Inspection on 27/02/06 for 42 Robin Hood Road

This inspection was carried out on 27th February 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

42 Robin Hood Road 19/04/07

42 Robin Hood Road 07/11/05

42 Robin Hood Road 30/03/05

42 Robin Hood Road 19/08/04

42 Robin Hood Road 24/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Robin Hood Road (42) 42 Robin Hood Road Brentwood Essex CM15 9EN Lead Inspector Michelle Love Unannounced Inspection 27th February 2006 09:00 Robin Hood Road (42) DS0000018118.V286613.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 Robin Hood Road (42) DS0000018118.V286613.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. Robin Hood Road (42) DS0000018118.V286613.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Robin Hood Road (42) Address 42 Robin Hood Road Brentwood Essex CM15 9EN 01277 233671 01277 233671 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) Outlook Care Ms Caroline Ann James Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Robin Hood Road (42) DS0000018118.V286613.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Personal care to be provided to no more than 4 service users with a learning disability. 7th November 2005 Date of last inspection Brief Description of the Service: 42 Robin Hood Road provides care for up to four adults with a Learning Disability. The premises are a semi detached `Edwardian Style` house situated in a residential area in Brentwood. All service users have a single bedroom and use of a large communal lounge and kitchen/dining area. The garden is situated to the rear of the property and is well maintained. A sensory garden has been designed and built. The home is situated approximately half a mile from Brentwood Town Centre and within easy reach of other local facilities. The home is easily accessed by public transport. Robin Hood Road (42) DS0000018118.V286613.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 was conducted by Michelle Love, inspector over a period of 2.5 hours. During the inspection a number of records were examined relating to staff employment and training, activity programmes for resident’s and complaint records. In addition to the above the inspector spoke with the home’s deputy manager and support staff on duty. As a result of resident’s communication difficulties, the inspector was unable to communicate verbally with individual residents. However the inspector was able to observe resident’s non-verbal communication skills and monitor interaction between support staff and residents. 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. Robin Hood Road (42) DS0000018118.V286613.R01.S.doc Version 5.1 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Robin Hood Road (42) DS0000018118.V286613.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 Robin Hood Road (42) DS0000018118.V286613.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, 4 and 5 The home’s admission process remains well managed. Prospective residents are formally assessed prior to admission. EVIDENCE: Although there are currently no vacancies and no new residents have been admitted to the home since the last inspection, the home’s admission process and procedures remains appropriate. All prospective residents are assessed prior to admission and have the opportunity with their representative/relative to visit the home on a trial basis. Each resident is issued with a contract, depicting the terms and conditions of their residency. Robin Hood Road (42) DS0000018118.V286613.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): 8 Residents are enabled and empowered to participate within all aspects of life in the home. EVIDENCE: No individual care plans were inspected on this occasion as all have been inspected over a 12-18 month period. As stated at the last inspection (7.11.05), care plans were comprehensively detailed and informative, outlining resident’s individual needs and detailing specific guidelines for support staff so as to deliver appropriate care. During the inspection staff were observed to be able to communicate effectively with individual residents. Throughout the home appropriate items (objects of reference) were readily available to assist staff in communicating with residents as a result of their communication difficulties i.e. pictorial aids and specific items which hold meaning for each resident e.g. cup-drink, towelswimming/bath etc. Wherever possible residents are consulted and actively encouraged to participate within all aspects of `home life`. Robin Hood Road (42) DS0000018118.V286613.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): 12, 13 and 14 Residents are encouraged and supported to participate within a range of social, educational and leisure activities. EVIDENCE: Each resident has a written timetable depicting individual activities undertaken. The home provides a range of appropriate activities for residents, both within the home and within the local community i.e. Tuesday Club, Horse riding, Local Gateway Club, Swimming, Shopping etc. In addition some residents receive formal day care i.e. The Exchange and The Walterboyce Centre. Robin Hood Road (42) DS0000018118.V286613.