This inspection was carried out on 24th January 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
353 Old Whitley Wood Lane Reading Berkshire RG2 8PY Lead Inspector
Tracy McGuire Brown Unannounced Inspection 24th January 2006 3.45 DS0000011348.V275062.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 DS0000011348.V275062.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. DS0000011348.V275062.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service 353 Old Whitley Wood Lane Address Reading Berkshire RG2 8PY 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 9673451 g7bxu1@hotmail.com Multi Care Limited ***Post Vacant*** Care Home 2 Category(ies) of Learning disability (2) registration, with number of places DS0000011348.V275062.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: This residential home has been registered for two service Users aged between 18 and 65, with learning disabilities. The house is situated on the perimeter of a residential area within a short distance from a main link road and the M4 in Whitley Wood, Reading. The house was refurbished to include the provision of a new bathroom and is well presented in good decorative order. There are 2 single bedrooms for Service Users, a lounge/ diner, kitchen, 2 bath/shower rooms with toilets, a kitchen, staff sleeping in room/office and a large garden to the rear. The home is owned by an individual proprietor and was registered on 7/01/02. The home has been providing short-term respite care since July 2004 and now has one long-term placement also. DS0000011348.V275062.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place over a 1 and half hour period. The 2 residents were both returned from their respective day care activities and the Inspector spoke to both residents. There were 2 staff members on duty and the Manager was attending a review. Selections of records were looked at. What the service does well: What has improved since the last inspection?
The staff have worked hard to continue to improve and develop records in the home. One resident has shown some considerable improvement since moving to the home. Staff supervision has improved and a new method of recording healthcare has been introduced. Staff training profiles have also been developed. DS0000011348.V275062.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000011348.V275062.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 DS0000011348.V275062.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): These Standards not assessed on this occasion. EVIDENCE: DS0000011348.V275062.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): These Standards not assessed on this occasion. EVIDENCE: DS0000011348.V275062.R01.S.doc Version 5.1 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These Standards not assessed on this occasion. EVIDENCE: DS0000011348.V275062.R01.S.doc Version 5.1 Page 11 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): 19 Service users physical and emotional needs are met. EVIDENCE: Most Service users have short term respite in the home some the home has limited responsibility for the healthcare needs of these Service users. The home works closely with all interested parties as required. The home has developed a new system for recording the healthcare of the Service user who is on a longer-term placement and all healthcare appointments and related information is recorded in a dedicated booklet. The records demonstrate that the home has worked closely with a number of professionals e.g. the community nurse and significant improvements have been noted. Weight is monitored and has been plotted on a graph to give a detailed visual record. The Inspector spent some time with a staff member in a positive discussion about the recording of healthcare appointments. DS0000011348.V275062.R01.S.doc Version 5.1 Page 12 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): These Standards not assessed on this occasion. EVIDENCE: DS0000011348.V275062.R01.S.doc Version 5.1 Page 13 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): These Standards not assessed on this occasion. EVIDENCE: DS0000011348.V275062.R01.S.doc Version 5.1 Page 14 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): 32,35 and 36 Service users are supported by competent staff who undertake relevant training. Staff are supervised and supported. EVIDENCE: The home has 3 permanent staff team members who have experience and training relevant to the service user group. The home will need to continue to review the staffing if the needs of service users or their current day care arrangements change. Staff were observed working with service users in a positive manner and have a good rapport and sound knowledge of the service users. Service users were positive in their interaction with staff and one service user informed the Inspector that the staff were all nice. Service user records indicate that staff work with other professionals on a regular basis to support the needs of the service users. Service Users have different communication needs and staff are familiar with these. Since the previous inspection there has been work undertaken to detail each individual staff members training in a book These profiles could be further developed to determine current training needs and this will be a requirement of this report. Since the previous inspection the frequency and regularity of supervision has improved. There is a log detailing supervision sessions and a form for recording the detail of each session, these are signed. DS0000011348.V275062.R01.S.doc Version 5.1 Page 15 DS0000011348.V275062.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 and 42 The home is run well. Currently there is not a formal Quality Assurance system in place. Health and safety is promoted. EVIDENCE: The home Manager has placed an application to be registered and this is currently in process. The Manager was not available at inspection due to attendance at a review. The Manager has a range of experience and is currently undertaking NVQ level 4.The Manager is also team leader in another establishment, this currently does not impact on the service due to the current day care and staffing arrangements, this will need to be reviewed if there are any changes. The home has developed a Quality Assurance survey but this has not been put into practice. The home has a number of complimentary cards and letters from the relatives of service users. The Inspector was informed that the home seeks the views of relatives/carers at reviews but this is not formalised. The home needs to develop a formal Quality Assurance method to allow effective monitoring of the service. DS0000011348.V275062.R01.S.doc Version 5.1 Page 17 The health and safety was partially assessed in respect of the requirement made at the previous inspection. There has been some further development of general risk assessments in a suitable format the home needs to expand on this further. DS0000011348.V275062.R01.S.doc Version 5.1 Page 18 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 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 3 X 2 X X 2 X DS0000011348.V275062.R01.S.doc Version 5.1 Page 19 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. Standard YA35 YA39 Regulation 18 & 19 24 Requirement That training needs are identified to determine current training needs That a formal system is developed to review the Quality of the service provided Timescale for action 31/03/06 30/06/06 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. 2. Refer to Standard YA37YA32 YA42 Good Practice Recommendations Review staffing arrangements when required. Continue to develop general risk assessments in respect of safe working practices. DS0000011348.V275062.R01.S.doc Version 5.1 Page 20 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
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