ensure that fire drills take place. Staff receive training in health and safety and manual handling. 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 21 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 3 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 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 3 X 3 X X 3 X 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 22 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 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 23 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. Extracts may not be used or reproduced without the express permission of CSCI 31 Vauxhall Drive DS0000011381.V289986.R01.S.doc Version 5.1 Page 24 - 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!