Inspection on 28/06/05 for 353 Old Whitley Wood Lane

This inspection was carried out on 28th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

353 Old Whitley Wood Lane 29/07/08

353 Old Whitley Wood Lane 07/02/08

353 Old Whitley Wood Lane 15/03/07

353 Old Whitley Wood Lane 24/01/06

353 Old Whitley Wood Lane 01/02/05

353 Old Whitley Wood Lane 15/12/04

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

CARE HOME ADULTS 18-65 353 OLD WHITLEY WOOD LANE Reading Berkshire RG2 8PY Lead Inspector Tracy McGuire-Brown Unannounced 28 June 2005 @ 10:00 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. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 353 Old Whitley Wood Lane Address Reading Berkshire RG2 8PY 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) 0118 9673451 Multi Care Mr Ibrahim Jalloh Care Home 2 Category(ies) of Learning DIsability - (LD) registration, with number of places 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 01/02/05 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. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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 5-hour period. The Inspector spent some time being shown around the home. The 2 residents were both out at day care activities. Time was spent talking to the staff member on duty. Selections of records were looked at including resident’s files. What the service does well: What has improved since the last inspection? What they could do better: 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 Page 6 General risk assessments need to be developed. Regular reviewing of care plans and risk assessments should be introduced. Staff would benefit from more regular supervision sessions. 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. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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) 2,3 and 4 Service Users have a full assessment prior to admission and have an opportunity to visit the home. Individual needs are met. EVIDENCE: Service User files were sampled including the most recent admission; these included detailed assessments from Care Managers and other professionals. One Service User had a dietician and community nurse assessment that included detailed guidelines for consistency of care practices. The staff have developed an “introductory visits book” and all service Users visits to the home are recorded in this book. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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 .9 and 10 Service Users have individual care plans in place and are as involved as possible in decision-making. Individual risk assessments are in place. Information about service Users is accurate and confidences respected. EVIDENCE: Since the previous inspection the staff have produced care plans for each individual service user and sample of these were seen. Care plans have been developed from assessment information gained in respect of each service user. Risk assessments are in place for each individual to ensure safety of service users. Daily notes kept in respect of each service user provide evidence of examples of service users being supported to make decisions. The home has a detailed policy in respect of confidentiality and since the previous inspection records have been improved considerably and updated. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15,16 and 17. Although this home predominately offers respite care, service users are supported to retain their usual day care and leisure activities. Service users are supported to facilitate the local community. Service users are supported to maintain contact with family and friends. Service Users rights are respected and they are encouraged to make choices on a daily basis in respect of meals. EVIDENCE: Care plans, daily notes and timetables detail daily activities including day care and leisure activities. Examples of notes detail attendance at various local day centres and colleges. All service users have a full day care programme. Leisure activities recorded include shopping trips to local towns, visit to pubs and restaurants and trips out. Service users access local amenities including shops and G.Ps. Daily notes and family contact sheets detail visits to and from family and friends. A detailed planned menu is available, however the staff encourage and support service users to make meal choices on a daily basis and this includes 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 Page 11 takeaways and meals out. All meals and snacks are recorded in individual daily notes. Meals are well balanced. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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 and 20 Service Users physical and emotional needs are met and medication is dealt with safely and appropriately. EVIDENCE: Service Users personal care and support needs are detailed in care plans, assessments and guidelines. The home has limited responsibility for healthcare needs of respite service Users and hence records are basic in content. Records for longer-term placements were more detailed and G.Ps visits were noted in the diary and recorded in daily notes. A discussion was held in respect of ways to detail healthcare records and weight monitoring for service users. Since the previous inspection the home has reviewed the medication records and developed more detailed and comprehensive ways of recording and detailing stock in and out. Samples of records seen were satisfactory. Staff’s training certificates were seen in respect of medication training. All medication is stored securely in a locked cabinet in the office. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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) 22,23 The home has appropriate complaints procedures in place and protect service Users from abuse. EVIDENCE: The home has a satisfactory complaints policy and procedure in place there is also one in widget format to aid communication with Service Users. There have been no recorded complaints. The home has many compliments, which are on display on the office notice board. Staff records show that staff have undertaken training in respect of vulnerable adults. The home has detailed policies and procedures in place. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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) 24,26 and 30 Service Users are accommodated in a comfortable and homely environment. Service Users have individual rooms equipped to promote their independence. The home is well kept with high standards of cleanliness EVIDENCE: The home is well presented throughout with suitable communal space available. The home is nicely decorated and furnished to a good standard. Service Users have the use of a single bedroom, which is well equipped with the addition of chairs since the previous inspection. Each room also had a television and video player provided. Regular respite users have some personal possessions such as photographs that staff will put in the bedroom when they come to stay. The home has laundry facilities located to the rear of the kitchen and the home is kept clean throughout. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 Page 15 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) 34.25 and 36 The home has recruitment processes in place to protect service users. Staff receive training to meet service users needs. Staff receive supervision, this needs to be more regular. EVIDENCE: Since the previous inspection the home has increased the staffing due to the long-term placement of one service user. Sample of staff recruitment files seen contained the required documentation. The home is in the process of recruiting a new Manager and completing all the relevant checks. Paperwork seen included completed application forms, 2 written references, CRB checks, copies of passports/birth certificates and training certificates. A discussion was held with the staff member on duty about CRB checks and POVA checks to clarify current requirements. Staff files seen contained copies of certificates of training gained by staff. The staff member on duty informed the Inspector that she had attended two training courses the previous week and was awaiting the certificates. Discussion was held with the staff member in respect of good practice detailing staff training profiles. Records of supervision were seen, these were brief and were not undertaken on a regular basis, this needs to be improved. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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 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) 37,41 and 42 The home has recently recruited and new Manager. The Acting Manager has run the home well. Record keeping has improved to safeguard service users rights and best interests. Health and safety could be improved to protect service users and staff. EVIDENCE: The acting manager has organised the home well and developed records since the previous inspection. A new full time Manager has been appointed. Records in the home have been developed, improved and updated. Staff in the home continue to undertake regular health and safety checks. The home still needs to obtain relevant Health and Safety posters and ensure staff are aware of Health and Safety issues including Control of Substances Hazardous to Health. There needs to be the development of some general health and safety risk assessments in particular with reference to the large fishpond in the garden. 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 Page 17 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 353 OLD WHITLEY WOOD LANE Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x 3 2 x H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 Page 19 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. 2. Standard 36 42 Regulation 18 23 Requirement Undertake regular staff supervision sessions Develop general risk assessments in respect of safe working practices. Timescale for action 31/12/05 31/08/05 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 19 35 Good Practice Recommendations Review and develop system for recording healthcare appointments . Develop individual training profiles for each staff to enable easy reviewing of training require.ments 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 353 OLD WHITLEY WOOD LANE H52-H01 11348 353 Old Whitley Wood V228956 280605 Stage 4.doc Version 1.30 Page 21 - 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. 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