Inspection on 24/11/05 for 9 Powderham Road

This inspection was carried out on 24th 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

9 Powderham Road 03/10/06

9 Powderham Road 03/05/05

9 Powderham Road 21/01/05

9 Powderham Road 07/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 9 Powderham Road Newton Abbot Devon TQ12 1EU Lead Inspector Peter Wood Unannounced Inspection 24th November 2005 10:00 9 Powderham Road DS0000003637.V269194.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 9 Powderham Road DS0000003637.V269194.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. 9 Powderham Road DS0000003637.V269194.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 9 Powderham Road Address Newton Abbot Devon TQ12 1EU 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) 01626 352581 01626 352581 swafforn@roc-uk.org Robert Owen Communities Miss Sarah Diane Wafforn Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 9 Powderham Road DS0000003637.V269194.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 Brief Description of the Service: 9 Powderham Road is a care home operated by the charity Robert Owen Communities, a large local provider of residential, day and supported living facilities for adults with learning disabilities. The building is a spacious, detached house in a residential street (quite steep) very close to Newton Abbot town centre. It is thus close to shops and all other usual town facilities. The service users’ accommodation is arranged in three flats on the ground and first floors, each with its own lounge, dining room/kitchen and bathroom. There is another room in the basement which is used for meetings. There is a garden and terrace at the side of the house and a car parking area. The home caters for young adults with a learning disability, with an emphasis on developing their skills and encouraging them towards greater independence. 9 Powderham Road DS0000003637.V269194.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken over one full day in November 2005. Serendipitously, both the registered manager and her manager from HQ were at the home at the time of the visit. Part of the inspection was spent discussing plans for the rearrangement of rooms within the house when a married couple move out into their own supported living accommodation in the near future. Part of the inspection was spent discussing with one of the couple the future he and his wife have been planning for, and the great help the care home has given them both to enable them to move on. A social worker from one of the London Boroughs coincidentally visited at the time of the inspection to see if one of his clients and this care home would be a suitable match for each other. Part of the inspection was spent observing the information exchange between the manager and the social worker. Part of the inspection was spent with the manager examining improved care planning documentation. Most of the inspection was, however, spent with the residents at home undertaking daily living skills, and later those who returned home from day opportunities. What the service does well: What has improved since the last inspection? What they could do better: No requirements were made at the previous inspection, not at this. The home meets all standards inspected. It is clear that great care is taken to offer places only to those who would benefit from living in this house, and that excellent work takes place to assist residents live a fulfilling and independent life as possible. 9 Powderham Road DS0000003637.V269194.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. 9 Powderham Road DS0000003637.V269194.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 9 Powderham Road DS0000003637.V269194.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): 1,2,3,4 The home provide sufficient information to allow prospective residents, parents and sponsoring authorities to make an informed choice as to whether this home can meet the needs of prospective residents. Prospective residents are able to have a trial visit to ensure compatibility. Care manager from London visiting. EVIDENCE: The Statement of Purpose and Service User Guide provide a clear description of the services offered. Very detailed assessments are undertaken to identify prospective residents’ needs prior to admission. Residents confirmed that they had been able to visit the home, with their parents, before making a decision to move in. The visit of the London social worker during the inspection evidenced that care managers are able to check out what the home has to offer first hand before a placement is considered. This visit also evidenced the information given to parents, prospective residents and, in this case, care managers. 9 Powderham Road DS0000003637.V269194.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): 6, 7, 9 The home is good at meeting the assessed and changing needs of residents and gives them appropriate choices. EVIDENCE: Residents confirmed that they take full part in their assessments and care plans. They are consulted on all aspects of life in the home, from menus to individual risks and the degree of support necessary. This was evidenced in the care plans. Residents trust that the management and staff act in their (i.e. residents’) best interests, including maintaining confidentiality within the professional community, including the learning disability team. 9 Powderham Road DS0000003637.V269194.