Inspection on 26/07/05 for 60 Langley Road

This inspection was carried out on 26th July 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

60 Langley Road 20/06/07

60 Langley Road 12/12/05

60 Langley Road 11/01/05

60 Langley Road 24/08/04

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

CARE HOME ADULTS 18-65 60 LANGLEY ROAD Slough Berkshire SL3 7AY Lead Inspector Jill Chapman Unannounced 26 July 2005 @ 09.30 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. 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 60 Langley Road Address Slough Berkshire SL3 7AY 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) 01753 536935 Milbury Care Services Mr Donald McLeod Care Home 5 Category(ies) of Learning Disability LD registration, with number Learning Disability over the age of 65 years of places LD(E) 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users may not be admitted over the age of 65 years. Date of last inspection 11/01/05 Brief Description of the Service: Langley Road provides twenty-four hour care for up to five people with learning disabilities who are encouraged to participate in a variety of life experiences and day care activities to enable service users to lead fulfilled lives underpinned by “ The Five Accomplishments To Ordinary Living” (John O’Brien).The aim at Langley Road is to provide a high quality residential service underpinned with comprehensive care planning and risk assessing to reflect individual needs and preferences of the people living there. We are committed to working to the highest professional standards on a multi disciplinary basis to offer real community living.The objective is to provide an environment where people with learning disabilities are enabled to develop independence and to enjoy the everyday experiences and opportunities that the wider community enjoys and be seen in society as valued individuals.(Extract from the statement of purpose). 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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 carried out over a two and a half hour period on a weekday morning. The focus was to follow up progress from the previous inspection and to inspect some of the standards. The requirements from the previous inspection have all been carried out. The inspector spent time observing some of the morning routine, talking to staff on duty and sampling records. The communal areas of the home and bedrooms were seen. Staff helped non-verbal residents communicate their views about food and activities. This was a positive inspection and there are no requirements or recommendations from this visit. What the service does well: What has improved since the last inspection? Staff are developing individual activity programmes. 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 Stage 4.doc Version 1.30 Page 6 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. 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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) Not inspected on this visit. EVIDENCE: 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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 Care plans show staff how to meet residents care needs. EVIDENCE: Care plans were sampled and these are in a revised format. They have been signed by all staff to show they are familiar with them. Care plans are detailed and have the residents’ photo for identification. There are cross gender guidelines in place. 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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) 13, 15 & 17 Staff are helping residents enjoy a variety of activities. Residents keep in contact with their families and friends. Residents benefit from a varied diet and can help in meal preparation. EVIDENCE: Activities provided in house are being developed and assessments of are taking place to see which activities individual residents like best. On the inspection day, four residents were taken Ten Pin Bowling and out for lunch. It was apparent from the residents’ reactions that this is a popular activity. All residents including a wheelchair user are able to take part. Some residents also have regular day services activities and one resident had as session on the morning of the inspection. One resident attends a day centre three times a week. All residents are due to go on a weeks holiday to Blackpool. Staff assist residents to keep in contact with their families either by telephone, e mail or visits. Some families take residents out. One resident who has limited family contact has recently re-established contact with a cousin who he hasn’t 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 Stage 4.doc Version 1.30 Page 11 seen for many years. A summer barbeque was held to celebrate the birthdays of three residents and fifty people, including families were invited. Staff helped a resident express his views about food. He showed how he helps staff prepare hot drinks or a meal. Staff said that they carry out cooking activities eg cake making. Menus were seen and show a varied selection of meals. An alternative is offered if a meal is refused. It was seen that staff take plate guards and cups out with them to help residents enjoy a meal out. 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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) Not inspected on this visit. EVIDENCE: 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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 There is a system in place to handle residents complaints. Staff are trained to help them know how to protect residents from abuse. EVIDENCE: There is a complaint procedure in place and staff were aware of the process. There has been one complaint since the last inspection made by a member of staff about the hoist being broken. This matter has been resolved. All staff have had training in the protection of vulnerable adults and those spoken with were aware of the process. 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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 Residents’ benefit from a well cared for home, which is close to local facilities. EVIDENCE: The house is well situated for access to Slough town centre. The home is kept clean and well maintained. New lounge furniture is due to be delivered and internal decoration is taking place when the residents are on holiday. Some residents were happy to show their rooms and these are spacious and homely. The ceiling in one bedroom has been strengthened so that the ceiling hoist can be used. 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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) 33 & 35 Residents benefit from a staff team who receive training to meet their needs. There are enough staff on shift to meet their current needs. There has been a delay in meeting the NVQ target but this has not affected the outcome for residents. EVIDENCE: There are nine permanent staff and four Milbury bank staff are used to cover vacant shifts. A new deputy manager has been appointed and is due to start work soon. In the week, there are four staff on an early and three on a late shift. There is one waking and one sleep in night staff. These arrangements seem to meet the residents current needs. Staff were observed to relate well to the residents. Staff spoken to had received relevant training to meet the needs of the residents. A programme of NVQ is underway but has been delayed due to staff changes. A senior support worker had nearly finished NVQ but the college lost all of her work. She is due to restart this soon. Support workers are undertaking LDAF induction and core training and will start NVQ 2 soon. 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 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 & 42 Residents benefit from a well managed and organised home. Health and safety checks and servicing is carried out to keep residents safe. EVIDENCE: Standard 37 was not fully inspected on this visit however there was positive feedback from staff about the manager. He is described as a friendly boss, who knows his job and the residents well. He listens to staff views and challenges poor practice in an acceptable way. The senior support worker who was on duty has carried out a lot of the recent development work. Systems and records were found to be well organised Health and safety records were sampled and these were up to date and well maintained. Shift leader guidelines include reminders of routine health and safety checks that are due. Staff spoken to were familiar with health and safety routines. 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 60 LANGLEY ROAD Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x H51-H01 11275 60 Langley Road V232008 260707 Stage 4.doc Version 1.30 Page 18 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 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. 1. Refer to Standard Good Practice Recommendations 60 LANGLEY ROAD H51-H01 11275 60 Langley Road V232008 260707 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Berkshire, 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. 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