Inspection on 07/07/05 for 77 Russell Street

This inspection was carried out on 7th July 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 06/12/05

77 Russell Street 07/12/04

77 Russell Street 18/06/04

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Dalewood Respite Care

Orchard,The

REACH Upton Court Road

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Pinta

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

CARE HOME ADULTS 18-65 77 and 77a RUSSELL STREET Reading Berks RG1 7XG Lead Inspector Kerry Kingston Unannounced 7 July 2005, 10:00 am 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 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 Stationary 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 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Russell Street Address 77 and 77a Russell Street, Reading, Berks, RG1 7XG Telephone number Fax number Email 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 9620674 Mrs Jill Woods Mrs Jill Woods Care Home (CRH) 3 Category(ies) of Learning Disability (LD0 registration, with number of places 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7 December 2004 Brief Description of the Service: 77 Russell Street provides a twenty-four hour residential respite service for adults who have learning and associated behavioural difficulties. The home has three beds and can cater for both sexes. There are curently four service users who use the service. A day care facility is situated in the building and a Domicillary Care Agency is situated in 77A, the adjoining property. Jigsaw Care provides the care and the building is owned by Proautism, a locally based charity. The home is within walking distance of Reading Town Centre and has its own transport. 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place on the 7th July between the hours of 10.15 and 2.30pm. The inspector spent time with the manager/proprietor and briefly met two service users, who were busy with their daily activities. The inspector looked at some staff files, some service user files and some other records. The home currently has four service users who use the respite service on a regular basis. One service user has been resident in the home for some time and the manager is considering how best to manage this situation. The resident concerned said she was very happy in the home and had no wish or indeed intention to leave in the near future. 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 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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 standard(s) 2and 5 Service users have comprehensive assessments and a contract/statement of terms and conditions. EVIDENCE: All service users have assessments from care management teams, the residential team and any necessary specialist assessments. Basic risk assessments are developed prior to admission and basic behavioural guidelines are in place, these are generally agreed and signed by the service user (if they are able). There was evidence on one service users file of excellent cooperation between all then professionals, family and the home to ensure continuity of care and minimisation of anxiety for the individual. The service users now have a service user guide, which incorporates the statement of terms and conditions, it includes costs and who pays them; The service user guide is produced in a simple format to enable as many service users as possible to understand it. 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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 standard(s) 6,7 and 9 Service users needs and goals are assessed and reviewed regularly, with good participation of individuals. The involvement of service users in the decision- making processes is excellent, supported by comprehensive risk assessments. EVIDENCE: All service users have plans, which include personal and developmental care needs. Service users are involved in all aspects of the planning for care and will sign guidelines and risk assessments, as is appropriate. Key workers support service users who are aware of the key workers roles and responsibilities. Some of the operational guidelines were out of date but it was not clear that they were no longer operational; advice was given to ensure that the guidelines in current files were still in use. Daily diaries reflect development plans and the identified needs of the service users with specific behaviour programmes developed for individuals as necessary. Individuals’ agreements and involvement in the decision-making processes is well recorded. The home has excellent guidelines, which minimise the risks to service users but also enable them to be as independent as possible. 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 Page 9 The inspector observed one service user participating in the daily routines and being part of the decision-making processes. 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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 standard(s) None of the above standards were assessed at this inspection. EVIDENCE: 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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 standard(s) 1819 and 20 Service users receive excellent support, their physical and emotional needs are appropriately met and the home administers medication safely. EVIDENCE: The home has excellent detailed guidelines to ensure that service users get the support they require in the manner that they prefer. Other professionals are used to contribute to the care plans and training of staff, as necessary. The diabetic nurse trains and assesses staff to administer insulin to one service user. As it is a respite care home the main carers generally address medical needs but the home assists or takes any action necessary to ensure the well being of service users. One service user, who has been in residence for some months, is encouraged to make her own medical appointments and recordings are made of staffs’ efforts to ensure she agrees to take necessary medication. The home does not stock any medication with service users taking all medication home when they leave. Procedures for administering medication whilst they are in residence are robust and no inaccuracies were noted. 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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 standard(s) None of the above standards were assessed at this inspection. EVIDENCE: 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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 standard(s) None of the above standards were assessed at this inspection. EVIDENCE: 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 The home has an experienced and effective staff team who are afforded opportunities for professional and developmental training. EVIDENCE: The care staff team consists of twenty-four people who work in the residential home, day care services and the domiciliary care agency. The staffing ratio of the home is worked out on the basis of the numbers and needs of the service users in respite care. The manager ensures that the staff working in the home have the appropriate skills and knowledge to support the individuals in their care, their needs are constantly reviewed. The home has regular weekly staff meetings. The home has an excellent training programme; eighteen of the twenty-four staff have achieved or are pursuing N.V.Q. qualifications. Many would have achieved them but an external problem with the N.V.Q. provider has delayed this achievement. 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39 and 42 The home is effectively and efficiently managed within an ethos of service user empowerment. The home ensures the Health and Safety of the service users and staff. EVIDENCE: The manager/proprietor has many years experience of managing residential homes and a vast knowledge of the needs of those with learning and associated disabilities. Whilst the home does not have a recognised Quality Assurance system or annual development plan it is apparent that service users views are listened to and acted upon, as appropriate. There are regular service user meetings and excellent service user participation in all aspects of the running of the home. The home has an annual audit conducted by the National Autistic Society, in addition to those of the Commission for Social Care. 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 Page 16 The home has a Health and Safety inspection (by the H.S.E) on July 24th 05 and there were no major issues noted. All the mandatory training and Health and Safety maintenance checks are up-to-date. 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x 3 x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 77 and 77a RUSSELL STREET Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 3 x H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 Page 18 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 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. 1. 2. Refer to Standard 6 39 Good Practice Recommendations To ensure guidelines in service user plans are current. To formally capture the views of service users and others to inform an annual plan of development of the home. 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor, 1015 Arlington Busines 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. Extracts may not be used or reproduced without the express permission of CSCI 77 and 77a RUSSELL STREET H51-H01-S11128-7777a Russell Street-V2298950070705-Stage 4.doc Version 1.40 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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