Inspection on 01/07/05 for 60 Wood Lane

This inspection was carried out on 1st July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Wood Lane 19/08/08

60 Wood Lane 22/06/07

60 Wood Lane 03/05/06

60 Wood Lane 24/01/06

60 Wood Lane 04/01/05

60 Wood Lane 13/07/04

60 Wood Lane 14/01/04

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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 60 Wood Lane 60 Wood Lane Sonning Common Oxfordshire RG4 9SL Lead Inspector Lilian Mackay Unannounced 01 July 2005 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 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 60 Wood Lane Address 60 Wood Lane, Sonning Common, Oxfordshire, RG4 9SL 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) 01189 722080 Jenny.Pearce@new-support.org.uk New Support Options Limited Mrs Jennifer Pearce Care Home 3 Category(ies) of LD; LD(E) registration, with number of places 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The total number of persons that may be accommodated at any one time must not exceed 3 Date of last inspection 04 January 2005 Brief Description of the Service: 60 Wood Lane is a three-bedroomed house situated in a quiet residential area of Sonning Common. It is close to shops and other amenities. It provides residential care for up to three adults with a learning disability, either under or over 65 years of age. It is a smoke-free home. All those being supported are admitted on a permanent basis. The physical dependency of those being supported is increasing as they become older and consideration was being given at this time as to how these needs could be met in the future, possibly through building an additional two ground floor rooms. All the places in the home are purchased by Social and Health Care. The home is owned and managed by New Support Options Ltd, a charitable organisation with experience of providing residential care for those with a learning disability. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place between 5.30pm and 8.10pm on Wednesday, 6th July 2005. The purpose of this visit was to see how the home is meeting the National Minimum Standards for Care Homes for Younger Adults. The inspector spent time with the two women and the man being supported at this time and the one member of staff on duty, listening to their views and discussing their experiences. The inspector examined the petty cash records, management audit reports, a staff rota, minutes of monthly staff meetings, Control of Substances Hazardous to Health [COSHH] assessments, the records of portable appliance tests, minutes of a tenants’ meeting in March and monthly management reports [Regulation 26 visits]. The home has an informal, relaxed and domestic atmosphere and two of those being supported socialise with each other, whilst the third prefers his own company. Those being supported at this time were comfortable with the staff member on duty. The inspector observed kind, caring and supportive interactions between the staff member and those being supported. Those being supported commented, “No problems at the moment”, “All very happy” and “I like all the staff”. The inspector would like to thank those being supported and the staff member on duty at this time for their assistance, hospitality and courtesy during this inspection. What the service does well: The key working system used ensures that responsibility for individual resident’s care lies with an identified member of staff. Meticulous and accurate records are kept of the petty cash. The home has a people carrier for transporting residents to activities in the community. Twice yearly management audits are carried out. Health and safety and fire protection is given high priority. The home provides continuity of care for those it supports. The home is well managed. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 6 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. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 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 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 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) Standard 2 will be inspected at the next inspection. EVIDENCE: 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 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, 7 and 9. Residents’ care plans are drawn up so as to meet their developing needs. Residents are encouraged to make their own decisions. A system is in place for supporting residents in taking risks. EVIDENCE: Staff received recent Planning Alternative Futures with Hope [PATH] training which trains staff to identify and meet residents’ dreams, hopes and aspirations for the future. The inspector was pleased to see one resident’s PATH prominently displayed on her bedroom wall. This was due for review after three months. Each resident has a named key worker who has responsibility for ensuring that their needs, as outlined in their care plans, are met. Residents sign confirming they have received a copy of their care plan. Residents chose the colour of the new carpets they are getting for their bedrooms and the landing. Residents assist in drawing up their person-centred care plans with staff and attend regular house meetings to discuss any issues arising. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 10 Risk assessments are in place and these are regularly reviewed. Behavioural guidelines are drawn up for individual residents. Also, vulnerability analyses are carried out and reviewed annually. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 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 standard(s) 12, 15, 16 and 17. Residents participate in a range of appropriate leisure activities. Residents are encouraged to maintain links with family members. Residents discuss their concerns at regular house meetings. Resident’s individual needs and choices regarding food and mealtimes are identified and respected. EVIDENCE: Residents were due to go on holiday to Weymouth the day after this inspection. Residents were participating in a range of activities outside the home including attending a local day centre, bowling, attending a club in Henley, going to church, going to discos and parties, dancing, doing drama, singing, listening to music, going to cafes, shopping and having their toenails painted. One resident works full-time on a nearby farm and has done so for a number of years. The home has a people carrier and three drivers to take residents out to activities in the community. One resident sets the table for breakfast each evening. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 12 One resident sees her brother. All three residents have lived together for a good number of years and already knew each other before coming to live at the home. All residents are expected to attend house meetings. Dietary guidelines are drawn up when required. