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Inspection on 02/06/06 for 9 Allenby Road

Also see our care home review for 9 Allenby Road for more information

This inspection was carried out on 2nd June 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 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service offers a well-liked, popular flexible respite care service for younger adults who have a learning disability and some associated physical disability. The Service Users in the home at the time of this unannounced field visit were contented and satisfied with the care and service that they were receiving. Two who were able to respond verbally described themselves as "happy". This view was validated by the content of the Service User survey forms and the comments made to the Inspector by the next of kin over the telephone. Service Users stated that they liked the staff. The interaction seen between members of staff and Service Users during the site visited confirmed this.

What has improved since the last inspection?

A new procedure for the management of administration of medication needed on an occasional basis has been implemented as required as an outcome of the previous inspection. In addition, the two recommendations made in the report had been adopted; there was now a record of each Service User`s choice of gender for the care worker who provides them with any necessary personal care and there was a record of the dietary intake for each individual.

What the care home could do better:

The property itself was clean and well maintained; however, this did not apply to the garden that was overgrown and neglected. It was not possible for Service Users to enjoy the outdoor space that was provided round the property. The records for recruitment of staff were not completed because there was only one reference recorded on the file of the most recently employed member of staff. This was not in accordance with the service`s procedure for safety and protection of Service Users.

CARE HOME ADULTS 18-65 9 Allenby Road Maidenhead Berkshire SL6 9BF Lead Inspector Mrs Sandra Grainge Unannounced Inspection 2nd June 2006 10:15 9 Allenby Road DS0000062384.V293555.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 9 Allenby Road DS0000062384.V293555.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. 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 9 Allenby Road Address Maidenhead Berkshire SL6 9BF 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) 01628 781261 01628 781261 jennifer.olotu@rbwm.gov.uk paul.sweeny@rbwm.gov.uk Royal Borough of Windsor and Maidenhead Mrs Jennifer Maureen Olotu Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 6th September 2005 Brief Description of the Service: 9, Allenby Road is a respite care home operated by the Royal Borough of Windsor and Maidenhead. The home is a purpose built bungalow and can accommodate up to four adults with a learning disability, some of whom have additional physical disabilities. The home is situated in a residential area of Maidenhead and is in easy reach of the town centre, local shops and transport. 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 9 Allenby- Road provides respite care for up to four younger adults who have a learning disability. An unannounced site/inspection visit was carried out on 2nd June 2006. Prior to the site visit other inspection activity included examination of the service information provided by the Manager and other records held in the CSCI office. “Have your say” surveys had been given to Service Users; five of these were completed and returned. This information was used to inform the report. Four service Users were spoken to during the visit and in addition a visiting prospective Service User and her Mother gave comments. Five Service User files were examined during the site visit. The Registered Manager and her Deputy were interviewed; the recruitment file of the newest member of staff was inspected. The Service’s health and safety records were seen, together with the regulation 26 reports. For follow up of previous requirement and recommendations from the previous inspection the policy and procedure for the administration of medication was examined along with the menu record. Following the site visit the inspector made telephone calls to the homes of Service Users who had assisted with completion of the surveys and who were not using the service at the time of the visit. What the service does well: What has improved since the last inspection? A new procedure for the management of administration of medication needed on an occasional basis has been implemented as required as an outcome of the 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 Page 6 previous inspection. In addition, the two recommendations made in the report had been adopted; there was now a record of each Service User’s choice of gender for the care worker who provides them with any necessary personal care and there was a record of the dietary intake for each individual. 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. 9 Allenby Road DS0000062384.V293555.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 9 Allenby Road DS0000062384.V293555.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): 1,2 and 4 Quality in this outcome area is good. This judgement has bee made from evidence gathered both during and before the visit to the service Prospective service users have the information they need to make an informed choice about using the service, their individual aspirations and needs are assessed and they have an opportunity to visit and test drive the home. EVIDENCE: Evidence was gathered from the service’s statement of purpose, files seen on site and observation during the site visit as a prospective service user was visiting for a pre admission assessment. All service users had received a care needs assessment prior to receiving respite care in the home. Qualified and trained staff had carried out the assessments and the resulting information had been included in the care plans 9 Allenby Road DS0000062384.V293555.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): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. EVIDENCE: Service Users who were able to communicate confirmed that they knew their assessed changing needs and personal goals are reflected in their individual plan. Service Users were observed as they made decisions about their lives. Staff were seen to support them to take risks as part of an independent lifestyle. This approach was confirmed in the files that were inspected. 9 Allenby Road DS0000062384.V293555.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): 12,13, 15 and 17. key standard 16 was not applicable on this occasion. