Inspection on 17/01/06 for 64 Stagsden Road

This inspection was carried out on 17th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

64 Stagsden Road 09/03/09

64 Stagsden Road 06/03/07

64 Stagsden Road 16/08/05

64 Stagsden Road 11/03/05

64 Stagsden Road 13/07/04

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Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 64 Stagsden Road Bromham Bedfordshire MK43 8PU Lead Inspector Ansuya Chudasama Unannounced Inspection 17th January 2006 14:30 64 Stagsden Road DS0000014973.V278099.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 64 Stagsden Road DS0000014973.V278099.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. 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 64 Stagsden Road Address Bromham Bedfordshire MK43 8PU 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) 01234 826106 01234 826106 Walsingham Steven Iodice Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: 64 Stagsden Road is a detached residential house for five service users with learning disabilities. The home is managed by Walsingham organisation. The accommodation consists of four single bedrooms, a lounge, dining room, staff office, kitchen, and laundry. The bathroom was on the first floor and there was a toilet on the ground floor. Linked to this was a two bedroom semiindependent unit in what had been the garage. This unit had a lounge/diner kitchen and bathing facilities with a shower. One service user occupied the unit and the other bedroom was used for staff sleeping in. room. There was a good-sized enclosed garden to the rear of the property, which had a greenhouse, vegetable patch, lawn and flowerbeds. The house was located in the riverside village of Bromham. The village had a post office, take away shops, a small supermarket, two churches, a library and several pubs. 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place under two hours. The registered manager, Steven Idice was present at the inspection. The inspection was comprised of a tour of the lounge, kitchen and dinning room areas, talking to staff and service users. The home had four service users at the time of the inspection. One service user was in hospital. The manager discussed in detail how they were going to meet the needs of the service user when he was discharged from hospital. It was stated that the staff and service users were missing the service user and wanted him to return home soon. This report should be read in conjunction with the last inspection report undertaken on the 16/8/2005 What the service does well: What has improved since the last inspection? A survey of the whole building had been undertaken. The manager will forward a copy of this to the inspector. The home was nearly fully staffed. 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 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. 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 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 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 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): 10 Service users wishes are respected by the home and there fore this ensures that their rights and needs are met. EVIDENCE: The service users files were kept secured in the office. The inspector read a report on a service user, which was on the computer. It stated that the service user did not want his family to have information that was discussed about him. The home did not share information about service users without their consent to families and friends. 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. The staff enable service users to enjoy a fulfilling lifestyle by finding out what each person likes and helping them to take part in this. EVIDENCE: The service users were observed returning from attending day care. They were all excited to see the staff and were very affectionate towards them. The service users in the home attended different day centres and one service user attended college. The inspector was told that the service user enjoyed going to college. Two service users had separate days back at the home. On this day they worked on improving their independent skills with staff. One of the service users helped out with the organisations magazine. One service user had started a family photograph book with the support from staff. The service user was very happy to show this to the inspector. The service user with a member of staff also attended a creative memories evening every six weeks and enjoyed this. The service user was not able to have a verbal conversation but she was able to use body language, sign language, words and noises to let people know what she wanted. The staff had very good understanding of the needs of the service user and also how she 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 11 communicated. The service was able to tell the inspector that she liked the staff and she was happy at the home. The other service users observed also appeared very happy and were observed doing things that they wanted to do. The inspector was informed that the service users attended a variety of activities in the community and they choose these. 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 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 the following standard(s): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. However the home was clean and homely. The manager stated that a survey was undertaken of the whole building and a copy of this report was to be sent to the CSCI, which outlines the work to be undertaken in the home. EVIDENCE: 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The staff were very experienced and had appropriate training to ensure the needs of the service users were met. EVIDENCE: The inspector was informed that the home would be fully staffed when a new member of staff started on the 22nd of January 06. In December 05 a senior support worker from the home was seconded to help out another home that belonged to the organisation for five months. Relief bank and agency staff who were said to be very good worked the vacancy hours. One of the staff spoken to stated that they used to work for an agency. However the staff enjoyed working at the home so much, that they became permanent members of staff at the home. A new member of staff spoken to had lots of experience working with adults with learning disability and autism. Positive comments such as “loves it here” and “great support from staff and the manager” were received from staff. The two staff stated that they had done the induction and foundation training and enjoyed this. They had also completed the statutory training in safe working practices. The staff had also recently been on courses on values, confidentiality, and first aid. It was stated that the training was good at the home and the manager was looking at getting the staff to do NVQ level 2 in care. 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 16 The staff were given a job description. One staff who had recently started employment stated that she had a POVA, a CRB check, and a two year history check. Eight references were taken up due to her employment history. The staff stated that supervision was given once a month and this was good. One staff had recently had an appraisal undertaken. The sickness record for staff was very low and good. The inspector was informed that a fire drill was carried out this morning. It was stated that each member of staff was involved in this practice. These were carried out on a three monthly basis. 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 17 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): 0 None of the standards were assessed on this occasion but most of them were assessed at the last inspection. EVIDENCE: 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 19 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. 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. Refer to Standard Good Practice Recommendations 64 Stagsden Road DS0000014973.V278099.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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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