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 13 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) 19 and 20. Prompt action is taken to address residents’ physical care needs as they arise. Staff administer all medication to residents. EVIDENCE: A referral for an occupational therapy assessment was recently made for one resident with visual impairment so as to improve her mobility within her environment and to assist her at mealtimes. A podiatrist visited the home recently. No residents are deemed competent to self–medicate. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 14 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 The complaints procedure requires amending. EVIDENCE: The complaints procedure is in the Statement of Purpose. This needs amending to indicate that residents can refer their complaint at any time to CSCI and that they do not have to wait until they are dissatisfied with the response from the Local Authority. No residents raised any issues with the inspector during this visit. Residents are assisted in completing the “Are You Getting A Good Service” workbook prior to reviews of their care. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 15 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 and 30. The home’s refurbishment programme is ongoing and improvements have been made since the last inspection. Further improvement is required to the internal and external décor and windows and doors are in need of replacement. Window restrictors require fitting in specified areas. Apart from the bedroom carpets the home was clean and hygienic and was fresh smelling throughout at this time. EVIDENCE: The home’s exterior is shabby and several of the windows and the door need replacing. Quotes have been obtained for this work as well as for replacing the dining room chairs and replacing all the bedroom carpets and the landing carpet, which are badly marked. It is hoped to install new windows and new doors in August. Whilst there are plans to replace the broken fencing in the front garden in July 2007, management are recommended to review this timescale. There are plans to redecorate the home in May 2006 but one resident’s bedroom walls and ceiling need redecoration sooner than this. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 16 The bathroom has been refurbished recently. The window there requires restricting for safety. The kitchen has been refurbished and a new ceiling provided there since the last inspection. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 17 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) 35 Staff work long shifts due to staff shortages. Several staff have received training aimed at improving the quality of care planning. EVIDENCE: To meet the home’s staffing requirements the manager does “sleep-ins”. Whilst it was reported that two new permanent staff have been employed in the previous six months, the home continues to be short-staffed. Interviews took place today and more were due to take place the following day. During the week of this inspection the manager was due to work from 07.00 one day until 07.30 the following day. Another member of staff was due to work from 07.30 one day to 15.00 the following day. It was reported that a late shift involves staff working from 14.30, doing a “sleep-in” and then working to 15.00 the following day. Such long shifts are not in staff or residents’ best interests and it is recommended that these staffing arrangements are reviewed. New Support Options has its own “bank” of staff and it was reported that the use of agency staff has decreased since the last inspection. It was also reported that three staff attended Planning Alternative Tomorrows with Hope [PATH] training which trains them to identify and meet residents’ dreams, hopes and aspirations. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 18 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) 38, 39 and 42. A monthly proprietor’s report [Regulation 26 Reports] for April of this year was not submitted to CSCI for information. Residents’ views are sought regularly. Health and safety and protection from fire is a high priority and the necessary checks are undertaken on time. The home is well managed. EVIDENCE: Normally monthly proprietor’s reports [Regulation 26 Reports] are undertaken diligently and the report sent to the CSCI as required. However, the CSCI was not sent a copy of the proprietor’s report for April. Residents’ views are sought during these proprietor’s monthly visits. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 19 A gas engineer visited the home recently to repair gas leaks in one bedroom and the dining room. The health and safety representative attended recent training on health and safety. The home is smoke-free. A health and safety inspection of the home was carried out recently by the organisation. Control of Substances Hazardous to Health [COSHH] assessments are carried out on all cleaning products and these are regularly reviewed and updated. Several practice fire evacuations are carried out annually, and weekly electrical and fire alarm checks are undertaken. Annual checks are carried out of the gas appliances, smoke detectors and the fire fighting equipment. Meticulous and accurate records are kept of the petty cash and twice yearly management audits are carried out. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 20 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 2 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 60 Wood Lane Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 2 3 x x 3 3 H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 21 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 22 Regulation 22 Requirement Amend the complaints procedure. The premises must be maintained to an acceptable standard, internally and externally. Window restrictors must be fitted to those areas identified within this report. A written action plan for improvements must be submitted to the CSCI, clearly identifying timescales for improvements. Undertake Regulation 26 visits monthly and submit copies to the CSCI for information. Timescale for action 31 08 05 2. 24 13[4] 31 08 05 3. 38 26 31 08 05 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 22 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. 3. Refer to Standard 35 Good Practice Recommendations Review staffing arrangements and consider the use of external agency staff to compliment the existing staff team whilst recruitment is being undertaken. 60 Wood Lane H57-H08 S13219 Wood Lane V236855 010705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Burgner House, Cascade Way Oxford Business Park South Cowley, Oxford OX4 2SU 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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