Inspection on 03/05/06 for 60 Wood Lane

This inspection was carried out on 3rd May 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

60 Wood Lane 19/08/08

60 Wood Lane 22/06/07

60 Wood Lane 24/01/06

60 Wood Lane 01/07/05

60 Wood Lane 04/01/05

60 Wood Lane 13/07/04

60 Wood Lane 14/01/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 60 Wood Lane Sonning Common Oxfordshire RG4 9SL Lead Inspector Lilian Mackay Unannounced Inspection 3rd May 2006 05:30 60 Wood Lane DS0000013219.V292906.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 60 Wood Lane DS0000013219.V292906.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. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 60 Wood Lane Address Sonning Common Oxfordshire RG4 9SL 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) 01189 722080 jenny.pearce@new-support.org.uk www.new-support.org.uk New Support Options Limited Mrs Jennifer Pearce Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 3 24th January 2006 Date of last inspection Brief Description of the Service: 60 Wood Lane is a three-bedroom house situated in a quiet residential area of Sonning Common, 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. Two of those being supported at this time were older people. 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 is being given as to how these needs can be met in the future, possibly through building an additional two ground floor rooms. Social and Community Services purchase all the places in the home. The home is owned and managed by New Support Options Ltd, a charitable organisation with a wealth of experience in providing residential, supported living and outreach services for adults with a learning disability. The current charges are £628.60 per person per week. Extras include podiatry and hairdressing and those being supported buy their own toiletries, papers and magazines and pay transport costs out of their own weekly allowance. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an announced ‘Key Inspection’. The inspector arrived at the service at 5.30pm and was in the service for three hours. The inspection took into account detailed information provided by the service’s owner, and any information that CSCI has received about the service since the last inspection. The residents living in this home are all aged over 65. The National Minimum Standards for Younger Adults (18-65) have been used for the purpose of this inspection, as they reflect better the needs and lifestyle choices of those being supported in this home. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standard of the service. To further inform the findings of the inspection the inspector asked those being supported, staff and social and healthcare professionals associated with the care home their views and opinions of the service provided. The home has an informal, relaxed, homely atmosphere and, whilst those being supported socialise with each other, they also enjoy spending time in their rooms undertaking activities of their own choice. The inspector observed kind, caring and supportive interactions between the staff member on duty and those being supported and they appeared very comfortable and relaxed with each other. None of those being supported have a named care manager and the home uses the “on call” duty officer of the Learning Disability Team (South) care management team when required. The comments of those being supported included - “I clear the table and lock the door”, “X helps me with my shower. I have my own shampoo”, “I go to the pub”, “It’s alright living here”. Feedback from social and healthcare workers with a knowledge of the home indicated that the home knows that they are involved with those being supported, that the home communicates clearly and works in partnership with them, that there is always a senior member of staff to discuss concerns with, that the home meets their clients’ requirements and that specialist services are provided where necessary. All were satisfied with the overall care provided and none of them had had to complain about the service. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 6 Their comments included – “I wouldn’t mind living there”, “Very caring and very happy…..a nice caring bunch”, “They take them (those being supported) out on trips”, “They (those being supported) always seem to be doing things, egdrama group, theatre”, “They (staff) act as advocates and seek advice from professionals when required. They treat them as individuals and have a good knowledge of them. They (those being supported) don’t all do the same things”. Staff feedback indicated that they are familiar with what to do in the event of an emergency and with the home’s policies and procedures, that they work within their areas of expertise, that they are aware of adult protection procedures, that the home’s staffing is adequate, that staff rotas are well managed and that they have regular meetings and supervision with the manager. All staff felt that they get enough support to do their jobs properly. Their feedback indicated that the disciplinary procedure needs highlighting for some staff. Staff comments included – “They (management) are quick at responding”, “We do that (meeting their needs) really well”, “Even when we have been short staffed we have been able to maintain their lifestyle”, “We’ve got a pretty good staff team here”. The inspector would like to thank those being supported, the manager, the staff and those who responded to questionnaires for their assistance, hospitality and courtesy during this inspection. What the service does well: What has improved since the last inspection? The maintenance of the home, both internally and externally, has been improved with the provision of new flooring in the bathroom, the fitting of radiator valves in the kitchen and the bathroom, the removal of trees and the provision of new fencing in the garden. The gas fire has been assessed as safe and an electrical review has been undertaken to ensure that all electrical appliances are safe. The recording of complaints has been improved and the staffing arrangements have been reviewed to ensure that outside agency staff are not used and only New Support Options “bank “ staff who are already well known to those being supported are employed. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 7 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 DS0000013219.V292906.R01.S.doc Version 5.1 Page 8 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 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 9 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): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Those being supported have had their needs and aspirations assessed and these are documented in personal care plans (PCPs). EVIDENCE: The needs and aspirations assessed are documented in personal care plans. The inspector confirmed the accuracy of one personal care plan with one person being supported at this time. This identifies what the person being supported can do independently and those tasks she needs assistance with. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 10 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, 9. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The personal care plans of those being supported are well drawn up and are reviewed regularly to meet their developing needs. Those being supported are encouraged to make their own decisions and there is a good system in place for enabling them to take risks. EVIDENCE: Staff receive training in Planning Alternative Tomorrows with Hope (Paths), which identify and meet the dreams, hopes and aspirations of those being supported. Staff comments included, “Having PATHs means we have new goals each year”, “We’ve just had our second PATH meeting and we’ve got a lot to look forward to. We’ve looked at last year’s PATH and we met all the goals but one. We did not manage to get Sky TV. Those being supported were not keen to pay for it. We will be giving everyone here what they want and need”. Each person being supported has a named keyworker who has responsibility for ensuring that their needs, as outlined in their personal care plans, are met. Those being supported sign to confirm that they have received a copy of their personal care plan. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 11 Those being supported chose the colour of their bedroom carpets, the landing carpet and the internal decoration, which is going to be undertaken shortly whilst those being supported are away on holiday. Those being supported assist in drawing up their person-centred care plans with staff and attend regular house meetings and meetings with the managers and those being supported from other homes to discuss any issues arising. Those being supported are assisted in completing the “Are You Getting A Good Service” workbook prior to reviews of their care. Risk assessments are in place and these are regularly reviewed. Behavioural guidelines are drawn up for individuals as required. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 12 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): 12, 13, 15, 16, 17. Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Those being supported participate in a good range of appropriate leisure activities, are part of the local community and are encouraged to maintain links with family members and friends. They have regular meetings where they can discuss concerns, and their needs and choices regarding food and mealtimes are identified and respected. EVIDENCE: Those being supported have regular holidays. At home they participate in a range of activities such as watching TV and videos, listening to music, having manicures and pedicures, cooking, doing domestic chores, typing, pottery, gardening, playing games, reading and doing paperwork. One of those being supported has a herb area in the home’s garden. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 13 Those being supported participate in a range of activities within the community such as attending Donkin Hill Day Centre, going to the pub, attending a club in Henley, attending church, going to discos and parties, going shopping, visiting family and friends and attending fetes. One of those being supported works full-time on a nearby farm and has done so for a number of years. The home has a people-carrier and staff drive those being supported out to activities in the community. One staff member commented, “We’re taking them on holiday on the 10th June to Dawlish Warren. We’re going to The Fox at Cane End for X’s birthday. We went to Bristol to see Daniel O’Donnell and they’ve been to his home in Ireland”. The important relationships of those being supported are identified in their personal care plans. Evidence was seen that these relationships are encouraged and supported and that those being supported receive visits from family and friends. One person being supported sees her brother and all three of those being supported have lived together for a good number of years. Two of those being supported already knew each other before coming to live at the home. Those being supported are given a Service User Guide outlining their responsibilities in a format they can understand; all those being supported are expected to attend house meetings to discuss any issues arising. Evidence was seen in the personal care plans of those being supported that their privacy is respected. The menu plans submitted are not sufficiently detailed as these do not always record breakfast and lunch choices. Dietary guidelines are drawn up when required. One of those being supported said, ”The food’s alright. I get enough to eat”. The inspector saw those being supported enjoying generous portions of food at this time. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 14 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, 20. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Personal care plans identify well the hopes and aspirations of those being supported and ensure that their physical care needs are met promptly as they arise. Medication administration procedures are good. EVIDENCE: Those being supported have their needs and preferences, likes and dislikes clearly outlined in their personal care plans. The home was still awaiting an occupational therapy assessment for bath aids. A chiropodist regularly visits the home every eight weeks. The steps of the stairs have been edged in a contrasting colour to make them easier to see. None of those being supported are able to self–medicate and so designated and trained staff administer this to them. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 15 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): 22, 23. Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The complaints procedure is adequate. Staff receive training in the protection of vulnerable adults from abuse. EVIDENCE: The complaints procedure is outlined in both the Statement of Purpose and the Service User Guide and refers to the CSCI. None of those being supported raised any issues with the inspector during this visit. The recording of complaints has been improved since the last inspection. No complaints have been received since the last inspection. Vulnerability analyses are carried out on those being supported and these are reviewed annually. These identify training in the protection of vulnerable adults and training on values and attitudes as central to the prevention of abuse. New staff receive in-house induction training on the protection of vulnerable adults from abuse and all the existing staff are being scheduled for refresher training shortly. The home has a copy of the inter-agency guidelines on the protection of vulnerable adults from abuse. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 16 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, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The home’s environment is adequate. Improvements have been made since the last inspection and the home was clean, hygienic and fresh smelling throughout. EVIDENCE: Since the last inspection the bathroom floor has been replaced and the home’s exterior has been much improved with the replacing of two bedroom windows and the front door. Trees have been removed and new fencing provided for the garden. Radiator valves have been fitted in the kitchen and bathroom for safety and the gas fire has been certified as safe. An electrical review was undertaken to ensure the safety of all electrical appliances. The home was clean, fresh and hygienic in all areas visited. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 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 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, 34, 35. Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Staff work long shifts due to staff shortages. The ratio of NVQ qualified staff is poor. Support and supervision arrangements for staff are good. EVIDENCE: It was acknowledged that, due to recent staff recruitment, the home was not meeting the standard of 50 of care staff to be NVQ Level 2 qualified. Only two of the seven staff employed have NVQ Level 2 or above. Six staff have a first aid certificate of the ten staff employed, including “bank” staff. Whilst staff receive in-house induction training within six months of employment from the home’s manager, occasionally problems arise getting staff on New Support Options induction training courses due to lack of availability. The organisation was reported to be looking into this and the manager was liaising with the training department regularly regarding this. Staff have attended Planning Alternative Tomorrows with Hope (PATH) training. One staff member commented, “We have a good staff ratio so those being supported have the opportunity to have one-to-ones”. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 18 Staff turnover is low with only one member of staff out of seven having been recruited in the previous twelve months. The three “bank” staff employed have worked at the home for a long time and know those being supported well. To meet the home’s staffing requirements the manager does sleep-ins and staff work long shifts. The manager is monitoring staff overtime and is continuing to make use of the three “bank” staff whilst recruitment is ongoing. The home continues to have vacancies for staff. New Support Options uses its own “bank” of staff and the use of outside agency staff has stopped. Staff confirmed that they receive regular supervision and attend regular staff meetings and that they receive adequate support to enable them to carry out their duties effectively. One staff member commented, ”I get a lot of support from the manager and I would get it from further up if I needed it”. Another staff member said, “The manager is approachable and adaptable”. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 19 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, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. There is good consultation with those being supported. The standard of health and safety was good at this time. EVIDENCE: Monthly proprietor’s reports (Regulation 26 Reports) are undertaken diligently and the report sent to the CSCI as required. The views of those being supported are heard at these visits and annually as part of the review of the quality of service provision. Also, there are regular house and group meetings. It was acknowledged that not all the policies, procedures and codes of practice are in an appropriate format for those being supported. However, keyworkers explain these to those being supported in a way they can understand. An electrical review was carried out recently and the gas fire certified as safe. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 20 Both the manager and a designated member of staff have responsibility for maintaining health and safety within the home. No such issues were identified at this time. Control of Substances Hazardous to Health (COSHH) assessments are updated quarterly. Whilst all the recommended policies and procedures are available, not all of these have been reviewed within the last three years. 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 21 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 3 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 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 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 22 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 YA17 Regulation 17 Requirement Ensure that the menu plans are recorded in sufficient detailed so that anyone examining these can determine the adequacy of the food provided. Timescale for action 31/05/06 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 YA32 YA42 Good Practice Recommendations Ensure 50 of staff are trained to NVQ Level 2. Review the recommended policies and procedures at least every three years 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, 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. Extracts may not be used or reproduced without the express permission of CSCI 60 Wood Lane DS0000013219.V292906.R01.S.doc Version 5.1 Page 24 - 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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