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Further evidence was collected by telephone contact with the relatives. EVIDENCE: During the site visit Service Users were seen to take part in age, peer, and culturally appropriate activities. One Service User was supported to attend a craft session; she enjoyed the interest staff showed when she returned with her project. Service Users are a part of the local community; they have an interest in the building development next door. The new Mayor and relatives have been invited to attend the party that is being held to celebrate the anniversary of the service. It was clear that although Service Users are not permanently resident in this home they know each other and meet at other clubs and groups in the area. One person used her response form to say that she was happier in the home when her friend stayed at the same time. The Manager explained that she tries to match friends when reserving places. The planning for admission shows that are allocated according to the Service User’s request but as there are only four places it is not always possible to admit two friends together. A healthy option menu is offered; in response to an earlier report recommendation a record is now kept of the diet taken by each Service User. 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 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, and 20 Std 19 was not assessed in this respite care service Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A requirement concerning the procedure for the administration of medication given “when needed” has been met. EVIDENCE: Service Users’ wishes about the way in which they receive personal care had been recorded as recommended in the previous inspection report. There was evidence in each individual file and relatives confirmed this. Service Users receive medication appropriately; practice was seen, records were inspected on the visit and relatives confirmed that they were satisfied with the arrangements made for the transfer of responsibility for administration of medication to Service Users who were unable to be responsible for their own medicines. 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit. Service Users feel that their views are heard and they feel safe in the home. EVIDENCE: Service Users and relatives that were spoken with said that they would be comfortable making a complaint, as they believed that their problems would be taken seriously. They also confirmed that staff resolve any issues or concerns that they have. The Manager and staff keep a satisfactory record of any complaints that are made and appropriate investigations are carried out. The CSCI has not received any complaints in respect of this service. The home has adopted the Berkshire vulnerable adults inter-agency procedures; all staff have received training in abuse awareness. During the last year there has been an investigation into an allegation of physical abuse by a member of care staff; this was not founded and the situation has been managed appropriately. 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 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, 28, and 30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. Service Users receive respite care in a comfortable and safe environment within the building, however the garden is badly overgrown and Standard 28 is not met. This is not satisfactory because no one can use the grounds. A requirement has been made for the grass and weeds to be cut immediately. EVIDENCE: The site visit to this service was unannounced. The building was clean, hygienic, brightly decorated and well maintained. The Service User’s rooms did not contain a great number of personal possessions due to the nature of respite care. The lounge and dining room were comfortably furnished. Regrettably the garden was completely overgrown. The prospective Service User who was visiting made a joke that she might get lost in the long grass around the property. The Manager explained that responsibility for the upkeep of the grounds had not been clearly defined when the Service was transferred from Healthcare to Social Services. She has been trying to arrange for the services of a gardener. 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 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 and 35 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. There is a recruitment procedure in place; the record was not complete. It did not demonstrate that every precaution had been taken to protect vulnerable adults from abuse and a requirement was made. The Staff on duty were seen to have the skills needed to provide care for the client group. EVIDENCE: Std 34. The Service has a recruitment procedure for employing care staff; the record of employment checks was not completed for the most recently employed member of staff. Only one reference was on file. Other mandatory checks had been completed. The Manger is to contact the personnel department and send a copy of the reference to the CSCI. During the site visit the Inspector observed that staff were able to give appropriate care in a kind and respectful manner. The training records showed that a training programme was in operation. Staff members confirmed this. 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 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, 39, and 42 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Service users benefit from a well run home and it was confirmed that their views are sought concerning its development. EVIDENCE: Records are in place to demonstrate compliance with procedures to safeguard health, safety and welfare. These were checked during the visit and found to confirm the information supplied by the Registered Manager. Service users and their families stated that they felt safe in the home. 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 2 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X 3 X X 3 X 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 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. 1 Standard YA28 Regulation 23(2)(o) Requirement The grass and weeds around the property are to be cut immediately and plans made to use the garden area for the benefit of Service Users A copy of a second reference for the new member of staff to be sent to CSCI. Timescale for action 07/06/06 2 YA34 19(1)(b) schedule 2 (5) 09/06/06 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 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 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 9 Allenby Road DS0000062384.V293555.R01.S.doc Version 5.1 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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