Inspection on 02/09/05 for 43 Clayhill Road

This inspection was carried out on 2nd September 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

43 Clayhill Road 10/02/09

43 Clayhill Road 14/02/07

43 Clayhill Road 22/02/06

43 Clayhill Road 29/11/04

43 Clayhill Road 07/09/04

43 Clayhill Road 04/03/04

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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 43 CLAYHILL ROAD Burghfield Common Nr Reading RG7 3HF Lead Inspector Rhian Williams-Flew Unannounced 2 September 2005 @ 10.00 hrs 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. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 43 Clayhill Road Address 43 Clayhill Road, Burghfield Common, Nr Reading, RG7 3HF 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 9835047 New Support Options Ltd Mandy Patrina Williams-Feast Care Home (CRH) 6 Category(ies) of Learning disability (LD) 6, Physical disability registration, with number (PD) 2, Mental disorder, excluding learning of places disability or dementia (MD) 2, Sensory impairment (SI) 1. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 29 November 2004 Brief Description of the Service: 43 Clayhill Road is a six bedroom detached house in a residential area of a large village. There are some local amenities close by and a bus service is available. The home provides care for 6 people with learning disabilities. Some of the present residents also have physical, mental and sensory disabilities. The home caters for both genders and provides 24-hour care with waking night staff. The home has an assisted bathroom and shower room and can accommodate people who use wheelchairs. Three of the bedrooms are downstairs. The home has its own assisted transport that enables all the residents to lead full and active social lives. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection occurring between 10.00 and 15.30 hours. The Registered Manager was present for the latter part of the inspection. All of the residents were spoken with during the inspection. The focus of the inspection was to ensure that the needs of the residents were being met and to establish the resident’s views of their care. 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. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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 standard(s) 1, 2 & 5. This home has a clear Statement of Purpose and Service User Guide that is upto-date. There is a clear criteria and procedure regarding the admission of new residents. EVIDENCE: The Statement of Purpose and Service User Guide were both updated in March 2005 and the Registered Manager confirmed that they remain current. There have been no admissions to this home since July 2003 therefore it is not possible to case track whether any new service users have only been admitted following a full assessment. However, the home does have policies and procedures to ensure that this process is completed prior to anyone moving into the home. The policies also state that the home would ensure that any new person coming to live in the home would have the opportunity to visit the home on as many occasions as they wished before moving in. In reviewing the case records of the residents it was evident that individual contracts regarding their stay in the home had been given and explained to them. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 9, 10. There was less clarity and coherency in the care plans for the residents than has been seen on past inspections. EVIDENCE: In reviewing the documents that contain information about the residents care needs it became apparent that the information is being stored in up to three different places. Each resident has a file called vital information profile (VIP), another file called the essential life plan (ELP) and a third file which contains correspondence, archived information and financial and medical information. All of the files for two of the residents were reviewed in their entirety and the VIP’s and ELP’s for all the other residents. It was not clear as to which document was recording the up to date care needs for the residents or a plan on how to address these. It was apparent that similar (and sometimes different) information was recorded in the VIP’s and the ELP’s. This could lead to confusion as to which was the most current information. Clear and coherent information, that is up-to-date and accurate should be recorded for each resident, preferably in one document. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 Page 9 In conversations with the residents it was apparent that they were content with their lifestyles and the support they receive from the staff. Risk assessments were in place with the exception of one resident. This matter was discussed in full with the Registered Manager. All the resident’s records are kept securely and only certain designated members of staff have access to some of the information. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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 & 17. The residents confirmed that their individual lifestyle preferences and choices are respected, promoted and enabled. EVIDENCE: The majority of residents in this home have reached retirement age therefore opportunities for employment are not their considered priority. However, all of the residents pursue activities of their choice inside and outside of the home. Some attend structured day activities. The home is well integrated within the community. The residents participate in all the local facilities and services and feel confident in their local environment. Some of the residents are able to access public transport (with assistance) however, the home does have its own specially adapted transport. All of the residents pursue their own interests and hobbies. The members of staff facilitate access to these hobbies and interests inside and outside of the home. The majority of the residents prefer a day visit to a specific event rather than an annual holiday. They have chosen to visit Longleat Wildlife Park 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 Page 11 and a seaside trip to Bournemouth. Plans are being made to assist one resident to visit a brewery and another wishes to have a short break in Paris. All of them spoke of their appreciation of the opportunities offered them. The residents who do have family members maintain contact with them on a regular basis. Where it is possible the residents visit their relatives in their homes. The routines in the home are flexible and resident specific. All of the residents confirmed that the staff are respectful of them and their wishes. They all described 43 Clayhill Road as “their home”. All matters concerning the privacy and dignity of the residents were seen to be respected. Although the meal time was not observed it was evident from conversations with the residents that they enjoyed a varied diet which they help choose. Individual preferences are catered for at all times. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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 & 20. The staff are vigilant and responsive to the health-care needs of the residents who live in the home. The support from the GPs surgery is good. EVIDENCE: It was evident from the comments made by the residents that their personal care and support is provided in a way that they prefer and fully meets their needs. It was observed that staff were respectful and they preserve the privacy and dignity of the residents as they provide personal care. The care records of the residents clearly indicated that they receive good medical support from the GP surgery and specialist services, should this be required. A number of the residents have multiple physical health needs, which the staff team are vigilant of. The ordering, storing and recording of the administration of medication was reviewed and found to be in order. None of the residents are self-medicating. The pharmacist who supplies the home with their medication conducts regular audits. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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. This home has good procedures to deal with complaints. The Registered Manager ensures the residents are protected from harm and abuse. EVIDENCE: The home has received no complaints since the previous inspection. Members of staff have received training in the protection of vulnerable adults and the Registered Manager is vigilant to ensure that the residents are protected from all forms of abuse. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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, 29 & 30. This home meets the needs of the residents who live within it. It has appropriate adaptations and is clean and hygienic. EVIDENCE: The Inspector asked one of the residents in the home to provide a tour of the home highlighting the facilities that the home provides for the residents. The resident very ably did this. The home is spacious and clearly meets the needs of the residents who live within it. The residents preferences are taken into account when any new furniture or redecoration takes place. There are plans for some ongoing redecoration in the near future. Four of the individual bedrooms were visited and clearly met the needs of the residents who lived in them. People who use wheelchairs occupy two of the rooms and the access to their rooms is good. The facilities in each room met the standard and reflected the resident’s own personality and choice. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 Page 15 Aids and adaptations are used in the home to assist the residents who live there. They all are maintained regularly. It was notable that at the start of the inspection the home was already clean and tidy. The residents confirmed that the home is always clean. It is important in this home that the main thoroughfares and communal areas are free from clutter to ensure that residents with mobility needs are not impeded. This has always been found to be the case. This inspection was no exception. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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) 34 & 36. The recruitment and supervision practices in this home are robust and followed rigorously. EVIDENCE: The recruitment records of two members of staff were reviewed as were their supervision records. All were found to contain the information required by regulation. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 Page 17 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) None These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x 3 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 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 43 CLAYHILL ROAD Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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. Standard 6 Regulation 15(1) Requirement Timescale for action 31.10.2005 2. 9 13(4) Clear and coherent information regarding the residents care needs and plans should be up to date, recorded and accessible, preferrably in one document. An up to date risk assessment is 31.10.2005 required for one resident. All other risk assessments should be reviewed to ensure they are current. 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 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 43 CLAYHILL ROAD H52 H01 S11195 43 Clayhill Road V222634 020905 Stage 4.doc Version 1.40 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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