Inspection on 03/11/05 for 87 Pinkneys Road

This inspection was carried out on 3rd November 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

87 Pinkneys Road 15/07/08

87 Pinkneys Road 15/08/06

87 Pinkneys Road 01/11/04

87 Pinkneys Road 20/04/04

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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 87 Pinkneys Road Pinkneys Green Maidenhead Berkshire SL6 5DT Lead Inspector Katy Brown Unannounced Inspection 3rd November 2005 4:30pm 87 Pinkneys Road DS0000011274.V263347.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 87 Pinkneys Road DS0000011274.V263347.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. 87 Pinkneys Road DS0000011274.V263347.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 87 Pinkneys Road Address Pinkneys Green Maidenhead Berkshire SL6 5DT 01628 26167 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) Milbury Care Services Limited Ms Annie McDermott Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 87 Pinkneys Road DS0000011274.V263347.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th April 2005 Brief Description of the Service: 87 Pinkneys Road is a residential home offering twenty-four hour care. The home is registered for three residents with learning and associated physical difficulties. The residents have been living in the home for several years. The service is provided by Milbury Care Services. The house is a bungalow with three bedrooms; all of the bedrooms are single and none of them have en-suite facilities. There is one communal toilet and one communal bathroom and there are a variety of aids and adaptations around the building. The home has its’ own transport as the local public transport system is limited and it would be difficult for most of the residents’ to access it. 87 Pinkneys Road DS0000011274.V263347.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over three hours and ten minutes. There have been no additional visits made since the last unannounced inspection. A tour of the premises took place and residents’ care records and some of the homes’ records were inspected. The residents’ at the home have complex needs and did not take part in verbal discussions during the inspection; however, the residents are able to communicate their needs through facial gestures, sounds and body language. Two members of staff that were on duty and the manager were also spoken to. What the service does well: What has improved since the last inspection? What they could do better: Not all staff are aware of the lead role of social services regarding allegations of abuse. This is a recommendation that has been made. 87 Pinkneys Road DS0000011274.V263347.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. 87 Pinkneys Road DS0000011274.V263347.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 87 Pinkneys Road DS0000011274.V263347.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. Residents are provided with the information that they need prior to moving into the home and have received care needs assessments. EVIDENCE: The statement of purpose and the service user guide include the information specified in the Care Homes Regulations. The residents have lived at the home for a number of years and received care needs assessments prior to their admission. The manager confirmed that the residents do attend care reviews and changes in need are acted on. 87 Pinkneys Road DS0000011274.V263347.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): 8. Residents and their representatives are consulted on how the home is run and their views are taken into consideration. EVIDENCE: Due to their complex needs, residents do not attend house meetings at Pinkneys Road. The staff however, are able to understand the residents needs through the use of facial expressions, sounds and body language. There is a key worker system in place where workers are provided with an opportunity to explore important issues individually with the residents. 87 Pinkneys Road DS0000011274.V263347.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): 12, 13 & 17. The residents take part in a variety of activities and are provided with opportunities to take part in and explore local community events. Residents are provided with balanced and nutritious meals. EVIDENCE: The residents do not attend college, although they do attend a variety of educational and leisure pursuits. Staff encourage the residents to take part in a variety of community activities including, trips out for meals, the leisure centre and bowling. The residents are planning to join the local library to enable them to access the numerous resources available. The meals that are provided at the home are varied, balanced and nutritious and reflect the individual preferences of the residents. The staff are aware of the residents dietary requirements and provide the individual level of support that is required for each resident. 87 Pinkneys Road DS0000011274.V263347.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): 18 & 20. The residents’ are provided with a good and flexible standard of care that reflects their wishes and meets their health and social needs. EVIDENCE: Staff that were spoken to were very clear about individual residents’ likes and dislikes and were seen treating them with respect and dignity and in a way that made them happy. The home has satisfactory policies and procedures in place to enable staff to administer medication to the residents. All staff that provide support with medication have had the appropriate training. 87 Pinkneys Road DS0000011274.V263347.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): 23. Residents are protected from abuse. EVIDENCE: The home has a satisfactory policy for abuse and has adopted the Berkshire Inter-Agency Procedures. The manager and staff confirmed that staff have received training in the protection of vulnerable adults. Staff were very clear that the protection of the residents was paramount and advised that any suspicion of abuse would be immediately reported to the manager. Not all staff however, were aware of the lead role of the local social services department with regard to an investigation of abuse and were not clear that there is a vulnerable adults co-ordinator, to whom they are able to report their concerns. 87 Pinkneys Road DS0000011274.V263347.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 & 30. The residents live in a safe environment that is able to meet their needs and the home is clean and hygienic. EVIDENCE: A tour of the premises identified that the home is well decorated and the furniture looks nice. All residents have their own bedroom. The lounge and dining room are combined, although it appears quite cumbersome when all three residents are together. A warm and homely atmosphere presents throughout the environment. Recently staff have purchased a new television and bath and the driveway has just been re-surfaced. The home has satisfactory policies in place for the control of infection and staff confirmed that they receive appropriate training. There are separate laundry facilities within the home and soiled articles are transported and cleaned within relevant guidelines. The home is clean and hygienic. 87 Pinkneys Road DS0000011274.V263347.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): 32. The residents are supported by competent staff. EVIDENCE: The staff at the home are able to meet the residents needs and they are always willing to help and offer support when required. The home has a staff compliment that is a rich mixture of experience and skills and knowledge. Currently there are two members of staff that have achieved NVQ level 2 or above. Other members of the team have either already commenced the qualification or are on a waiting list scheduled for attendance. 87 Pinkneys Road DS0000011274.V263347.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): 37, 42 & 43. The manager ensures that the home is well run and the welfare of the residents is met through the policies and care practices at the home. EVIDENCE: The staff say that the home is well run and the manager is liked and trusted. The manager of the home is a Registered General Nurse; she has a Certificate in Social Sciences and has completed her Assessors Award 2-3. She has 32 years experience working with people with learning disabilities and has commenced her NVQ level 4 in management. The home has satisfactory health and safety policies and procedures in place and staff confirmed that they complete training in health and safety. Regular maintenance checks are completed for equipment used at the home and a visit by the fire fighting equipment and fire alarm specialists earlier in the year raised no concerns. Regular fire checks and drills are carried out at the home 87 Pinkneys Road DS0000011274.V263347.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 3 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x 3 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 3 13 3 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 87 Pinkneys Road Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 3 DS0000011274.V263347.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. 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 Refer to Standard YA23 Good Practice Recommendations The registered person should ensure that staff are aware of the local authority involvement regarding the procedures for reporting incidents of abuse or allegations of abuse. 87 Pinkneys Road DS0000011274.V263347.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. Extracts may not be used or reproduced without the express permission of CSCI 87 Pinkneys Road DS0000011274.V263347.R01.S.doc Version 5.0 Page 19 - 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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