Inspection on 03/05/05 for Boxgrove

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 Adequate. 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

Boxgrove 06/06/07

Boxgrove 12/02/07

Boxgrove 07/07/06

Boxgrove 17/10/05

Boxgrove 26/01/05

Boxgrove 11/11/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 BOXGROVE Little Heath Road Tilehurst Reading RG31 Lead Inspector Susan Cledwyn-Davies Unannounced 3 May 2005 Time: 10:00 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. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Boxgrove House Address Little Heath Road, Reading, RG31 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 943 1019 CHOICE Ltd Paul Robert Thwaite Care Home 10 Category(ies) of Learning Disability registration, with number of places BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No Date of last inspection 26 January 2005 Brief Description of the Service: Boxgrove House is a purpose built care home for 10 adult men with severe learning difficulties. The home is situated on the outskirts of Tilehurst in Reading and is surrounded by open countryside. The home has an extensive garden which service users are encouraged to use and provides opportunities for horticultural activities. A separate day care building is situated on the site and provides a range of day care activities for service users. The staffing ratio is high to meet the complex needs of the service users. Staff have access to a wide range of training and the provider organisation have facilitated access to NVQ training for all staff. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection included a short tour of the home, contact and conversation with all service users, discussion with five staff members and with the manager. Records were seen and time spent observing practice in the home. The manager and staff were welcoming and service users were relaxed. In discussion with the manager it was agreed that the residents of the home are used to the term service users. 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 BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 6 contacting your local CSCI office. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 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 BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 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) 2, 3 and 4. Service users are assessed comprehensively prior to admission and given the opportunity to visit the home before moving in. EVIDENCE: There has recently been a new service user moved into the home. He had transferred from another home in the group following review and full assessment of his needs. The new service user and relative visited the home prior to admission. Written information about the home was given. This service user, though newly admitted, was settling in well. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 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 and 9 Service users needs are assessed and changing needs responded to. Service users are encouraged to make decisions about their lives and are supported to take risks as part of an independent life. EVIDENCE: Care plans seen included a full assessment and monthly summaries prepared by key workers. The plans include strategies for managing trips away from the home and challenging behaviours. An assistant psychologist and home staff prepare these strategies. Risk assessments are prepared and reviewed as necessary. There was a discussion about daily records that did not fully reflect the amount of activity taking place in the home. Also diaries are used for the daily records but the date noted on the page is not the date of the record. This could be confusing. The manager and deputy are looking at ways to improve this record. Service users finance is held by the manager in safekeeping. There is secure storage and a comprehensive recording process. This includes credits, debits and keeping of all receipts. The finances are audited at least annually by a BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 10 CHOICE accountant. The records seen by the inspector had not been updated for a month. It was requested that these were kept updated more regularly to ensure that no service user monies have been misplaced. Only the manager and deputy have access to the monies and records. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 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, 16 and 17 Service users are able to take part in varied activities, both in the home and in the local community. Service users rights are respected and they are offered a healthy diet. EVIDENCE: Service users take part in varied activities. During the visit some service users went out shopping with staff while others had varied activities on site or leisure. The house has a separate activity wing equipped with specialist equipment and varied activity equipment. The day services organiser has been supported by the manager to prepare files of ideas and resources. The inspector joined service users and staff for the midday meal. The meal was freshly prepared including fresh fruit and vegetables. Different tastes and needs were provided for e.g. soft diet, vegetarian. Daily routines are flexible around service users needs. Staff respects individual routines/established wishes. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 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 standard(s) 18 and 19 EVIDENCE: Personal care is given privately, mostly in individual bedrooms. Service users have individual care according to their choice and to the activities that they are following. This was demonstrated during the visit. Staff encouraged activities and choice while respecting individual rights. Health care is provided by a local surgery, the community nurse was visiting during the inspection. Visits are arranged as needed. Other medical input is recorded. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 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 standard(s) 22 and 23 Service users views are listened to and acted upon. Service users are also protected from abuse. EVIDENCE: There is a comprehensive complaints procedure. The approach to complaints is positive and proactive. Protection of vulnerable adults training is given to all staff during mandatory training. New staff will be receiving this training shortly. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 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 standard(s) 4, 27 and 30 The home is comfortably furnished and decorated. Bathing facilities have been improved; one toilet remains to be improved. The home is generally clean and tidy; there is an aroma by the front door. EVIDENCE: The house is comfortably furnished and decorated. The service users relax and use the space well. The house is well maintained. One bathroom and one toilet have been improved, new toilets have been repositioned and decoration taken place. There is one downstairs toilet that still needs a new sink in place to be serviceable by service users. This remains as a requirement. The home is well used and staff wok hard to keep the house clean and fresh smelling. By the entrance to the home there was an unpleasant aroma. The manager was asked to try and reduce this, e.g. carpet cleaning. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 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 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, 35 and 36 Service users are supported by satisfactory numbers of staff that have been effectively trained. Staff are recruited safely. Staff supervision on a daily basis is good, individual supervision is being clarified. EVIDENCE: The staff team works well together and is supportive of each other. The minimum staff on duty is 5 care staff during the day and 2 waking night staff. Extra staff are agreed as necessary. There is one part time staff vacancy unit. The temporary deputy manager, previously the assistant manager, is supporting the new manager. The staff training records are being organised as well as the recruitment files to make sure that all staff have received appropriate training and updates. Recruitment files checked included all relevant checks, the most recent appointments the files were not in the home. These files have not been sent down from CHOICE. The manager confirmed that she had seen the application form and references prior to interview and that CRB checks had been completed. The recommendation about the training files remains until the record is finished but a lot of work has been done to collate records. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 16 Individual supervision is being arranged but at present falls below the standard required e.g. 6 times a year. A supervision format has been brought into use and a format prepared to ensure that all staff have supervision. Appraisal takes place annually and is now due. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 17 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. An appointed Manager runs the home but this Manager has not applied to be registered with CSCI. EVIDENCE: The Manager has been in post since the end of January. An application to register under CSCI has not been received. This application must be made shortly. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 18 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 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 2 x x 2 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 BOXGROVE Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 x x x x x x H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 19 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. 2. 3. Standard 7 27 37 Regulation 20 23 8 Requirement That records of service user finances kept by the home are up to date. That the sink in the downstairs toilet be larger. That an application to register the manager with CSCI be received. Timescale for action 1.6.2005 1.8.2005 1.7.2005 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 35 Good Practice Recommendations That the staff training records be fully collated. BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 20 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 BOXGROVE H52-H01-S11190-Boxgrove-V217760--030505Stage 4.doc Version 1.30 Page 21 - 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. 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