Inspection on 03/10/06 for 9 Powderham Road

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

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 3rd October 2006 10:15 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 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.V308005.R01.S.doc Version 5.2 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.V308005.R01.S.doc Version 5.2 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.V308005.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/11/05 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, providing a home for as long as it is suitable for the residents to remain there. The home also develops residents’ skills and encourages them towards greater independence as appropriate. Fees are negotiated on an individual basis with sponsoring local authorities, and are from £750.13 per week. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken over one day and evening in October 2006. The focus of this inspection was to inspect all key standards and to seek the views of residents, staff, relatives and professional visitors to the home, the latter mainly using comment cards, survey forms and follow-up telephone calls. The manager and her deputy had submitted a comprehensive Pre-Inspection questionnaire prior to the inspection visit. Though unannounced, both the registered manager and her manager from HQ were at the home at the time of the visit. Opportunity was therefore taken to discuss with them both various issues. These included the likely impact of the recent decision taken by ROC HQ to withdraw the home’s own vehicles but instead to allocate a transport budget to the home. Part of the inspection was spent with the registered manager examining care planning, personnel and health and safety documentation, and with the deputy manager mainly discussing staff training. Part of the inspection was spent with the three residents at home undertaking daily living skills. The evening part of the inspection was spent joining the regular community meeting involving all residents and staff on duty. During that evening all but one resident (who was at his parent’s home) were seen and consulted on their experience of living at the home. Several residents showed off their bedrooms, and all public parts of the building were seen. Three residents completed the “Have your say about…” survey form. Six staff returned the “Care Workers Survey” form. No “Health and Social Care Professionals in Contact with the Care Home” returned a form with that title. No “Relatives / Visitors Comment Cards were returned, but two relatives agreed to give their views during a follow-up telephone conversation. What the service does well: This care home strikes a good balance between offering a secure home for those who wish to continue to live there but also enabling those who wish to move on to more independent living the skills and confidence to be able to do so. Four residents (including a married couple) have moved to Supported Living arrangements in the past year, whilst three new residents have come to take their places. 9 Powderham Road provides a “homely” home which offers young men and women who have learning disability a safe and pleasant place to live, with good day opportunities and considerable daily living training and support. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 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.V308005.R01.S.doc Version 5.2 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): 2, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home are good at assessing the needs of residents and enable them to exercise choice. EVIDENCE: Three residents have been admitted in the past twelve months. Examination revealed that very detailed assessments are undertaken to identify prospective residents’ needs, wishes, interests and aspirations prior to admission. Residents confirmed that they had been able to visit the home, with their parents, before making a decision to move in. Care managers are also able to check out what the home has to offer first hand before a placement is considered. A major consideration prior to accepting any new placement is the likely impact on incumbent residents. Current residents are properly consulted about any new residents prior to their sharing their house with a new person. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 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, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home are good at meeting the assessed and changing needs of residents. Risk assessments are used to enable rather than prevent residents’ activities. EVIDENCE: Residents 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, during discussions with individual residents, and during the community meeting. Residents take full part in their assessments and care plans, which they recognise are truly “theirs”. Residents trust that the management and staff act in their (i.e. residents’) best interests, including maintaining confidentiality within the professional community, including with the Commission for Social Care Inspection. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy a range of activities including leisure activities as part of the local community, are enabled to have personal relationships, and are treated with respect. Meals are enjoyed, and are as healthy as possible. EVIDENCE: All residents have (or soon will 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 have obtained paid employment while most others attend day opportunity centres, or undertake craft or farm work at facilities also operated by Robert Owen Communities. Residents use all the local leisure facilities and enjoy annual holidays to places of their choosing. Residents described holidays to Centre Parcs, Disneyland Paris and elsewhere. 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, in a socially acceptable manner. This was demonstrated during the Community Meeting which one resident wished to 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 11 dominate. Whilst respectful of their fellow resident, other residents gently let their disruptive colleague know that his behaviour was unwelcome. The manager skilfully used this incident – as any other daily living event - as a learning experience for all residents. 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 and teaching independent living skills. With appropriate guidance residents shop for ingredients, prepare and cook food for their own flat. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support and assistance with their physical, health, social and emotional needs in the way they prefer, and are protected by the home’s medication policies. EVIDENCE: Staff showed sensitive and flexible personal support to maximise service users’ privacy, dignity, independence and control over their lives. Residents’ health and personal care needs are met appropriately. The home has good facilities, policies, procedures and practices for the ordering, storage, handling, administration and recording of medication, whilst the manager and deputy closely monitor and correct instances where staff have not strictly adhered to the policy. Residents take responsibility for dealing with their own medication following risk assessment. Residents appeared to, and reported that they feel safe and well supported living here. 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. Four residents were so enabled in the past twelve months that they have left the care home and moved to Supported Living facilities. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and suggestions from residents, relatives or other visitors to the home are listened to and issues resolved before becoming complaints. EVIDENCE: The views of residents are constantly sought. Residents are confident through experience that their views are welcomed, encouraged, listened to and acted on. Issues are resolved before becoming complaints. The home has a complaints procedure, but this does not become activated. 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. 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. At the Community Meeting residents were encouraged to describe the sorts of things they might be unhappy about and who to approach to get the problem sorted. All residents were clear as to whom they could go to. The manager took the opportunity to reiterate to the residents that the inspector from the Commission for Social Care Inspection is one of the people residents could go to if they were unhappy about something in the home. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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, and has been further improved since the last inspection. The manager’s office has been moved from the large room on the lower ground floor to a smaller room on the first floor which was previously a small lounge. The large lower ground floor room is now a “den” for the whole house. A room on the first floor which was previously an office is now a resident’s bedroom. The accommodation has sufficient space and all communal rooms and bedrooms were appropriately furnished, and to the resident’s taste, which includes a four poster bed! 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. As the “den” is now in use for the whole house it is strongly recommended that an additional toilet and wash hand basin be provided on that lower ground floor. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 15 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, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for by competent staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment processes protect vulnerable residents. Staff are well supported. EVIDENCE: Residents are cared for by a dedicated staff team usually in sufficient numbers to enable them to care and support their clients as well as they would wish. It appears, however, that the manager and deputy work excessive hours whilst over a period of just two months nine relief staff have been needed to fill fiftyfive shifts. All of these staff, however, are staff employed by Robert Owen Communities, so no agency staff have had to be used, which would have been more disruptive for the residents. Staff were seen to be approachable, dedicated and enthusiastic. Documentary evidence examined showed that staff are properly recruited, trained and supported. Residents described the staff as very kind and caring and confirmed they supported them well. Staff observed appeared approachable, dedicated, enthusiastic, motivated and competent. The staff training and supervision programme was included in the PreInspection documentation. Five of the eleven care staff have NVQ level 2 or above. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 16 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, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home. Residents’ views, wishes and needs underpin all that happens here. Residents’ health, safety and welfare are well looked after. EVIDENCE: This is a good home for people with mild to moderate learning disabilities. 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. Residents appear to be and say that they are happy living at this home. They like their bedrooms, activities, friends they live with and staff who support them. Care files evidence that residents’ health, safety and welfare is protected and promoted. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 17 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 X 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 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 18 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 room changes now result in residents spending more time in the “den” on the lower ground floor, it is strongly recommended that an additional toilet and wash hand basin be provided on that floor. 9 Powderham Road DS0000003637.V308005.R01.S.doc Version 5.2 Page 19 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.V308005.R01.S.doc Version 5.2 Page 20 - 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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