Inspection on 21/11/05 for 61 Adkin Way

This inspection was carried out on 21st November 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 found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

61 Adkin Way 04/01/07

61 Adkin Way 13/06/06

61 Adkin Way 04/07/05

61 Adkin Way 05/01/05

61 Adkin Way 12/08/04

61 Adkin Way 09/02/04

61 Adkin Way 02/02/04

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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 61 Adkin Way Wantage Oxfordshire OX12 9HN Lead Inspector Andy McGuckin Unannounced Inspection 21st November 2005 02:00 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 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 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 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. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 61 Adkin Way Address Wantage Oxfordshire OX12 9HN 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) 01235 762279 www.unitedresponse.org.uk United Response Elizabeth Webb Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2005 Brief Description of the Service: 61 Adkin Way is a registered care home providing care and accommodation for four people with a learning disability. The home is situated in a crescent of similar style houses. It is slightly set back from the rest of the homes in the crescent giving added privacy. The current residents have lived in this home since it was first registered. The home is managed by United Response, an organisation experienced in the provision of care to residents with a learning disability. The house itself is owned by a housing association. All residents are registered with a local GP practice and have access to specialist services as required. Feedback from one service user’s relative is quoted as follows “I feel the daily/weekly routine has been lost a little, due to the turn over of staff “. This was borne out during the inspection. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a follow up inspection and was unannounced. This means that the home had no prior notice of the inspector’s visit. The inspector had some difficulty in gaining access to the home as the bell was not working, and his knocking was not heard for some time. The inspection took place on a weekday. The inspector was introduced to three residents and was informed that the fourth resident was out on an activity. The manager was on annual leave. The inspector was assisted in the inspection by a senior care worker. On the day of the inspection there was a ratio of two staff to three residents. A further staff member was out with the fourth resident. The inspector considers this level of staffing satisfactory. The inspector followed up on outstanding issues relating to the last inspection. The inspector looked at the care files for all four residents, toured the building and read documentation relating to the outstanding requirements and recommendations. The inspector was unable to gain access to staff files as they were locked away with no one on the premises having a key. All records required for the inspection must be kept on the premises, and be made available for inspection. Another inspector visited the home a few days after the initial visit and inspected the staff files. Her findings are included in this report. What the service does well: What has improved since the last inspection? What they could do better: The registered manager needs to ensure that requirements are met within the given timescales. The home could explore ways of demonstrating that residents are being included in the decisions being made about their lives. The home could explore opportunities for residents to find appropriate education and training or to take part in valued, fulfilling activities. The home could demonstrate more clearly that residents’ independence, choice and freedom is being promoted. Documentation could be presented in a format that would encourage participation. Staff files need to be reviewed to include all information required under this regulation. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 6 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. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 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 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 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): 1,2,3,4,5, Much of the documentation informing prospective residents about the home and its terms and conditions, is not presented in a format that would be understood by prospective residents. EVIDENCE: The inspector asked to see all four residents’ files. Files given to him by the member of staff on duty, included the home’s statement of purpose, terms and conditions of residence, and care plans. All the inspected documentation was not presented in a format that would be understood by the majority of its residents. The inspector could find no evidence that residents are being involved in the running of the home, or in the type of care they are receiving. A recommendation was made at the last inspection. However following the inspection, the manager informed the inspector that Active Care Plans are written and that they show how residents are involved in the running of the home. The inspector was not shown these Active Support plans during the inspection. These documents will be viewed at the next inspection. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 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): 6,7,8,9,10 Little evidence could be found at this inspection that residents are being informed or involved in the provision of their care. EVIDENCE: The last inspection report covered standards 6,7,9. The inspector could find little to evidence that residents are being consulted and participate in aspects of life in the home. The registered person must ensure that where residents are taking part in the running of the home or decision-making, it is clearly recorded. Where consultation is not possible or the residents do not wish to be consulted, this should also be recorded. Files kept on residents were kept securely. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 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): 11,12,13,14,15,16,17 Service users have little opportunity to access training, education or employment. EVIDENCE: The last inspection report made requirements that the manager must ascertain the wishes of residents and provide opportunities for community based activities. The inspector could not find evidence that this had been addressed. Where activities have been assessed for residents and they do not wish to participate, a record should be kept. These requirements will be carried over into this report. During the inspection a lunchtime meal was observed being taken by residents. The meal was being taken in an unhurried way and staff were available to assist residents if required. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 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): The above standards were not included in this report EVIDENCE: 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 12 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 The organisation needs to amend its complaints procedure to include contact details for the commission. EVIDENCE: A requirement was made at the last inspection that information be added to the complaints policy with regard to contact details for the commission. Current complaints documentation has the opportunity to add pictorial information, this is not being used at present. The inspector feels this would be a good opportunity to present information in a pictorial way. However following the inspection, the manager has informed the inspector that a pictorial version of the complaints procedure is displayed in the home. A copy of this pictorial complaints procedure was not seen on the files inspected during the inspection. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 13 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): 24,25,26,27,28,28,29,30 The home is being maintained to a satisfactory level. Plans are in place to make further improvements. EVIDENCE: The home is being maintained to a satisfactory level. Plans are in place to make further improvements of the top floor. The inspector was also informed that a new kitchen will be installed shortly, which will further enhance the facilities for residents. No health and safety issues were found at this inspection. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 14 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): 31,32,33,34,35,36. The information available about staff that must be kept in the home had major shortfalls. EVIDENCE: The inspector was informed that more staff had been taken on the permanent staffing rota. The inspector viewed staff records chosen at random for 5 members of staff. Three files had major shortfalls in the information that was available including no application forms, references or medical declarations. Also, there were no CRB disclosures seen for staff employed in this home, or a written declaration from the United Response HR that satisfactory CRB disclosures have been obtained before new staff started work. On some files the only photo ID of staff members was a very poor quality passport photocopy; the inspector was unable to recognise the individual from this. Requirements relating to regulations regarding the employment of staff have been made at previous inspections. The registered manager must ensure that all aspects of the regulations regarding the employment of staff are met. This includes all information and documents in respect of staff who work in this home required by regulation, are kept in the home and available for inspection. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 15 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): 39,42 Improvements could be made to the management and conduct of the home. EVIDENCE: The conduct and management of the home needs to improve so that requirements are met. At the inspection previous requirements had not been fully met - for example records in relation to staff requirement. The manager should ensure that staff are aware of all documentation in the home in order that they can be shown to inspectors during inspections. All documentation should be available for inspection in accordance with regulation. Shortfalls identified at the last inspection for standards 39 and 42 have now been addressed. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 16 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 2 3 3 3 3 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 2 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 2 12 2 13 2 14 2 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 2 2 2 2 2 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 61 Adkin Way Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 3 3 DS0000013060.V270449.R01.S.doc Version 5.0 Page 17 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 YA8 Regulation 15 Requirement The registered manager ensures that service users are offered opportunities to participate in the day to day running of the home and to contribute to the development and review of policies, procedures and services. Staff help service users to find and keep appropriate jobs, continue their education or training, and / or take part in valued and fulfilling activities. The daily routines and house rules promote independence, individual choice and freedom of movement, subject to restrictions agreed in the individual Plan and Contract (subject to Standards 2 and 6 if necessary). The registered person ensures that there is a clear and effective complaints procedure, which includes the stages of, and timescales for, the process and that service users know how and to whom to complain. The registered manager must ensure that all aspects of the DS0000013060.V270449.R01.S.doc Timescale for action 01/01/06 2 YA12 14 01/01/06 3 YA16 4 01/01/06 4 YA22 22 01/01/06 5 YA31 17 29/11/05 61 Adkin Way Version 5.0 Page 18 regulations regarding the employment of staff are met. This includes all information and documents in respect of staff who work in this home required by regulation are kept in the home is available for inspection 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 1 5 Good Practice Recommendations The home develops a contract/terms and conditions that could be understood by the majority of its residents. The home develops a contract/terms and conditions that could be understood by the majority of its residents. 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 Page 19 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 61 Adkin Way DS0000013060.V270449.R01.S.doc Version 5.0 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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