Inspection on 06/09/05 for 9 Allenby Road

This inspection was carried out on 6th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

9 Allenby Road 19/02/08

9 Allenby Road 02/06/06

9 Allenby Road 13/06/05

Similar services:

Hillview Farm

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 9 ALLENBY ROAD Maidenhead Berks SL6 9BF Lead Inspector Lucy Martin Unannounced 6 September 2005, 2.40pm 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. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 9 Allenby Road Address 9 Allenby Road, Maidenhead, Berks SL6 9BF 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) 01628 781261 Royal Borough of Windsor and Maidenhead Mrs Jennifer Maureen Olotu Care Home (CRH) 4 Category(ies) of Learning disability (LD) registration, with number of places 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13 June 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 H52 H01 S62384 9 Allenby Road V245223 060905 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 started at 2.40pm and lasted three hours. The inspector met all three service users staying overnight at the home as well as one service user who receives day care, as well as her mother. One service user was spoken with individually, in private. Time was spent looking round the communal areas and talking to the staff on duty. Records, including service user’s files were seen. What the service does well: What has improved since the last inspection? What they could do better: There is a need to ensure that there are written guidelines on file for medicines given only when required and there should be clearer recording of service users wishes regarding the gender of the member of staff undertaking their personal care tasks, and what should happen if this is not possible. The food menus should include the meals as served to service users or an indication as to where this information is recorded. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 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. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 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 standard(s) None EVIDENCE: 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 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 standard(s) 6, 7 The two service user’s files seen had up to date plans in place which had been recently reviewed. They are encouraged to make decisions and choices with assistance from staff as needed. EVIDENCE: The files of two service user’s were seen and both had clear plans in place. Following advice given at the last inspection, there was evidence that both of the plans had recently been reviewed. One of the two service users would be able to have an input into the plan and advice is given that service user’s sign the plans if possible to indicate that they have been involved in the drawing up of the plan. Service user’s are encouraged to make decisions and choices and the introduction of service users meetings provides good evidence to demonstrate this. On a day to day basis, service users make decisions about how to spend their time and there is some flexibility regarding arrangements. Some service users bring in small amounts of money when they come to the home. Most request that the money is securely stored in the office, although service users can keep it safely themselves if they wish. Each service user has 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 10 an individual book and good records are kept of any money brought in and taken out. Service users sign the book whenever possible to confirm that the entries are correct and two members of staff always sign. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 11 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) 15, 16, 17 Service users families are welcomed at the home and the daily routines revolve around the needs of the service users. The food menus seen were varied but there is a need to ensure that all service user’s meals and choices are recorded on the menu. EVIDENCE: As the home is used for respite, there is a lot of contact with the families of service users. One family brought their son to the home for respite during the inspection and the staff on duty welcomed them warmly. Another regular visitor to the home is the mother of the service user who regularly comes for day care. She was spoken with and was positive about the home and the support her daughter receives. Service users are able to move freely about the house and spend time alone if they wish. Individual choices are respected and staff were seen to spend time and talk professionally and warmly to service users. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 12 The food menu was seen on display in the kitchen. It appeared balanced and varied in content. The choices of service users are recognised and there is flexibility. For example, the dinner choice was changed on the inspection day due to two of the service users going out for lunch. One service user has a special diet and there was no recording on the food menu of changes or an up to date and accurate record of what was eaten. It is recommended that this is recorded. If the food menus do not provide sufficient space, then there should be an indication as to where this information is recorded such as in the daily diaries. