Inspection on 29/07/05 for Chilmington House

This inspection was carried out on 29th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Chilmington House 24/04/07

Chilmington House 30/01/06

Chilmington House 16/12/04

Chilmington House 08/07/04

Chilmington House 05/03/04

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 CHILMINGTON Armadale Court Westcote Road Reading Berkshire RG30 2ES Lead Inspector Sally Newman Unannounced 29 July 2005 @ 06:55 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. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Chilmington Address Armadale Court Westcote Road Reading Berkshire RG30 2ES 0118 956 7877 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) Mrs Brenda Dean Ms Martine Patricia Lesley Dell Care Home 7 Category(ies) of Learning Disability LD registration, with number of places CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16/12/04 Brief Description of the Service: Chilmington House is a purpose built building which provides seven bedrooms for people with a learning disability and with associated physical disabilities. The home has a lounge, dining room kitchen and laundry room. There is also a garden area with seating and a barbecue. All seven bedrooms have been decorated to reflect the individual tastes of the service users and the home in general has been furnished with service users needs at the forefront of thinking. . CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over the course of an early morning and lasted 3 1/2 hours. All staff were spoken to including night staff and a visiting advocate was spoken to in private. The handover meeting from night staff to day staff was observed. There were 6 service users in the home at the time of the inspection. 4 were seen by the inspector whilst 2 were having a leisurely start to their day. A small sample of records were seen and all communal areas of the home were accessed by the inspector. There was a relaxed and orderly atmosphere throughout the course of the inspection. The outcome of this inspection was again positive with no requirements or recommendations being made. This home continues to provide a high standard of care by a well-managed and dedicated staff team. Due to communication difficulties it was not possible to obtain service users views. What the service does well: What has improved since the last inspection? Overall staffing levels have improved which has directly led to a more relaxed and happy atmosphere. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 Page 6 There is now more access to training. 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. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 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 CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 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 Care needs are assessed thoroughly prior to a place being offered. EVIDENCE: Although the file for a new service user was not available on the day of the inspection the inspector was aware through prior correspondence that the manager had taken great care to assess the needs of this service user to ensure that the service could meet their needs. In addition, careful assessment of specific areas of service delivery were continuing. This was to ensure that a clear and comprehensive care plan was in place prior to the service user moving in. Care plans seen contained up to date and relevant information. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 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 & 9 The changing needs of service users are responded to expediently and efficiently. Service users are supported to make choices and decisions. Risks are acknowledged and planned for. EVIDENCE: The philosophy of the home is underpinned by person centred planning, which takes detailed account of individual and changing needs. There was evidence in care plans that updating occurs on a regular basis. Staff meeting minutes provided further evidence that staff discuss individual changing needs and agree upon changes to plans. The person centred planning approach naturally leads to service users being encouraged to make decisions about their lives within their individual capabilities. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 Page 10 Relevant risk assessments are in place for all service users. There was evidence that these documents are transferred into practice and are updated on a regular basis. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 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, 15 & 16. The staff team enable service users to access appropriate activities. Service users are enabled to access the community. Service users are supported to have appropriate relationships. Service users rights are upheld. EVIDENCE: All service users have a weekly plan of activities. These are appropriate to age as can be evidenced by the service users who are of retirement age. Two service users access regular weekly work related services. It was acknowledged by staff that as a result of recent staff shortages access to the community had not been as regular for all service users. There was confidence that this would be addressed by the stability of the staff team and more efficient shift planning. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 Page 12 A list of all significant persons is maintained and updated in each individual service users care plan. Staff encourage and enable service users to have regular contact with family members and friends. There was evidence from discussion with individual staff that there is a keen awareness of service users rights as citizens. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 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 Personal support is provided in accordance with service users preferences. The physical, emotional and health care needs of all service users is well met. EVIDENCE: Care plans contain very detailed information about how individual service users like to receive their personal care. An example was provided of a service user who had a recent stay in hospital. Staff were present with him at the hospital during the day and were on hand to guide nursing staff on how to provide care and assistance to the service user. Despite this support the service user did not brighten in mood until he was discharged back to the care home. The staff team are very sensitive to changes in physical presentation and the emotional well-being of all service users. It was evident from care plans, daily reports and meeting minutes that these changes were discussed thoroughly and acted upon quickly. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 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 & 23 Service users views are responded to appropriately. Service users are very well protected. EVIDENCE: There were no recorded complaints since the last inspection. Service users are encouraged to express their views. Communication difficulties undoubtedly impacts upon the extent to which service users are able to express individual views. However, the inspector was confident after talking to staff that all expressions by service users are acted upon. All staff have received have received appropriate training regarding issues relation to abuse of vulnerable adults. In house training in adult protection was provided 3 weeks prior to the inspection. CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 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) No standards were inspected under this heading on this occasion. EVIDENCE: CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 Page 16 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) No standards under this heading were inspected on this occasion. EVIDENCE: CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 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) No standards under this heading were inspected on this occasion. EVIDENCE: CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 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 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 CHILMINGTON Score 4 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 Page 19 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 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. 1. Refer to Standard Good Practice Recommendations CHILMINGTON H52-H01 11123 Chilmington V234223 120705 Stage 4.doc Version 1.30 Page 20 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. 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