Inspection on 19/01/06 for 51a Circuit Lane

This inspection was carried out on 19th January 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

51a Circuit Lane 12/02/09

51a Circuit Lane 18/01/07

51a Circuit Lane 28/07/05

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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 51a Circuit Lane Southcote Reading Berks RG30 3HB Lead Inspector Kerry Kingston Unannounced Inspection 19th January 2006 11:00 51a Circuit Lane DS0000061336.V277635.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 51a Circuit Lane DS0000061336.V277635.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. 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 51a Circuit Lane Address Southcote Reading Berks RG30 3HB 0118 957 4644 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) www.qualitycareproviders.co.uk Quality Care Providers Limited Mrs Osarumen Desiree Ann Odiase Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th July 2005 Brief Description of the Service: Quality Care Providers is based at 51A Circuit Lane, which is approximately two miles from Reading Town Centre. It is a six bedded home, offering care to six service users with learning and associated disabilities. The house is domestic in appearance, has two ground floor and four first floor bedrooms. The home is located on a public transport route and has access to local facilities. 51a Circuit Lane DS0000061336.V277635.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 which took place on the 19th January 2006 between the hours of 11.00am and 2pm. The home was registered in July 2005 and currently has only two residents who live there all the time. The two residents were at home for about one hour of the inspection, one was comfortable speaking with me and the other nodded agreement. The manager/proprietor was available for some of the inspection and records and the home were looked at for the rest of the time. 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. 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 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 the following standard(s): None of the above standards were assessed at this inspection. EVIDENCE: 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 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 the following standard(s): 6,7 and 9 Service users have comprehensive individual care plans, which reflect their current needs. Service users are helped to make as many decisions about their lives as is possible and risk assessments are developed to ensure safety and as much independence as is appropriate. EVIDENCE: The two long term service users have detailed care plans which include, full assessments by the care managers, admissions forms and any necessary reports from other professionals. The care plans were assessed and the placement reviewed six weeks after admission and any necessary amendments were made. The care plans note aggressive behaviours but the guidelines to deal with them could be more detailed and up to date. Any short term service users have assessments and care plans developed for the time they are in the home. The service users communication methods are carefully noted on care plans to ensure that staff are able to understand them and make themselves understood. They are assisted to make as many decisions as they are able but there are some limitations because of ability levels. 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 Page 9 One service user said that she had chosen the colour of her room and one service user is generally supported by staff members that he prefers (expressed by his behaviour). The home has developed risk assessments for service users but they may benefit from being more detailed. 51a Circuit Lane DS0000061336.V277635.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): None of the above standards were assessed at this inspection. EVIDENCE: 51a Circuit Lane DS0000061336.V277635.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): 18,19 and 20 Service users personal support needs and preferences are noted on their individual care plans. Service users health needs are met and medication is, generally administered safely. EVIDENCE: Each service user has a ‘pen picture’ included in their care plan and this details any personal care support they may need and how they prefer to receive the support. Rotas, as far as possible, reflect the preferences of individuals but this may be much more difficult to achieve when there are more service users in the home. The service users clothing, hair styles and general appearance reflected their personalities and choices. All healthcare checks are completed regularly (service users have been in the home for less than six months) and their health needs are addressed effectively.Service users are assisted to make any necessary specialist or general appointments. All health checks and appointments are properly recorded. The home deals with little medication, currently but there were two signatures missing from the medication administration recording forms. The home uses a locked kitchen cupboard as the medicine cabinet, it may be good practice to 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 Page 12 review its’ effectiveness for this function, particularly if greater quantities of medication is to be stored in the futures It was not clear if staff are trained in medication administration. 51a Circuit Lane DS0000061336.V277635.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): Neither standard was assessed at this inspection. EVIDENCE: 51a Circuit Lane DS0000061336.V277635.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 and 30 The home is very comfortable, clean and well maintained. EVIDENCE: The home has very high standards of hygiene and cleanliness. The communal areas are very comfortable and have good quality furniture and fittings. Bedrooms are individualised and reflect the service users personalities. One service user told me she had chosen the colour of her bedroom and that she liked it. Radiators in the home are not covered and risk assessments could not be located at the time of inspection but were seen at registration. 51a Circuit Lane DS0000061336.V277635.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 The staff team is qualified and competent. EVIDENCE: The home now has ten staff, four have N.V.Q.2 or above, 1 has a social work qualification and 1 is the registered manager. The staff complete a comprehensive induction course and there is a varied core training programme, which includes the Protection of Vulnerable Adults, Epilepsy, Risk Assessment and Learning Disability. 51a Circuit Lane DS0000061336.V277635.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): The above standards were not assessed at this inspection. EVIDENCE: 51a Circuit Lane DS0000061336.V277635.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 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 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 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 3 3 2 X X X X X X X X 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 Page 18 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 YA20 Regulation 13.2 Requirement To ensure medication administration records are accurate. Timescale for action 01/02/06 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 YA20 YA9 Good Practice Recommendations To review the use of the kitchen cupboard as medication storage. To develop more detailed risk assessments for service users and any other hazards. 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 Page 19 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 51a Circuit Lane DS0000061336.V277635.R01.S.doc Version 5.1 Page 20 - 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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