Inspection on 04/07/05 for 33a Forest Road

This inspection was carried out on 4th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

33a Forest Road 23/06/09

33a Forest Road 22/07/08

33a Forest Road 17/04/07

33a Forest Road 08/08/06

33a Forest Road 30/11/05

33a Forest Road 26/02/05

33a Forest Road 20/05/04

33a Forest Road 06/02/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 33a Forest Road Kingswood South Gloucestershire BS15 8EW Lead Inspector Helen Taylor Announced 4 July 2005 09.30 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. 33a Forest Road Version 1.10 Page 3 SERVICE INFORMATION Name of service 33A Forest Road Address Kingswood South Gloucestershire BS15 8EW 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) 0117 9677447 0117 99677239 Shaw Healthcare (Specialist Services) Ltd Mrs Deborah OShea Care home with nursing 9 Category(ies) of LD Learning disability (9) registration, with number of places 33a Forest Road Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None provided Date of last inspection 26 February 2005 (Unannounced) Brief Description of the Service: 33a Forest Road is a purpose built home providing personal care with nursing for 9 adults with learning disability. The home is owned and operated by Shaw Healthcare (Specialist Services) Ltd, an organisation that specialise in providing accommodation and support that promotes independence. The accommodation is set over two floors and a lift is available. Individual rooms are spacious with en-suite facilities; some rooms have small private garden areas. Communal space includes, lounge, relaxation room, kitchen/diner, therapy room and a large Jacuzzi tub. The home provides individual support to service users using a variety of approaches determined by a detailed assessment of individual need. Service users are encouraged to be involved in the everyday running of the home, and activities in the local community are organised on a regular basis. The home opened on the 6th January 2003. The registered manager is Mrs Deborah OShea. 33a Forest Road Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection conducted as part of the annual inspection process to examine the care provided, and monitor the progress in relation to any requirements or recommendations from the last inspection conducted on 26th February 2005. The inspection took place over six hours. During the process two residents, four staff members, and the registered manager were spoken with. The Inspector looked around some parts of the building, and a number of records were examined. A completed pre-inspection questionnaire from the manager, and comment cards from relatives, residents, and visiting professionals were also received prior to the inspection taking place. The Inspector made telephone contact with two people who had completed a comment card. What the service does well: What has improved since the last inspection? The management team have put an official warning sign on the cupboard used to store oxygen cylinders to reduce the risk of harm to staff and residents. Regular supervision of the staff team ensures consistent care and appropriate records being completed provide detailed guidance in relation to individual need. 33a Forest Road Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 33a Forest Road Version 1.10 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 33a Forest Road Version 1.10 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) 1,2,3,4,5. There is information available to enable prospective residents and their supporters to make an informed choice about the facilities on offer. EVIDENCE: Admission to the home is through the care management approach and all admissions are on a planned basis. Through discussion with staff and a review of the care file information it was evident that comprehensive assessments of need had been undertaken. The staff team were observed providing individualised sensitive care. 33a Forest Road Version 1.10 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) 6,7,8,9,10 The assessment and care planning process ensure all aspects of personal, social and healthcare needs are met. EVIDENCE: Each resident has an essential life plan and those reviewed provided evidence of the promotion of individual choice, and encouragement to make decisions. The care plans were detailed and it was noted that a speech and language therapist had provided training to develop the communication skills of two residents. Staff members spoke positively about developing new techniques, and this information was reflected in individual care files. Through discussion and observation of the staff team interacting with the residents, the inspector concluded that a very high standard of individualised care was being provided. Each staff member spoken with conveyed enthusiasm, commitment and a good understanding of the communication methods used by individual residents, and a good understanding of the content of the care plans. 33a Forest Road Version 1.10 Page 10 Care is provided within a risk assessment framework, focussing on positive behaviour, ability and willingness. Each resident has an allocated key team of staff who are led by a team leader. Risk assessments viewed were comprehensive, and provided evidence of individual needs and choices being considered. 33a Forest Road Version 1.10 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 standard(s) 11,12,13,14, Opportunities for personal development and links with the local community are an integral part of the care provided at this home. The key team system provides a variety of evidence that residents views are sought and acted upon. EVIDENCE: The care plan focussed on individual choice and from the assessment process an activity plan is developed. One staff member explained the activity plan is reviewed regularly and residents are encouraged to develop new interests. A review of the care file information revealed that two residents attend local colleges to develop life skills and take part in a drama group. Another resident was in the process of investigating a computer course with a possible start later in the year. The Inspector noted that activities and resident participation was discussed during a recent staff meeting where suggestions were put forward for inclusion on the activity list. Outings in the community at leisure centres, the cinema and local pubs are organised on a daily basis. 