Inspection on 29/09/05 for 72 Doods Road

This inspection was carried out on 29th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

72 Doods Road 23/02/09

72 Doods Road 18/07/06

72 Doods Road 12/05/05

72 Doods Road 19/08/04

72 Doods Road 05/05/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Doods Road (72) 72 Doods Road Reigate Surrey RH2 0NW Lead Inspector Kenneth Dunn Announced Inspection 29th September 2005 10:00 Doods Road (72) DS0000013533.V253580.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 Doods Road (72) DS0000013533.V253580.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. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Doods Road (72) Address 72 Doods Road Reigate Surrey RH2 0NW 01737 244177 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) Prospect Housing and Support Services Sabitree Rajiah Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8) Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: OVER 30 YEARS OF AGE The total number of 8 (eight) service users may be made up of a combination of people in the category MD or MD(E). 12th May 2005 Date of last inspection Brief Description of the Service: The home is a large semi-detached house located in a residential area of Reigate in Surrey. The home is served by public transport and all major routes to motorways are easily accessible. The local amenities are within walking distance from the premises. There is limited visitors’ parking although the nearby streets can also be used for additional parking. The home has a large rear garden and offers single occupancy to 8 service users. The home is run by Prospect Housing Association Limited who are the registered providers. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was the home’s second inspection for the year 2005/2006. This was an announced visit, which meant that staff and residents were aware that it was due to happen. This was to enable the manager to introduce the process of inspection to the service users and to ask their permission for the inspector to access their private bedrooms. The CSCI received positive feedback forms from 6 service users and this has been incorporated into the body of this report. Care and health plans were found to provide a good level of information about each individual, based upon a sound assessment of their needs and aspirations. What the service does well: 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. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 6 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 Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 7 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): 5 The terms and conditions detailed within the service users contracts provide clear and user-friendly guidance. EVIDENCE: There has been no new service users admitted to the service since the previous inspection on the 5th of May 2005. A review of services users files demonstrated that they all contained a copy of the contract, which fully details the terms and conditions of occupancy within the service. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 8 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): 7, 8 & 9 The service users at 72 Doods road are very well supported in the recognising their individual needs and choices. EVIDENCE: The inspector received very positive feedback cards from 6 service users currently living at the service. The majority of the service users returning the feedback forms expressed a high degree of satisfaction with the overall support they receive in their daily lives. One service users gave an example of the support she received in developing some form of independence outside of the home. This service user stated that she was “supported very gently” by staff and “never felt that they were pushing her to do to much it was all done at her speed”. The organisation is committed to ensuring that all service users receive care to should have a voice within the decision making process and there is clear policies and procedures to support this. However the service users from were not involved in the recent recruitment of new members of staff into the home. The manager must ensure that the service user are encouraged and assisted to become fully involved in the running and staffing of their home. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 9 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): 13 & 15 There is clear and concise evidence to indicate that Service users are supported and assisted to become part of the local community. Service users receive good solid advice on relationships without any overwhelming intrusion by staff. EVIDENCE: The service users are encouraged and supported to be as independent as they were able and they all appeared to lead busy and interesting lives, which include attending, day care, leisure activities, shopping and home time. On the day of the inspection 6 service users were engaged in community based activities and were supported to come and go from the service without any hindrance. Evidence indicated that the service users rights were only limited where risks were assessed as being unacceptable. Service users feedback confirmed that the staff helped them to keep in contact with relatives and friends. Service users can have friends to sleep over and one service user has his own Z bed stored in his room for his friends to use when they visit him. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 10 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): 21 The service has consistently failed to meet this standard. EVIDENCE: In reviewing the policy it was evident that the document was still failed to meet the National Minimum Standards. The policy in place at the service sets down guidance for illness and death within the service users group which fully complies with the National Minimum Standards. However the service has failed to introduce a policy giving guidance for the understanding the aging process and the required by service users during the aging process. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 11 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 There is a clear and effective complaints and compliments procedure in place. Complaints information is available to service users. EVIDENCE: Policies and procedures are in place to ensure that service users are safeguarded from harm or abuse. Regular residents meetings are held so that views are listened to and acted upon A log is now kept available in the service users sitting room for all minor complaints, issues and niggles; at the time of the inspection only one minor issue had been logged. The manager explained that the issue raised in the log would be discussed during the forthcoming house meeting. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 12 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 Evidence gathered during this inspection confirmed that the home meets the assessed standards and provides a good level of accommodation appropriate to the needs of the current residents. EVIDENCE: Having obtained the permission of all service users the inspector completed a full review of the building including their private bedrooms. The bedrooms were decorated to the tastes of the individual service users and contained numerous personal items of the occupants. In general the home has a homely feel and the communal areas are well furnished and appropriately decorated. Toilet and bathroom facilities meet service user requirements and provide personal privacy. In addition to the shared areas within the home the service users benefit from a well-presented garden, which affords the residents an outside sitting room. The home was clean and there were no mal odours. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 13 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): 34 & 36 Evidence gathered during this inspection confirmed that the home meets each of the assessed standards. Staff appeared to be enthusiastic and committed to supporting the service users. There is a strong emphasis within the organisation towards the training and development of their staff and this is given a high priority. EVIDENCE: Service user feedback described the relationship between residents and staff as being “relaxed and friendly”. It is because of the relaxed way the staff engage with the service users that the service has an overall atmosphere, which has described by one service user as being “ my home”. There is good written evidence in day notes and individual service user files of the encouragement and the support offered by the staff to enable the service users to be as independent as they were able. Training and development of staff has been given a high priority. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 14 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): 41 & 42 The home is managed in an open inclusive and positive way. The resulting atmosphere within the home was descried by a service user as being friendly and supportive. EVIDENCE: The feedback received from the service users confirmed that they liked living in the home because they have the ability to chat with and discuss any subject with the manager. One service users stated that she has been assisted to “make friends and can talk to members of staff about anything that she is concerned about and knows that she will be listened to”. There was evidence of general attention to health and safety within the home. The inspector reviewed and discussed the risk assessments with the manager. They have been designed to ensure as far as possible the safety of the service users was assured within the home and in the activities the service users regularly participate in. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 15 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 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 1 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Doods Road (72) Score X X X 1 Standard No 37 38 39 40 41 42 43 Score X X X X 3 X 3 DS0000013533.V253580.R01.S.doc Version 5.0 Page 16 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 YA8 Regulation 12(2 & 3) Requirement Timescale for action 29/09/05 2 YA21 The manager must ensure that the service user are encouraged and assisted to become fully involved in the running and staffing of their home. 12(1 & 4), The manager must ensure that a 37 policy fully encompassing standard 21 of the National Minimum Standards is introduced. 29/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 & YA30 Good Practice Recommendations It is recommended that the manager review the adequacy of the ventilation in bedrooms, specifically those where the service users smoke in. Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Doods Road (72) DS0000013533.V253580.R01.S.doc Version 5.0 Page 18 - 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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