Inspection on 16/02/06 for Chace Dene

This inspection was carried out on 16th February 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

Chace Dene 05/03/07

Chace Dene 06/09/05

Chace Dene 08/02/05

Chace Dene 12/10/04

Chace Dene 22/01/04

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Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Chace Dene 4 Heath Road Southend Bradfield Berkshire RG7 6HQ Lead Inspector Yvonne Souden Unannounced Inspection 16th February 2006 3:15 Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 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 Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 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. Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chace Dene Address 4 Heath Road Southend Bradfield Berkshire RG7 6HQ 0118 974 5062 0118 974 5074 geth.davies@atlas.plus.com 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) Atlas Project Team Limited Mr Graham Kenyon Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: Atlas Project Team Ltd are the registered provider for Chasedene, and provide care and accommodation for three young adults aged 18 to 65, who have a learning disability with associated challenging behaviour. Chasedene is an extended detached three-bedroom bungalow owned by Housing Solutions; the maintenance of the home is undertaken by the landlord as reported to them by the Atlas project team. The home has a large garden with table and seating provided. Chasedene is situated within a semi-rural residential area within the village of Southend Bradfield. Limited off-road parking is available at the front of the house and village shops are within walking distance. The towns of Newbury and Reading are within a 20 to 30 Minute Drive from the home. Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is Chasedenes second unannounced inspection within the inspection year 2005/06. The Inspector recommends that the reader refer to the inspection report dated 6th September 2005 to have an overall view of the key standards assessed within this inspection year. This inspection had positive outcomes that observed staff promote residents’ choice and independence and treat residents with dignity and respect. Limited standards were assessed at this inspection as most key standards were assessed at the inspection on the 6th September 2005. The inspection concentrated on outcomes within the service on concerns/complaints and protection, staff recruitment and management of the home. There were no recommendations or requirements made at this inspection however there are ongoing issues in meeting environmental standard and of the vacant registered manager position. 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. Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 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 the following standard(s): Standards 1 to 5 were not assessed at this inspection. EVIDENCE: Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 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 the following standard(s): Standards 6 to 10 were not assessed at this inspection. EVIDENCE: Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 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 the following standard(s): 15 Service users are supported to maintain personal relationships with family and friends. EVIDENCE: A service user spoke of visiting a family member and showed the Inspector their communication board of signs and symbols that indicates when the next visit will take place. Staff and management spoke of the success achieved from supporting the service user within a structured programme that enabled the service user to move from limited visits to the family members home to regular visits. Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 10 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): Standards 18 to 21 were not assessed at this inspection. EVIDENCE: Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 11 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 Service users are protected from abuse, neglect and self-harm, and the home has a robust complaint procedure in place. EVIDENCE: The home has a complaints procedure, and has a complaint logbook that identifies all concerns and complaints are taken seriously and have satisfactory outcomes recorded. CSCI have received no complaints about the service provided within this inspection year. The home has an adult protection policy and arranges accredited abuse awareness training for staff within West Berkshire Council. Records show that staff attended abuse awareness training 08/11/05 with further training scheduled to take place 22/03/05. Discussions with staff demonstrated their knowledge of the homes adult protection and whistle blowing policy. Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 12 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 Chasedene offers service users a homely, comfortable and safe environment that needs some attention to enhance the homeliness of the service. EVIDENCE: The home was observed to be clean and comfortable with no offensive odours. Management informed the Inspector that positive outcomes has been agreed with the landlords to make good the maintenance and décor required for the home to meet the national minimum environmental standard, and confirmed that this is planned to take place within the financial year 2006/07. Management have agreed to forward a copy of the maintenance plans to CSCI. Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 13 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): 34 Service users are supported and protected by the homes recruitment policy and practices. EVIDENCE: Staff recruitment records were not available for inspection, but discussions with a staff member in post five months, and a staff member in post twelve months identified that management ensure a thorough recruitment procedure is followed, with appropriate identity/security checks in place prior an offer of employment being made. Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 14 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 Service users benefit from a well-run home that has systems in place to promote the health, safety and welfare of the service users, and monitor the development of the home in the best interests of the service user. EVIDENCE: Management confirmed that responses from questionnaires sent to stakeholders within the community were not forthcoming to enable the home to measure the quality of the service as viewed by those stakeholders. Systems are in place that ensures a multi-agency approach is practised on the review of the service users needs and that feedback on the service provided is received at those reviews. Management within the organisation undertake a monthly regulation 26 inspection of the home that monitors all aspects of the service and copies of their reports are sent to CSCI when requested. Fire records demonstrate that fire safety checks are maintained and that staff receive fire safety and other health and safety mandatory training. Environmental risk assessments are reviewed annually or as changes occur. Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 15 The registered managers position is vacant, but a management contingency plan is in place to support and promote staff development and maintain standards within the home. The inspector spoke to the responsible individual who had made the trip from Devon to Berks on the day of the inspection to discuss with senior management the vacant registered manager position, and agreed to update CSCI on progress made. Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 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 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 2 X 3 X X 3 X Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 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 Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 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 Chace Dene DS0000011180.V280362.R01.S.doc Version 5.1 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!