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 13 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) 18, 20 The staff provide personal support in a private and sensitive manner but there was nothing recorded regarding gender preferences or cross gender care. Medication records were up to date and accurate but there were no PRN guidelines seen for one service user. EVIDENCE: Service user’s preferences about how they are supported are obtained prior to admission and are complied with. The home has a sheet ‘about me’ which records likes and dislikes as well as obtaining information about routines and personal preferences. It was noted that on the evening of this inspection, there were two female staff on duty and that two of the service users were male. There was nothing recorded on service user’s files recording their wishes regarding the gender of the person carrying out personal care tasks or regarding cross gender care. It is recommended that preferences are discussed and recorded on file. All medication is stored securely in a metal cabinet. There are good, clear records of medication signed in on the service user’s arrival and then signed out on their departure. The medication administration records were accurate and up to date. The controlled drugs book was seen which cross referenced 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 14 with the administration records. It is the homes practice that two staff sign the administration records. One of the service user’s was on a PRN medication which is regularly administered and there was a note in the administration records to refer to guidelines in her file. No guidelines were found and it is a requirement of this report that there are clear guidelines in place for the administration of PRN medication. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 15 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) 23 Service users are protected and kept safe. EVIDENCE: Service users needs are assessed prior to admission and this includes any challenging behaviour. Staff were seen to respond to service user’s calmly and appropriately and there is an understanding regarding the need to protect service users from harm. Policies and procedures regarding adult protection are in place. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 16 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) 24, 30 The home is well maintained and decorated. It is kept clean and hygienic. EVIDENCE: The home is a purpose built bungalow with four large bedrooms for service users in addition to a lounge, kitchen and dining room. There is a garden to the front of the property and minimal space to the rear. At present, there is extensive building works to the rear of the property. However, extra outside space has been given to the home as a result and will be used as a patio area. The house is well decorated and since the last inspection the dining room has been repainted and service users were asked about the choice of colour and were involved in the painting. Further painting of the corridors and office is planned. Some of the carpets are looking past their best and will need replacement in the near future. The wooden window and door frames have recently been varnished. The home is clean and well presented. The laundry room was tidy and contains an industrial washing machine with a sluice facility and a tumble drier. Hand washing facilities are available. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 17 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 The home has a stable and experienced staff team in sufficient numbers. EVIDENCE: On the day of this inspection, there were a number of staff, including the Deputy Manager, on duty. From 5 pm there were three staff on duty which included an agency member of staff providing one to one support to a service user. The Residential Manager who is the Line Manager to the Home Manager was also at the home for most of the inspection. The staff team is small but experienced and is well mixed in terms of age and race, but less so regarding gender as nearly all the staff team are female. There is a low use of agency staff and the regular staff team cover any gaps in staff cover. Staffing levels remain at a minimum of two staff on duty during the day and a waking member of staff on duty at night. Some service users require additional staff or nursing support which is provided as part of their respite agreement. It was a recommendation made at the last inspection that the Manger records the hours worked at the home. This has been met and there is now a separate sheet on display in the office showing the Manager’s whereabouts and when she is at the home. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 18 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) 39, 42 The home has effective quality assurance systems in place and feedback is sought from service users. The fire records seen were up to date. EVIDENCE: In the last year a survey to obtain service users views has been undertaken and analysed. It was a recommendation made at the last inspection that consideration is given to holding regular meetings with service users. This has been met and one meeting has taken place and the minutes were seen. It is anticipated that the meetings will take place on a regular basis. The Residential Manager undertakes the monthly Regulation 26 reports which are comprehensive in content. The fire records were the only health and safety records seen on this inspection. It was a requirement made at the last inspection that the fire alarm system is serviced on a quarterly basis. This has been met. The other fire records seen recording the weekly testing of the fire alarm system were up to 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 19 date. Advice is given to ensure that the emergency lighting is tested monthly and that the names of the staff having attended fire training is updated. Regular fire drills are taking place. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 20 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x x 3 3 2 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 9 ALLENBY ROAD Score 2 x 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 21 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 20 Regulation 13(2) Requirement There are guidelines in place regarding the administration of PRN medication. Timescale for action 6/11/05 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. 2. Refer to Standard 18 17 Good Practice Recommendations Service users wishes are recorded regarding the gender of the staff undertaking their personal care and includes cross gender care. The food menus record the different meals served to service users or refer to where this information is recorded. 9 ALLENBY ROAD H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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 H52 H01 S62384 9 Allenby Road V245223 060905 Stage 4.doc Version 1.40 Page 23 - 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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