Inspection on 09/08/05 for Ahava

This inspection was carried out on 9th August 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

Ahava 08/05/07

Ahava 17/01/06

Ahava 25/01/05

Ahava 28/09/04

Similar services:

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Hillview Farm

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Orchard,The

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

CARE HOME ADULTS 18-65 AHAVA Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ Lead Inspector Tracy McGuire-Brown Unannounced 9 August 2005 @ 10.45 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. AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ahava Address Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ 01344 773174 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) Norwood Ravenswood Foundation Care Home 6 Category(ies) of Learning Disability LD registration, with number of places AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25/01/05 Brief Description of the Service: Ahava is one of seventeen homes for adults with learning disabilities located at Ravenswood Village. Ahava provides accommodation for six service users in three first floor, separately approached two bedroom flats, each with selfcontained kitchen, bathroom and lounge/diner. There is a staff office based in one of the flats.The accommodation and staff deployment supports the semiindependent living arrangements for the men who live there. AHAVA H52-H01 S11409 Ahava V235296 100805 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 took place over a 6- hour period. The Inspector was shown around the flats by staff and residents. The Inspector spent some time talking to some of the residents, time was also spent talking to the Manager and the head office was visited to examine staff records. A selection of records were looked at including residents files. What the service does well: What has improved since the last inspection? Staff have worked hard to support some residents to save their money to purchase much-desired items or trips. Recruitment information for staff has further improved with a new checklist system having been introduced. The Manager has reviewed the medication system and introduced a new ordering and stock control system. AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 6 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. AHAVA H52-H01 S11409 Ahava V235296 100805 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 AHAVA H52-H01 S11409 Ahava V235296 100805 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) 2 The home gains assessments information prior to admission. An admissions policy and procedure is in place. EVIDENCE: There have been no recent admissions to the home. Individual Service User records were examined, historical assessment information was available. This assessment material was tracked and is regularly reviewed and updated. Examples of Care Management and other social and healthcare assessments, which are ongoing, were also on file. AHAVA H52-H01 S11409 Ahava V235296 100805 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) 6,7and 9. Service Users have detailed individual care plans and are involved as possible in decision making. Care plans are reviewed Service Users are continually consulted and make decisions about their lives and life within the home. Service Users have risk assessments in place to support care plans. EVIDENCE: Comprehensive Essential Lifestyle Plans are place for each individual Service Users. Care plans are reviewed at 3, 6 and 9-month intervals (although some were not up to date on the day of inspection) followed by and annual .P. review. Service User meeting records and individual files demonstrate how Service Users are involved in making decisions about their lives and life within the home. Service Users have the opportunity to have an advocate if required. Service Users have guidelines in place and examples of “contracts” were seen to assist Service Users to make decisions. Service User spoken discussed and were observed making decisions about their lives on the day of inspection. AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 10 Risk assessments are in place to ensure Service Users safety. The Manager informed the Inspector that these are all currently being reviewed. Risk Assessments are cross-referenced to care/Essential Lifestyle Plans. AHAVA H52-H01 S11409 Ahava V235296 100805 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) 12,13, 14,15, 16 and 17 Service Users in the home take part in a range of appropriate daily activities including work and educational opportunities. Service Users utilise the local community and have varied and extensive leisure activities. Service Users are supported to maintain appropriate relationships. Service Users in the home are aware of their rights and are supported to exercise these in all aspects of their daily lives. Service Users have varied and well balanced meal and make independent choices EVIDENCE: Daily diaries and individual activity sheets in detail that the Service Users undertake a variety of day opportunities including; attendance at college courses and various local employment options. The organisation has recently undertaken a review of day care options and a wide and extensive programme is now on offer including, Sport and Leisure, Equestrian activities, Art and Craft, Horticulture and Animal care, swimming, Karten centre (computing), Music Therapy, Employment and Bracknell college courses. In addition to this AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 12 range there is also the availability y of other college course such as Wick Hill and the Yately Drama group for example. There are employment options in the Ravenswood village and some of the Service Users from Ahava are involved in this. In addition 2 Service Users have taken up other external employment opportunities. Some Service Users are also involved in doing presentations for the new staff induction days at Ravenswood. Service Users spoken to were very positive about the opportunities of work and education available. There is a wide range of leisure options available as listed and these options are available in the evening and weekends also. Some of the Service Users from Ahava have been on cycling expeditions around various parts of the world and train hard for these events. There are photographs and magazine articles documenting their travels. Service User informed the Inspector they visit the local community shops, pubs and restaurants; use local G.P. and dentist facilities. This was evident in Service User files and from speaking to Service Users. Service User meeting are held on a regular basis and minutes are recorded, these demonstrate how Service Users are involved in deciding and discussing various issues including the day-to-day running of the house. In addition there has also been recently set up a Ravenswood residents committee, which is independently chaired. Service Users representatives are invited from each home and various topics and issues are discussed. Service User file indicate that Service Users are supported to develop and maintain relationships with family and friends. Service Users discussed visits to and from