CARE HOME ADULTS 18-65
31 Vauxhall Drive Woodley Berkshire RG5 4EA Lead Inspector
Yvonne Souden Unannounced Inspection 11:00 29 December 2005
th 31 Vauxhall Drive DS0000011381.V272502.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 31 Vauxhall Drive DS0000011381.V272502.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. 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 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 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.V272502.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 18th July 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.V272502.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection on a Thursday morning. The Inspector spoke to four service users; two had non-verbal communication skills, and spoke with staff and a senior manager. The registered manager is on secondment and the acting manager was not present at this inspection. This was a positive inspection that observed a homely comfortable environment and positive interaction between residents and staff. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 6 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.V272502.R01.S.doc Version 5.0 Page 7 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): 3 The home informs prospective service users to ensure they know that the home can meet their needs and aspirations. EVIDENCE: The home has a Statement of Purpose and Service User Guide to enable prospective service users and their representatives to be informed about the service provided. There have been no new admissions within this inspection year. Records viewed demonstrate that the needs of the service users are assessed prior to admission, and that regular multi-agency reviews take place. Review documentation identifies that the needs and changing needs of the service users are discussed and that an action plan is decided to meet those needs and minimise risk. 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 8 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): Standards 6 to 10 were not assessed at this inspection. EVIDENCE: 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 9 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 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. EVIDENCE: On the day of the inspection a service user’s family visited and another service user was visiting family at home as a for a few days to celebrate Christmas. A service user spoke of community events, and was looking forward to attending line dancing. Within the minutes of staff and service user meetings it was evident that discussions take place to identify recreational activities that service users want to be involved in, and the homes diary details past and future dates of various community events that service users have or will attend for example, Weight Watchers, Reflexology, Shopping, Pantomime, Work Placements, day centres and many more. Care plans identify the recreational interests of the service user and have an action plan in place to facilitate their interest. Photographs seen within the home not only add to the homely environment but also show the enjoyment experienced by the service users on various leisure/holiday activities.
31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 10 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 Service users receive personal support in the way they prefer and require. EVIDENCE: Individual care plans identify the support service users require within personal care and are accompanied by moving and handling guidelines, and an action plan to ensure the service users preferred routine is respected. Individual service user cross gender policy requests identify the gender carer preference of the service user, and have an action plan 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; staff were observed to knock on the service users door prior to entering. 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 11 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 and 23 Service users views are listen to and they are protected from abuse, neglect and self-harm. EVIDENCE: There have been no multi-agency Vulnerable Adults Investigations in this home within this inspection year. Discussions with staff identify that they are aware of Multi- Agency policy and procedures for the Protection of Vulnerable Adults and of the homes Whistle Blowing policy. Staff spoke of training received/planned within Risk Assessments, Managing Challenging Behaviour, Protection of Vulnerable Adults and Anti-Discriminatory Practice; a staff members training certificates confirmed training attended. The home’s complaint policy is made available to the service users and their representatives, and regular service user meetings ensure service users are listened to. CSCI have received no complaints within this inspection year about the service provided within the home. 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 12 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 Service users live in a homely comfortable and safe environment. EVIDENCE: The home was observed to be clean, comfortable and homely with no offensive odour. Improvements to the décor/furnishings and safety of the home have taken place since last inspection where requirements and recommendations had been made. Infection control is promoted as a was evidence of protective clothing being used within areas that service users receive personal care and within the homes laundry. Repainting of the laundry, ground/first floor bathroom and some of the service users bedrooms has taken place, and new flooring laid on the stairs, hallway and two bathrooms; all improving the overall homeliness and comfort of the home. The conservatory has been cleared of items stored thus ensuring service users have use of adequate communual space. 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 13 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 and 35 Service users are supported and have their needs met by competent and trained staff. Recruitment records were not available for inspection. EVIDENCE: Staff spoke enthusiastically about ‘New Approach’ training provided by the organisation that will enable staff to have a fuller understanding of Person centred plans of care. The Inspector was unable to access individual staff skill profiles, training programs and recruitment records, as the acting manager was not present at this inspection. The homes diary identified past and future training dates, and the Inspector saw the training certificates of one staff member identifying training received within risk assessment workshops, abuse awareness training and other mandatory training. Discussions with four staff members identified that two have a NVQ qualification, and identified that one member of staff, new in post has received induction and is keen to access further training. Discussions with the service manager identified that an ongoing training programme is in place and that staff are supported to achieve an NVQ in care. Staff said that they feel supported by management in meeting the needs of the service users, and showed their awareness of the service users needs. 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 14 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): Standards 37 to 43 were not assessed at this inspection. EVIDENCE: 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 15 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 3 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X 3 X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
31 Vauxhall Drive Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000011381.V272502.R01.S.doc Version 5.0 Page 16 Yes 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 YA34 Regulation 17.3 (b), Sch 2, 4 Requirement Timescale for action Staff recruitment and training 31/01/06 records must be available for inspection. (Previous timescale 31/03/05 and 31/08/05 not met) 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 YA34 Good Practice Recommendations Senior management should look at ways of enabling senior management and inspectors to have access to staff training and recruitment records in the absence of the registered manager or the person acting up as the manager. 31 Vauxhall Drive DS0000011381.V272502.R01.S.doc Version 5.0 Page 17 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.V272502.R01.S.doc Version 5.0 Page 18 - 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!
