Inspection on 06/12/05 for 77 Russell Street

This inspection was carried out on 6th December 2005.

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

77 Russell Street 13/06/07

77 Russell Street 07/07/05

77 Russell Street 07/12/04

77 Russell Street 18/06/04

Similar services:

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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 77 & 77a Russell Street Reading Berkshire RG1 7XG Lead Inspector Kerry Kingston Unannounced Inspection 6th December 2005 10:00 77 & 77a Russell Street DS0000011128.V266094.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 77 & 77a Russell Street DS0000011128.V266094.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. 77 & 77a Russell Street DS0000011128.V266094.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 77 & 77a Russell Street Address Reading Berkshire RG1 7XG 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) 0118 9393623 0118 959 5795 c.tobin@jigsawcreativecare.co.uk Mrs Jill Woods Mrs Jill Woods Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 77 & 77a Russell Street DS0000011128.V266094.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th July 2005 Brief Description of the Service: 77 Russell Street provides a twenty-four hour residential respite and extended respite service for adults who have learning and associated behavioural difficulties. The home has three beds and can cater for both sexes. There are currently five service users who use the service (two are more permanent, currently). A Domiciliary Care Agency is situated in 77A, the adjoining property. Jigsaw Care provides the care and the building is owned by Pro Autism, a locally based charity. The home is within walking distance of Reading Town Centre and has its own transport. 77 & 77a Russell Street DS0000011128.V266094.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which took place between 8 am and 11.30 am on the 5th December 2005. There were two residents in the home, one has been resident for approximately one year and the other since October 2005. The inspector spent some time with both young women and the manager/proprietor was available throughout the inspection. The house was seen, but individuals’ bedrooms were not and some records were looked at. 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. 77 & 77a Russell Street DS0000011128.V266094.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 77 & 77a Russell Street DS0000011128.V266094.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): None of the above standards were assessed at this inspection. EVIDENCE: 77 & 77a Russell Street DS0000011128.V266094.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): None of the above standards were assessed at this inspection. EVIDENCE: 77 & 77a Russell Street DS0000011128.V266094.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): 12,13,15,16 and 17. Service users have individual activity programmes and good access to the community. Appropriate relationships are an important aspect of the support the home gives and service users rights and responsibilities are clearly identified and respected. Service users choose their own meals and are assisted to choose appropriate food. EVIDENCE: Staff work extremely hard to ensure that activity programmes are designed to meet the needs of the individual service users. Appropriate parts of the service user plan are produced in simple language and is supported by pictures and graphics. The two service users spoken to described what they do during the day. One service user told me how she had been supported to try new activities and how she was never bored (as she had been in her last home). On the day of inspection she was preparing to go for a day trip to a fashion show the following day. She said that “there are lots of activities on offer, she can think of things she would really like to do and staff help her to do it. She described her activities as “creative and constructive”. The other service user described how she doesn’t really like to do many activities but staff make sure there are 77 & 77a Russell Street DS0000011128.V266094.R01.S.doc Version 5.0 Page 10 some things she enjoys and encourage her to try things even if she’s not sure about them. She has a very individual programme, which is a written daily and weekly plan. Daily records showed that the activities planned had taken place. There was evidence that service users activities include bowling, horse riding, and cinema, swimming, going to the cinema, music, going to the pub and shopping. The home work very closely with service users families, friends and other professionals to ensure that they are giving the best possible care and helping them to develop appropriate social and emotional skills. There are excellent individualised risk assessments (which clearly detail any restrictions) and daily routines to ensure that service users are able to retain and develop independence skills. They also have service user independence contracts so that staff are able to control and assess service users progress and safety. Service users have a clear understanding of their rights and responsibilities, their care plans and could describe what was expected of them and what they aspired to in the future. The service users choose, shop for and are supported to prepare their own meals. None of the service users have any special nutritional or dietary needs. The service users described the care as ‘fantastic’ and they really enjoyed living in the home. Both service users have development programmes, which may enable them to move on to more independent living, the home generally provides a respite service. There are still three service users who receive respite care and the two more permanent service users enjoyed the company of the respite service users and did not feel it caused them any problems. 77 & 77a Russell Street DS0000011128.V266094.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): None of the above standards were assessed at this inspection. EVIDENCE: 77 & 77a Russell Street DS0000011128.V266094.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 and 23 The home has a clear complaints procedure, which is as service user friendly as possible. Service users are well protected from any form of abuse. EVIDENCE: The home has a very robust complaints procedure, which is in a service userfriendly format. There has been one complaint since the last inspection and this was appropriately dealt with and recorded. The service users understood the complaints procedure and knew who they could talk to if they were unhappy. They both stated that they felt comfortable talking to any member of staff and also knew that the care manager and C.S.C.I had a role in complaints if they were not happy with the care they received. The staff are all trained in the protection of vulnerable adults and care plans include excellent individual behavioural guidelines. Service users manage their own money, with as much support as is necessary. 77 & 77a Russell Street DS0000011128.V266094.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 and 30 The house was seen to be comfortable with good standards of cleanliness and hygiene. EVIDENCE: The inspector saw the house as part of the inspection process but did not enter service users bedrooms. The house was cleaned to a good standard and there were no unpleasant odours or areas of concern. One of the service users, successfully, takes responsibility for ensuring high standards of cleanliness and hygiene. The fire officer made several recommendations in October and the manager is dealing with these issues. 77 & 77a Russell Street DS0000011128.V266094.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): 34 The home has a robust and safe recruitment procedure. EVIDENCE: Two of the newest staffs’ records were seen and included all the necessary records and information to ensure they were safe. 77 & 77a Russell Street DS0000011128.V266094.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 The home has an adequate quality assurance process to ensure they maintain high standards of care. EVIDENCE: The home has an annual development plan, which is developed from several methods of collecting service users, other professionals and staff views. The National Autistic Society does a detailed annual audit of the service and questionnaires are used to elicit the views of other interested parties. (See standard 24 re: fire officers’ recommendations.) 77 & 77a Russell Street DS0000011128.V266094.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 X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X 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 4 13 3 14 X 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 77 & 77a Russell Street Score X X X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000011128.V266094.R01.S.doc Version 5.0 Page 17 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 77 & 77a Russell Street DS0000011128.V266094.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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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