Inspection on 03/05/05 for 9 Powderham Road

This inspection was carried out on 3rd May 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 24/11/05

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 Road Devon TQ12 1EU Lead Inspector Peter Wood Announced 3 May and 12 July 2005 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 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 9 Powderham Road Address Newton Abbot Road Devon TQ12 1EU 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) 01626 352581 01626 352581 admin@roc-uk.org Robert Owen Communities Miss Sarah Wafforn Care Home 10 Category(ies) of Learning Disability (10) registration, with number of places 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21/01/05 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 D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and in two parts. I spent the first day with the registered manager, who had only recently returned to work following maternity leave. I inspected the building, including most bedrooms and the communal areas. I spoke at length with the manager, three staff members and the one resident who was at home. All residents at this home are fortunate to retain day opportunities most days of the week. Consequently all but one resident were out enjoying their day opportunities during the day of the first visit. I therefore arranged to join their regular community meeting on 17/05/05, which had to be postponed to the evening of 12/07/05. During that evening I met most residents, though some were away on holiday. I also received five comment cards from residents. I examined all relevant documentation including that relating to client assessment and care planning, staffing and health and safety. What the service does well: What has improved since the last inspection? What they could do better: 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. However, rigorous examination of the assessment – care planning – implementation documentation reveals a lack of cohesion in what could otherwise serve as a useful system to assist, rather than exist in parallel alongside the good care practice which takes place. 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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 D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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) 12,3,4,5 Robert Own Communities and 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, and written contracts are made. EVIDENCE: The Statement of Purpose and Service User Guide are available for prospective and current residents. These provide a clear description of the services offered. Very detailed assessments were undertaken to identify service users’ needs prior to admission. Service users and their families had been able to visit the home before making a decision to move in. 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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, 9 The home is good at meeting the assessed and changing needs of residents and gives them appropriate choices. EVIDENCE: Residents confirmed the documentary evidence seen 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. 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 D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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) 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 to undertake most days, from paid employment to craft and farm work arranged by ROC, to attendance at day opportunity centres specifically for this client group. The home encourages friendships and family contact. The home encourages every individual to express his or her own opinions, as was very clearly demonstrated at the community meeting, and respects individual rights. The menu plan indicated the care taken to provide variety in meals whilst taking into account resident’s preferences. A favourite take-away meal followed the community meeting, topped off with a visit to the pub to mark the leaving of a member of staff. 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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) 18,19,20 Residents told me 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 medication as appropriate. EVIDENCE: The management and staff of this home sees the home very much as part of the local circle of support for people with learning disability, alongside (other) professionals such as GPs and particularly the team of various professionals in the learning disability team. Residents reported that they received as much support as they wished and needed. Records confirm that residents’ physical, mental and emotional health needs are assessed and attended to appropriately. The home has appropriate policies and procedures in respect to the receipt, storage, administration and disposal of medication. The interaction between staff and residents was observed, evidencing the mutual respect shown. Belongings such as photographs, music machines etc in residents’ bedrooms indicated they felt at home here. 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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) 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: Residents reported that here is their home and 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. The home has received no complaints since the last inspection. A copy of the complaints procedure is available to all service users and visitors to the home and detailed in the home’s Statement of Purpose and Service User Guide. Additionally, I was introduced to the residents as the new inspector who, like the previous inspector, is able to listen to any resident who may be unhappy about anything at the home and do something about it. 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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) 24, 30 Residents live in a pleasant home that is well-maintained internally (though the window frames need considerable work) and that is comfortable and provides sufficient facilities to meet their needs. EVIDENCE: The home has been quite well adapted for this use, the accommodation has sufficient space and is appropriately furnished and decorated. All communal rooms and bedrooms were pleasantly decorated and furnished and residents said that the home is always clean. A programme of planned refurbishment details further improvements to the building. The home currently has no need for specialist equipment. The home was clean and tidy during my visits. 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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) 31,32,33,34,35,36 Service users are cared for by well-trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment processes protect vulnerable service users. EVIDENCE: Residents reported that they had confidence in the professionalism of the effective staff team. This was supported by the documentation examined which indicates that staff are properly recruited, well trained and supported. The staffing rota and observation on the day of inspection evidences that there are sufficient numbers on duty. Staff files include evidence of two references being obtained as well as CRB checks, terms and conditions, job description and photographic identification. Training records including NVQ, First Aid, food hygiene and fire safety. Service users described the staff as very kind and caring and confirmed they responded promptly to requests for assistance. A training programme detailed the ongoing training undertaken by staff ensuring that they have the skills to care for people with mental health problems. A dedicated training budget indicated the organisation’s commitment to training. 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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) 37,38,39,40,41,42,43 This is a good, well-managed home for people with mild to moderate learning disabilities. The organisation and their staff team strive to provide a stimulating, safe environment that respects and protects residents’ rights and best interests. EVIDENCE: Residents report they are happy living here. They value their private and communal rooms, the ethos, leadership and management of the home, and the food. They know they can come and go as they wish, have confidence in the owners and staff, and enjoy living with their fellow residents. Examination of policies, procedures, risk assessments, accident book, fire log, health and safety posters confirm the above judgement. Discussion with most residents, feedback cards from some residents, and examination of resident’s care files provide additional evidence of the good management of this home. 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 9 Powderham Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 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 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 2,3 Good Practice Recommendations 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. However, rigorous examination of the assessment – care planning – implementation documentation reveals a lack of cohesion in what could otherwise serve as a useful system to assist, rather than exist in parallel alongside the good care practice which takes place. 9 Powderham Road D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon 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 D54-D07 S3637 9 Powderham Road V222163 030505 Stage 4.doc Version 1.30 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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