Inspection on 22/02/06 for 43 Clayhill Road

This inspection was carried out on 22nd 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 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.

Other inspections for this house

43 Clayhill Road 10/02/09

43 Clayhill Road 14/02/07

43 Clayhill Road 02/09/05

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 Berkshire RG7 3HF Lead Inspector Mrs Rhian Williams-Flew Unannounced Inspection 22 February 2006 12:05 43 Clayhill Road DS0000011195.V267003.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 43 Clayhill Road DS0000011195.V267003.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. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 43 Clayhill Road Address Burghfield Common Nr. Reading Berkshire RG7 3HF 0118 983 5047 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) New Support Options Limited Mrs Mandy Patrina Williams-Feast Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (2), of places Physical disability (2), Sensory impairment (1) 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd September 2005 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 DS0000011195.V267003.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place between 12.05 and 15.00 hours on a weekday. The focus of the inspection was to review the key standards not reviewed at the last inspection. These primarily covered the management and provisions for safeguarding the resident’s health and safety. Key standards that had scored below the minimum standard at the last inspection in September 2005 were also reviewed. The Registered Manager was present throughout the inspection and three of the six residents were at home and were spoken with. This report should be read in conjunction with the previous report in order to get a complete overview of the key standards inspected during two inspections. What the service does well: What has improved since the last inspection? What they could do better: The Registered Manager was able to evidence that she has been unable to access training for the members of staff with regards to, induction and foundation training, mandatory health and safety training and NVQ training. It would appear that the failure lies with the provider organisation New Support Options. This should not be the case and the Responsible Individual will be 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 6 required to address these issues and report to the regulator (CSCI) and the Registered Manager as to how the issues will be addressed. 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 DS0000011195.V267003.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 43 Clayhill Road DS0000011195.V267003.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 were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. 43 Clayhill Road DS0000011195.V267003.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): 6 & 9. The residents in this home are assured of a service that meets their individual needs. Care plans and risk assessments are up-to-date and their changing healthcare needs are monitored and responded to appropriately. EVIDENCE: At the previous inspection residents care plans were noted not to be up-todate. A random sample of care plans were reviewed at this inspection and were found to be up-to-date and accurately reflected the care needs of the residents in the home. They were written in an accessible way so that the residents were able to read and participate in their care plans. Similarly, a random sample of risk assessments were reviewed and were found to be accurate and reflected the current needs of the residents. The residents in this home do have specific health care needs, which need to be regularly reviewed and monitored by appropriately qualified professionals. The Registered Manager and the care staff are very vigilant to the residents changing health needs and ensure that they receive the correct support. The primary health care team provide a responsive service to the residents who live in this home. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 10 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 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 the following standard(s): These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 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 the following standard(s): 24; 29 & 30. This home is clean and tidy and fully adapted to meet the needs of the residents who live within it whilst remaining comfortable and homely. The home is regularly maintained and refurbishments are carried out whenever required. EVIDENCE: The premises are able to meet the needs of all the residents who live in the home including residents who use wheelchairs and have sensory impairments. The home has adaptations to meet the needs of all the residents. The home is clean and hygienic. The home is well maintained and is having some refurbishment to the central heating system, internal decorations and carpeting at present. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 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 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. This home has almost a full complement of staff. However, the Registered Manager is concerned that she is unable to access sufficient training, promptly enough, to ensure that members of staff receive appropriate training. Additionally, members of staff who wish to participate in NVQ qualifications are presently unable to do so as they have no assessor available to them. These issues appear to be out of the control of the Registered Manager and are the responsibility of the Responsible Individual for the company that own and manage this care home. EVIDENCE: This home has almost a complete complement of staff. The Registered Manager has worked hard to achieve this. She has assured that all members of staff who are able to qualify for the NVQ training are willing to participate however, this has not been possible as there is no NVQ assessor available to them. One of the senior support workers applied over one year ago to become an assessor but has received no further support to attend this course from New Support Options. Therefore, the home has been unable to meet the standard that 50 of care staff achieving an NVQ 2 by the end of 2005. The Registered Manager is concerned that the accessibility of training for her staff from New Support Options is not sufficient and this could impact on the retention of staff. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 16 Access to the New Support Options induction training is also proving to be extremely difficult for the Registered Manager to achieve for her staff. She was able evidence that some new staff have not received their company induction training for up to six months after their employment. The Registered Manager ensures that all new members of staff receive induction training to familiarise themselves with the needs of the home and residents who live in it. However, New Support Options as an employer is not providing sufficient access to induction and foundation training to ensure its members of staff receive appropriate training promptly to safeguard the residents and members of staff. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 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 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; 38 & 42 The Registered Manager is competent and able and the home is well managed. The home is managed in an open and transparent way and residents feel comfortable to offer comment. The issue of access to training is again highlighted as an issue that must be resolved by the Responsible Individual as some members of staff have not received their mandatory training to ensure the health and safety of both staff and residents. EVIDENCE: The Registered Manager is qualified and competent to manage the home. She ensures that the home is run smoothly and efficiently to meet the residents wishes and needs. She endeavours to ensure that her own training needs are met. The management approach in the home is inclusive of the members of staff and the residents. The Registered Manager provides a clear sense of leadership and delegates’ tasks to her staff team. There is a clear impression 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 18 that the service at 43 Clayhill Rd is most certainly a home for the people who live there. Their needs and wishes are considered to be paramount. The Registered Manager does ensure that the home is one to ensure the health and safety of the residents and members of staff who live in the home. A random sample of documents to ensure compliance with other agency regulations were reviewed and found to be in order. The issue of accessing training for members of staff does impact upon this standard has some members of staff have not received their mandatory training. The Registered Manager could evidence that she has applied for these courses for staff at the Registered Provider, New Support Options, has not been able to provide sufficient courses for the staff to attend. The Responsible Individual must address this matter, as compliance with mandatory training is not optional. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 19 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 3 25 X 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 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 X X X 3 3 X X X 2 X 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 20 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. Standard Regulation Requirement Timescale for action 1. YA35 18(1)(C) 2. YA42 18(1)(C) 30/04/06 The Responsible Individual, Mr Inch, must ensure that members of staff have access to introduction and foundation training in a timely fashion (as guided by standard 35.3). He is required to provide a detailed action plan as to when the staff in this home will receive such training (dates included). This plan should be copied to the Registered Manager. The Responsible Individual, Mr 30/04/06 Inch, must ensure that mandatory training is available for all staff when they are required to receive it. Not to provide this in a timely fashion jeopardises the health and safety of residents and members of staff. He is required to provide a detailed action plan as to when the required members of staff will receive their mandatory training (dates included). This plan should be copied to the Registered Manager. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 21 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 YA32 Good Practice Recommendations The Responsible Individual, Mr Inch, should ensure that members of care staff have access to an NVQ assessor and NVQ training, as presently this home does not meet the standard of 50 of care staff holding an NVQ 2 by 2005. 43 Clayhill Road DS0000011195.V267003.R01.S.doc Version 5.1 Page 22 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 © 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 DS0000011195.V267003.R01.S.doc Version 5.1 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. 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