Inspection on 23/05/05 for 993 Oxford Road

This inspection was carried out on 23rd 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

993 Oxford Road 30/08/06

993 Oxford Road 06/10/05

993 Oxford Road 16/12/04

993 Oxford Road 12/07/04

993 Oxford Road 01/03/04

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 18-65 993 OXFORD ROAD Tilehurst Reading Berks RG31 6TL Lead Inspector Kerry Kingston Unanounced 23 May 2005, 10.00 am 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. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 993 Oxford Road Address Tilehurst, Reading, Berks, RG31 6TL 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) 0118 945 3821 SENSE Care Home (CRH) 5 Category(ies) of Learning Disability (LD) registration, with number of places 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Some of whom may also have sensory impairment Date of last inspection 16 December 2004 Brief Description of the Service: 993 Oxford Road is a service, which provides twenty four hour care for five adult, male service users who have learning and associated sensory diffficulties. It is a two -storied building that is owned by TACT, the care is provided by SENSE (a national charitable organisation.) The home is located approximately ten minutes, by car, from Reading Town Centre and is within easy reach of several other towns, which increases the availability of a variety of leisure and community facilities. The home has its own transport and is on a main public transport route. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place on the 23rd May between the hours of 10.45am and 3.45pm. The inspector spent time with the manager, the deputy and saw all five of the residents. Some records and resident files were looked at. The house was looked at and residents’ bedrooms were seen. What the service does well: 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. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-Stage 4.doc Version 1.30 Page 6 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 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-Stage 4.doc Version 1.30 Page 7 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 of the above outcomes were assessed at this inspection. EVIDENCE: 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-Stage 4.doc Version 1.30 Page 8 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 and 9 Residents have excellent individual plans, make as many decisions as is practicable and are enabled to take appropriate risks. EVIDENCE: Three individual care plans were seen and included all necessary information, including long and short-term goals and objectives. The daily notes and activity programmes reflected service users goals. Plans are reviewed informally on a monthly basis and formally six monthly. All service users have a W.E.B.C.A.S advocate and there are comprehensive, up-to-date risk assessments. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-Stage 4.doc Version 1.30 Page 9 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) 12,13,15,16 and 17. Service users are supported to take opportunities for personal and social development and access appropriate activities. They are helped to keep contact with family and friends and their rights are respected. The home provides adequate food. EVIDENCE: The staff work hard to ensure that service users can participate in meaningful activities, which they enjoy. Two service users do small jobs, one receives a monetary reward, two attend college courses and activity records evidence that activity programmes are developed for all service users. Community and leisure activities included trampolining, swimming, meals out in the evening, walks and attending football matches at the weekends. One service user has recently established contact with a family member with whom he had lost contact for twenty- seven years; the home ensures that regular visits are facilitated. Service users have high care needs but are helped to be as independent as is practicable and the inspector observed staff displaying attitudes of respect and 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-Stage 4.doc Version 1.30 Page 10 sensitivity. Service users appeared to be comfortable in approaching staff, who were able to interpret their behaviour and respond to their needs quickly. The menu was seen and evidenced a nutritious and balanced diet, though it could be more imaginative and service users opportunity for choice could be clearer. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-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 and 20 Comprehensive care plans ensure service users emotional and health needs are met and are supported with their personal care in the way that they need and prefer. Medication is administered safely in the home. EVIDENCE: The care plans are excellent, are comprehensive and detail service users needs and preferences. Risk assessments and care guidelines support the care plans which staff use as daily tools of their work, this is reflected on individual daily notes. Healthcare appointments and needs are recorded separately and the home have an excellent relationship with the primary health care team. The G.P. is invited to reviews and will provide a report if unable to attend. There were no errors noted on the medication administration records and the G.P. signs P.R.N guidelines, the P.R.N. guidelines could be more detailed. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-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 and 23 Service users have advocates and families who ensure their views are listened to. Service users are kept safe. EVIDENCE: A complaints book is kept and all complaints are recorded, there has been one complaint from a neighbour since the last inspection, this was not related to the care of the service users. Copies of the complaints procedure are given to the service users advocates. Service users finances are kept safely, with good and accurate recording systems in place. The home does not use physical restraint and referrals are made appropriately to the Vulnerable Adults Co-ordinator. A Vulnerable Adults incident, last year was properly dealt with. Staff need to be trained in Adult protection issues. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-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) 24,25,26,29 and 30 The home is adequately maintained but not all areas are ‘homely’. Service users bedrooms are adequate and the home has reasonable standards of cleanliness. EVIDENCE: The home is in a reasonable standard of repair and some areas have been recently decorated, however this has not always been to a good standard. The house still needs some ‘homely’ touches but the staff are working hard to address this. Some service users bedrooms have few personal possessions or furniture but progress has been made and there are plans for further improvement in this area. One service user has an O.T. assessment recommending handrails to aid his safety and increase his mobility but these recommendations have not been addressed. The home was seen to be reasonably clean with adequate standards of hygiene. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-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) 33,34 and 35 An effective staff team, who are properly trained and safely recruited, supports Service users. EVIDENCE: The home has recruited four new staff, which will complete the full staff team. Two staff have left since January 05 and there are low sickness rates. There are a minimum of three staff on duty during the daytime and two during the night. The home has the required staff records available and staff are not appointed until a C.R.B. check has been received. Training records evidence training opportunities and 6 of the 9 staff (currently in post) have an N.V.Q.2 (or above) qualification. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-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) None of the above outcomes were assessed at this inspection. EVIDENCE: 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-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 x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x 2 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 993 OXFORD ROAD Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H51-H01-S11060 993 Oxford Road-V217751230505-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 29 Regulation 23.2(n) Requirement To ensure adequate specialist equipment is provided for a disabled service user. Timescale for action 01.08.05 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. Refer to Standard 23 Good Practice Recommendations To ensure that all staff are trained in Vulnerable Adult Protection issues. 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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 993 OXFORD ROAD H51-H01-S11060 993 Oxford Road-V217751230505-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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!