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): 18 and 20 Resident’s personal and health care needs are well managed. The home’s medication processes and procedures are appropriate. EVIDENCE: The home’s deputy manager and support staff spoken with at the time of the inspection, demonstrated good knowledge and awareness about individual resident’s personal preferences, their likes and dislikes and how each resident wishes to receive their personal care. The home’s medication procedures were seen to be appropriate. No omissions were observed on the medication administration records for individual residents. Other records included risk assessments, PRN (as and when required medication) protocols and guidelines and evidence that residents had received a medication review. The inspector was advised that 4x staff have completed `Safer Handling of Medication` training, 3x staff are currently undertaking this training and there are 3x staff who need to undertake this training for the future. Robin Hood Road (42) DS0000018118.V286613.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): 22 and 23 The home has appropriate policies and procedures pertaining to complaints and adult protection, which protect residents from abuse and respond to their concerns. EVIDENCE: No complaints have been received at the care home since the last inspection. The majority of support staff within the home had received appropriate adult abuse training. There remains clear guidelines and strategies for managing both physical and verbal aggression. Staff spoken with demonstrated sound knowledge of managing individual residents’ aggressive behaviours. Robin Hood Road (42) DS0000018118.V286613.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): 24 Robin Hood Road provides residents with a good standard of accommodation, which is homely, comfortable and safe. EVIDENCE: Accommodation provided to residents at Robin Hood Road appears suitable to meet their needs and requirements. Residents’ bedrooms are individualised and personalised according to their personal preferences, likes and dislikes. There are sufficient numbers of bathrooms/shower rooms and adequate communal space for residents. On the day of inspection the home was observed to be clean, tidy and odour free. There is a large accessible garden to the rear of the property and this includes a sensory garden. No health and safety issues were highlighted at this inspection. Robin Hood Road (42) DS0000018118.V286613.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, 33, 34 and 35 Staffing levels at Robin Hood Road remain appropriate for the numbers and needs of existing residents. Residents are protected by the homes’ appropriate recruitment procedures. Training and staff supervision is actively encouraged to ensure good delivery of care to residents. EVIDENCE: On inspection of four weeks staff rosters, these evidenced current staffing levels as being appropriate for the numbers and needs of residents. The deputy manager advised the inspector that currently there are no staff vacancies and any staffing shortfalls are dealt with by utilising agency staff. From discussions with the deputy manager and one support worker it was evident that they demonstrated a good knowledge of individual resident’s care needs and were passionate and committed to providing good quality care. Rapport between residents and support staff was relaxed and residents appeared very comfortable. Since the last inspection two members of staff have been newly recruited. It was positive to note that recruitment practices within the home are robust and all records as required by regulation had been sought. Evidence was available to indicate that all new staff employed at the care home had received both mandatory training (Medication, Protection of Vulnerable Adults, Fire Awareness, Manual Handling, First Aid and Food Robin Hood Road (42) DS0000018118.V286613.R01.S.doc Version 5.1 Page 15 Hygiene), plus specialist training which meets the needs of residents i.e. Autism and Aspergers. All staff receive monthly supervision by either the manager or deputy manager. Robin Hood Road (42) DS0000018118.V286613.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 The home is well managed and resident’s, benefit from a well run home. EVIDENCE: The manager was not on duty on the day of the inspection. The deputy manager was in charge and she was able to demonstrate a very good understanding of National Minimum Standards and Care Homes Regulations for Younger Adults (18-65). Staff morale within the home is very high and positive and the home has an effective staff team committed to delivering high quality care. Robin Hood Road (42) DS0000018118.V286613.R01.S.doc Version 5.1 Page 17 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 3 3 X 4 3 5 3 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 X STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 3 X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X X X X X X Robin Hood Road (42) DS0000018118.V286613.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO 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 Robin Hood Road (42) DS0000018118.V286613.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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. 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