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): 12,13,14,15,16,17 Residents have considerable opportunities to engage in a range of activities including leisure activities as part of the local community to assist their personal development. Meals are nutritious and varied. EVIDENCE: Most residents have appropriate activities outside of the home to undertake most days, mixed with undertaking daily living skills training on a planned basis inside the home each week. Some residents obtain paid employment while others attend day opportunity centres, or undertake craft work or farm work. Residents use all the local leisure facilities and enjoy annual holidays to places of their choosing. The home allows, encourages, and enables all degrees of friendships to develop, including marriage. Every individual is encouraged to express his or her own opinions. The menu plan indicates the care taken to provide variety in meals whilst taking into account resident’s preferences, balanced with attempting to promote healthy eating. 9 Powderham Road DS0000003637.V269194.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): 18,19,20 Residents receive personal support and assistance with their physical and health needs as appropriate. EVIDENCE: Residents said that they feel safe and well supported living at Powderham Road. They feel respected and are encouraged and enabled to have as much control over their lives as possible, including being properly equipped with the skills and confidence to move on to more independent living if appropriate. A married couple are just about to embark on living a more independent life together. One of the couple acknowledged that this would not have been possible but for the help and support of the care staff at the home. Residents are enabled to take more and more responsibility for their own lives as appropriate, following risk assessments. This includes taking responsibility for dealing with their own medication. 9 Powderham Road DS0000003637.V269194.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): 22,23 Complaints and suggestions from service users, relatives or other visitors to the home are treated seriously. Service users are listened to and issues resolved promptly. EVIDENCE: The culture of the home strikes a good balance between making their residents feel that here is their home and being open to parents, care managers, specialists from the learning disabilities team and other experts in providing a professional service to their clients. Residents are confident through experience that their views are welcomed, encouraged, listened to and acted on. The home has policies and procedures to minimise the likelihood of abuse of residents in all its forms. Staff have received training in issues relating to abuse and the protection of vulnerable adults, while residents are made aware of abuse issues and encouraged to speak out if they are unhappy about anything. 9 Powderham Road DS0000003637.V269194.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, 27, 30 Residents live in a pleasant comfortable home which provides sufficient facilities to meet their needs. EVIDENCE: The house has been quite well adapted for use as a care home. The accommodation has sufficient space and all communal rooms and bedrooms were appropriately furnished. As part of their daily living skills training residents help to keep their own bedrooms and the communal areas clean and tidy on a rota basis. Some rooms are to be rearranged within the home when the married couple move out, which will provide the opportunity for some rooms to be redecorated. As the planned room changes will result in residents spending more time in the lower ground floor, which will change from the manager’s office to a residents’ lounge, it is strongly recommended that an additional toilet and wash hand basin be provided on that floor. 9 Powderham Road DS0000003637.V269194.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): 32,33 Residents are cared for by competent staff in sufficient numbers to meet the needs of those currently living in the home. EVIDENCE: Residents described the staff as very kind and caring and confirmed they responded promptly to requests for assistance. Staff observed appeared well motivated and competent, though the staff training programme and supervision was not specifically examined on this occasion. 9 Powderham Road DS0000003637.V269194.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): 37,38 This is a good, well-managed home for people with mild to moderate learning disabilities, run for them. EVIDENCE: Residents appear to be and say that they are happy living at this home. The Robert Owen Communities organisation and their staff team strive to provide a stimulating, safe environment that respects and protects residents’ rights and best interests. This is appreciated by the residents, who say they like their bedrooms, activities and friends they live with. Residents also appreciate the kind and responsive staff. Though not articulated in these terms residents like the ethos, leadership and management style of the home. They know they can come and go as they wish, and have confidence in the management and staff. 9 Powderham Road DS0000003637.V269194.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 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 3 X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 9 Powderham Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X X X DS0000003637.V269194.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? NO 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 YA27 Good Practice Recommendations As the planned room changes will result in residents spending more time in the lower ground floor, which will change from the manager’s office to a residents’ lounge, it is strongly recommended that an additional toilet and wash hand basin be provided on that floor. 9 Powderham Road DS0000003637.V269194.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Powderham Road DS0000003637.V269194.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. 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