33a Forest Road Version 1.10 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) 18,19,21. The personal and health care needs of the residents are monitored effectively and action is taken promptly when concerns arise, so that residents can be confident their needs will be met. EVIDENCE: The storage and administration of medication was not reviewed on this occasion. The home provides nursing care and only appropriately qualified staff members administer medication. All medication is stored in a locked cupboard. Care documentation reviewed provided evidence of clear guidance to staff on how residents wished their personal support to be provided. A dedicated healthcare plan was in place for each person accommodated. The information was detailed and records kept of all health care appointments. Staff members supporting residents attending healthcare appointments, completed a consultation sheet on each occasion. This enabled residents to benefit from a consistent approach to ensure individual needs were met. 33a Forest Road Version 1.10 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) 21,23 The home has a clear complaints system in place with some evidence that residents views are listened to and acted upon. EVIDENCE: The Inspector did not review the complaints log on this occasion, however found evidence in the care files and associated documentation that residents are listened to and the key team take action to resolve any issues raised. Staff members spoken with demonstrated a sound understanding of the complex communication methods of the individuals accommodated, and conveyed to the Inspector a sensitive approach to determine what the problem may be. Recent training from the visiting speech and language therapist had been well received, and staff members indicated an enthusiastic approach to implementation of the system from the guidance provided. One resident was presently learning a new communication system using objects of reference and staff encouragement was important. Policies and procedures are in place to ensure the residents are protected from any form of abuse. Staff members confirmed attendance on Protection of Vulnerable Adults training delivered by the local authority. Staff members spoken with demonstrated a good understanding of the reporting procedure in the event of incidents of abuse or inappropriate practice. 33a Forest Road Version 1.10 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) 24,25,26,27,28,29,30 Overall a warm comfortable environment has been created ensuring individual needs are met, however regular monitoring of standards of cleanliness and the provision of furniture to meet the changing needs of residents would improve the environment. EVIDENCE: The home is purpose built and each resident has a room large enough to include an area for sleeping, a lounge area and en-suite facilities. The communal space includes lounge/dining area, therapy room, hydro pool and a social skills kitchen. The Inspector did a cursory tour of the premises and noted the following issues: • One en-suite was in a state of disrepair, with dirty flooring, doors missing from fixed cupboards, no bath plug and a dirty toilet. A damp patch was visible on the wall adjoining the lounge area. • One en-suite required that the door be repaired or replaced, and the furniture in this room also needed attention. • Another en-suite had badly stained flooring. 33a Forest Road Version 1.10 Page 15 Generally the accommodation provided was of a good standard, with aids and adaptations in place to meet the needs of the residents. Individual rooms were personalised and homely, and the communal areas were comfortably furnished and accessible. One resident proudly showed off his tropical fish that he cared for with support and encouragement from staff. A maintenance person is employed to carry out minor repairs and alterations, and he was present during the inspection process. A system needs to be developed to ensure regular monitoring of the cleanliness and furniture and fittings provided in individual rooms, and consistent reporting of faults or repairs necessary by the key team. 33a Forest Road Version 1.10 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35, Appropriately trained and supervised staff support the residents, who benefit from a staff team who are clear about their role in the home. EVIDENCE: There are clear aims and values in this home, which are resident focussed and centre on choice, rights and self-determination of the individual. Staff were able to demonstrate this philosophy and it was evident that meaningful relationships had been forged between the residents and staff team. The home has appropriate recruitment policies and procedures in place to ensure the protection of the individuals accommodated. A review of staffing information held provided evidence of references, CRB checks, application forms and records of the interview process. Each resident has a key team to support them led by a team leader who monitors individual care. Staff members confirmed regular supervision and support from the management team. 33a Forest Road Version 1.10 Page 17 Comprehensive training programmes were confirmed by staff members including: • Induction and mentoring • Food Hygiene • Positive Response Training • Protection of Vulnerable Adults • Intensive Interaction/Communication skills Staff members stated that they felt well supported in the home, and some staff confirmed good progress on the NVQ training programme. Comment cards received from visiting professionals as part of the preinspection information noted a distinct improvement in the services offered by this home with less use of agency staff, and a more stable permanent staff team. 33a Forest Road Version 1.10 Page 18 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) 37,38,39,43 The home is well-managed ensuring residents interests and rights are promoted and protected by a knowledgeable and experienced staff team within a safe environment. EVIDENCE: Throughout the inspection process the manager demonstrated that she is qualified, competent and experienced to manage the home and meet its stated purpose, aims and objectives. She has a sound understanding of the diverse and complex needs of those living at Forest Road, and is committed to ensuring staff are well supported in their roles. Positive comments were made in comment cards received as part of the preinspection information. The Inspector noted from minutes of staff meetings that staff are consulted and asked for their input to improve the quality of life for those living at the home. 33a Forest Road Version 1.10 Page 19 A review of residents finances held by the home revealed a detailed, easy to follow system of recording all transactions. Each resident has an individual bank account and money held in the home for day-to-day use is kept in individual wallets. Receipts are obtained for all transactions, and regular audits take place. Fire safety records were examined and found to be up to date and in order. The manager explained one staff member was designated as a health and safety representative to ensure all necessary checks and drills were completed. Health and safety including fire procedures are included as part of the induction process. 33a Forest Road Version 1.10 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 x 2 3 3 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x x 3 33a Forest Road Version 1.10 Page 21 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. 2. 3. 4. Standard 25 27 30 24 Regulation 16.2.c 23.2.b 23.2.d 23.2.b Requirement Provide adequate furniture to meet the needs of each resident. Ensure all equipment provided is kept in a resaonable state of repair. All parts of the home are to be kept clean and reasonably decorated. Develop a system to raise staff members awareness of the importance of reporting problems with furniture, fittings and cleanliness of individual rooms. Timescale for action 30th August 2005 30th August 2005 30th August 2005 30th August 2005 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 33a Forest Road Version 1.10 Page 22 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG 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 33a Forest Road Version 1.10 Page 23 - 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. 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