relatives /friends with the Inspector. There is a contact sheet available to record family /friends contact. Service Users were seen spending time together and alone in their room if chosen, privacy is respected. Service Users all have locks and keys to their own front doors and in addition to their bedroom doors. The Manager explained to the Inspector that work has been undertaken recently to give Service Users opportunity to be involved in both Internet and local shopping for food. Service Users are involved in the planning of the menus on a weekly basis. Cooking skills are detailed in essential Lifestyle Plans and Service Users are supported to prepare meals. Service Users currently choose to eat in the Village dining hall at lunchtimes. Staff and Service Users informed the Inspector this a valuable and social occasion and there is always choice available. Service Users meals consumed are recorded. Service Users informed the Inspector that they visit local pubs and restaurants to eat out on occasions. . Service User can make drinks and snacks if they choose. The Inspector was made welcome and offered drinks by the Service Users. AHAVA H52-H01 S11409 Ahava V235296 100805 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) 18,19,and 20 Service Users physical and emotional needs are well met. Medication is dealt with in a satisfactory manner. EVIDENCE: In addition to care and Essential lifestyle plans there is also healthcare information in place on each individual file. Essential Lifestyle plans detail any preferences in respect of the delivery of any care and support needs. Historical social, emotional and physical assessments are on file also. Regular healthcare appointments are recorded and detailed reports about these appointments recorded and cross-referenced. Any required additional health or social care assessments are detailed on Service Users individual files. The annual IP details the current health and social situation of each individual and documents regular check up which have been undertaken. Example records were seen for G.P, dentist, District Nurse, optician, psychology and audiology appointments. The Manager informed the Inspector that there had been some changes made to the recording of medication stock and ordering, records had also been reviewed since the previous inspection. Records seen were satisfactory. AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 14 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. The home has satisfactory complaints procedures and protects Service Users from abuse. EVIDENCE: The home has a satisfactory complaints process in place and a log for recording complaints. Complaints had been recorded and action detailed demonstrated complaints are handled according to policy and procedure. The Service Users in the home spoke to the Inspector and had sound knowledge of whom they could complain to if they were not happy. The home has a detailed policy in respect of the protection of Vulnerable Adults. The home also uses the local interagency protection OD Vulnerable Adults procedures. The home has some experience of working recently with Vulnerable Adults issues and the Manager demonstrates a sound awareness of these issues. The Inspector saw evidence of certificates received by staff for Vulnerable Adults training. AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 15 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) 24,25,26,27,28 and 29 The home is safe and comfortable with a homely feel. Service Users have single bedrooms and there are suitable bathroom facilities. Internally the home is generally well maintained and is clean and tidy throughout. Some furnishings need to be replaced. EVIDENCE: The Inspector was shown around the premises by staff and Service Users. The home is generally well presented internally; the home is decorated and furnished to a good standard but some of the furnishings are looking worn and in need of replacing. E.g. sofas in flat 6. Each flat has a bath or shower room with W.C. The bathroom in flat 5 is old and worn and does not have a homely feel. In flat 4 the bath panel is in need or repair, as it was broken. The bathroom in flat 6 needs attention, the walls need redecorating and the tiles are broken (this was identified in the last proprietors inspection). The kitchen in alt 4 has had some new kitchen units and this has improved the kitchen. The kitchen in flat 6 would also benefit from some new kitchen units. The carpets in flat 5 are stained and worn and need to be replaced. AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 16 The flats have a large enclosed garden, which is equipped with a shed and some garden furniture. AHAVA H52-H01 S11409 Ahava V235296 100805 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) 34 and 35 Recruitment practices are sound and robust to protect Service Users .A well trained staff team meets Service users needs. EVIDENCE: Recruitment records are held at the Ravenswood Village central office, the Inspector went to examine recruitment records, which were all in place. The recruitment record process has been reviewed since the last inspection and there is now detailed checklist in place. Training records were examined .A training profile is in place for staff. Each training course attended is recorded and copies of relevant certificates are filed. Training required for updating, and new training needs are identified and detailed. Staff undertake good basic and induction training upon starting and work towards e.g. LDAF and N.V.Q’s. In addition the Manger informed the Inspector training and Strategy meetings are held at Ravenswood to look at future traini9ng needs. Training is also identified in supervision. AHAVA H52-H01 S11409 Ahava V235296 100805 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 The Service Users benefit from an experienced manager who runs the home well. EVIDENCE: There has been a change in Manager since the previous inspection. The Manager implements a variety of methods to ensure Quality Assurance is monitored. There is no formal Quality Assurance system but the checks undertaken are satisfactory. The Quality Assurance process involves Regulation 26 visits, comments from Staff and Service User meetings, ongoing daily observation, formal supervision these areas are all recorded and discussion with visitors to the home. AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 19 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 x Standard No 11 12 13 14 15 16 17 x 4 4 4 3 4 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 AHAVA Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 20 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 24 Regulation 23(2) Requirement That identified maintainence issues are attended to in each flat Timescale for action 31/01/06 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 24 Good Practice Recommendations Worn furnishings are reviewed and replaced AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading 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 AHAVA H52-H01 S11409 Ahava V235296 100805 Stage 4.doc Version 1.40 Page 22 - 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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