Inspection on 13/12/05 for April Cottage

This inspection was carried out on 13th December 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

April Cottage 23/02/09

April Cottage 14/11/06

April Cottage 05/05/05

April Cottage 14/02/05

April Cottage 21/10/04

April Cottage 19/03/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 April Cottage Ducklington Lane Witney Oxfordshire OX28 4TJ Lead Inspector Catherine Kane Unannounced Inspection 13th December 2005 03:30 April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service April Cottage Address Ducklington Lane Witney Oxfordshire OX28 4TJ 01993 773832 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) aprilcottage@oldt.nhs.uk Oxfordshire Learning Disability NHS Trust Ms Lynn Davison Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 4 5th May 2005 Date of last inspection Brief Description of the Service: April Cottage is a purpose built four bedroomed bungalow situated at the end of a private drive about a mile from Witney town centre. It provides a shortterm breaks/respite service for up to four people with learning and physical disabilities who live with their families in the local area. The bungalow has ramps and adaptations and is fully accessible for people who use wheelchairs. The home is run and managed by the Oxfordshire Learning Disability NHS Trust and is accessed only through referrals from local authority care management. April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place on Tuesday 13 December 2005. The manager and staff did not know the inspector was planning to visit. The purpose of the visit was to see how the home is meeting National Minimum Standards. The visit took just over two hours and the inspector spent this time with the three guests visiting April Cottage at that time. The inspector also spoke with the manager and three staff on duty. The inspector also read notes kept in the home. The home continues to have a very friendly and caring atmosphere. Four guests’ families returned comment cards to the inspector. They were very complimentary of the manager and her staff team and indicated that they were satisfied with the care provided at this home. The inspector would like to thank each guest for taking the time to speak with her and thank the manager and staff for their assistance during the inspection. What the service does well: What has improved since the last inspection? What they could do better: From what the inspector saw during this visit she feels that the home continues to provide a very good service. From the standards looked at during this inspection the inspector cannot suggest how the home could do better at this time. April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 was assessed at the inspection held on 5 May 2005. EVIDENCE: April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Care plans include comprehensive guidelines that give staff the information they need to be able to provide safe and consistent support to each guest. EVIDENCE: The inspector viewed the care plans for three guests. These were neat and easy to read. See also Standard 16 April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The staff have a good understanding of guests’ support needs. This was evident by the positive relationships which have been formed between the staff and guests. EVIDENCE: During the inspection the inspector spent some time with a guest, a new member of staff and one that had worked in the home for some time. Two other guests were seen to be happily engaged with their chosen pastimes in their bedrooms. The inspector could see that staff took time to get to know and understand each guest and clearly respected their wishes about how they spent their time while visiting April Cottage. Clear guidelines were seen in guests’ care plans to provide staff with the essential information that they need to provide safe and consistent care. April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The arrangements in place to meet the healthcare needs of guests in an emergency are satisfactory. EVIDENCE: April Cottage is a short-term breaks service, therefore supporting guests to get to their GP, dentist or any other healthcare related service would usually be done by their families. April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The complaints procedure is easy to follow. The policies and procedures that protect the health, safety and welfare of the people who use the services of this home are robust. EVIDENCE: The registered manager related to the inspector how she responded when an issue was raised. This was in line with the home’s complaints procedure. This home operates in accordance with the Oxfordshire Multi-Agency Code of Practice to protect vulnerable adults from abuse. Staff confirmed a good understanding of their ‘duty of care’ to protect vulnerable people and some staff have attended specific local training. April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 were assessed at the inspection held on 5 May 2005. EVIDENCE: April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Staff morale was good at the time of the inspection. The arrangements for the induction of staff and training are good with staff demonstrating a clear understanding of their roles. The systems for recruitment, selection and performance management of staff who work in this home are generally good. EVIDENCE: Staff who spoke with the inspector were clear about their job role. A recently recruited member of staff told the inspector about the comprehensive induction programme. Staff confirmed that they had been offered a range of training opportunities to enable them to do their job and generally felt supported by their manager. April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 This home is generally well run and professionally managed. EVIDENCE: The manager recently successfully completed the registration process with CSCI. She provides clear leadership and vision for the home. She is currently undertaking the Registered Manager’s Award. The inspector receives copies of the proprietor’s representatives monthly visit reports. Well maintained health, safety and welfare records kept in the home were made available for inspection. OLDT, who runs this service, has financial and accounting systems subject to internal and external audits. The manager made available a positive report from the local authority commissioning team. April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 April Cottage Score X 3 X X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 3 X DS0000013061.V273205.R01.S.doc Version 5.0 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. 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. Refer to Standard Good Practice Recommendations April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 April Cottage DS0000013061.V273205.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!