Inspection on 14/02/06 for Dalewood Respite Care

This inspection was carried out on 14th 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

Dalewood Respite Care 13/03/07

Dalewood Respite Care 11/07/05

Dalewood Respite Care 03/12/04

Dalewood Respite Care 21/07/04

Dalewood Respite Care 21/10/03

Similar services:

Hillview Farm

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

The Farmhouse

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

CARE HOME ADULTS 18-65 Dalewood Respite Care 1 Dalewood off Chiltern Way Buckskin Basingstoke Hants RG22 5EG Lead Inspector Liz Palmer Unannounced Inspection 14 February 2006 10:30 th Dalewood Respite Care DS0000037131.V279259.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 Dalewood Respite Care DS0000037131.V279259.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. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dalewood Respite Care Address 1 Dalewood off Chiltern Way Buckskin Basingstoke Hants RG22 5EG 01256 332215 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) larainebeech@hants.gov.uk Hampshire County Council Mrs Laraine Susan Beech Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2005 Brief Description of the Service: Dalewood is a care home providing respite care for up five adults with a learning disability. It is situated in a cul-de-sac in Kempshott, Basingstoke. The aim of the service is to provide a flexible, accessible, positive, enjoyable and individualised short-term break for service users. Dalewood can accommodate up to two service users on the ground floor who have physical needs and use a wheelchair. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the inspection year 2005/2006 and was unannounced. Any key standards not assessed on this occasion were looked at during the previous inspection, therefore, this report should be read alongside the last one. The inspection took under three hours during which time one service user was met and gave their views of the service. The registered manager assisted with the inspection. No staff or other service users were at the home during the inspection. What the service does well: What has improved since the last inspection? The manager and one senior have attended a train the trainer course in medication. A new policy has been written and procedures have been improved as a result. An action plan to have all staff trained by April is in place. Staff files are now all up to date and have the required documentation kept in the home. Supervision of staff is now taking place on a regular basis. Rotas have been changed to accommodate service users wishes regarding going out more in the evenings. Completed quality audit questionnaires are now being returned enabling the home to review it’s service taking into consideration the views of the service users’ and their representatives. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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 Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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): None of these standards were assessed. EVIDENCE: Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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. The atmosphere and philosophy of the home supports and encourages service users to make their own decisions. EVIDENCE: The service user spoken to said she is able to make her own decisions, for example, how she spends her leisure time, choosing food and being involved in the running of the home. Care plans detail personal preferences and records are kept of instances where decisions are made by others, for example, a contract had been drawn up for one service user. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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): 12, 13, 15, 16 and 17. Arrangements are in place to provide opportunities for social activities, community access and support with relationships. Daily routines ensure service users’ rights are respected. Arrangements are in place for service users to enjoy a healthy diet. EVIDENCE: During the inspection one service user was waiting to go to work, another was at a day centre and three others were out bowling. The service user spoken to said that as well as continuing their normal daytime activities they are able to choose from a range of leisure activities at Dalewood. For example, going to the local pub, cinema and bowling. They also said there is a choice of things to do inside the home like, art, knitting, watching films or their favourite television programmes. Care plans showed that service users are supported to pursue their hobbies and interests and can access the local community during their stay. They are supported to choose whether to continue with their usual daytime activities, for example, attending the local day services, whilst also having opportunities to develop new skills such as shopping, cooking and Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 Page 11 household activities within the home. There is an activity information folder with pictures and leaflets to assist people in making choices. The home is also in the process of creating a photograph album of people who use the service engaged in activities, this again is to encourage choice and offer a wider variety of opportunities to people. A timetable of activities was seen for this week, showing planned trips out and activities within the home. The service user spoken said staff knock on their bedroom door before they enter and always speak to them in a kind and respectful manner. The home gives a quality audit questionnaire out to carers and service users after each stay. Returned forms were looked at and through discussion with the manager it was evident that negative comments are addressed and service users’ rights to are upheld. Weekly menus are planned with service users, a second choice is always offered and the service user spoken said they can always ask for something else if they don’t like the choices. A healthy diet is promoted using pictures and photographs to help people choose. The service spoken to said the food was good and they enjoyed preparing the meals. Quality audit questionnaires looked at showed positive comments about the food from service users and their carers. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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 the following standard(s): 18 and 19. Arrangements are in place to ensure service users receive personal support in the way they prefer and their physical and emotional needs are met. EVIDENCE: Care plans detail service users individual needs and preferences regarding personal care. The service user spoken to said they get the support they need in a way that they prefer. Records of service users general practitioners (GPs), any medication, medical conditions and other relevant health issues are recorded on individual files. The service user spoken to said they would tell staff if they felt unwell or unhappy. They said that staff are always kind and always listen to them. Standard 20 was not fully assessed but the areas which had requirements against them were looked at. As required, the home has drawn up a medication policy which covers the aspects relevant to the home. This has yet to be read and signed by all staff. A requirement was also made for all staff to receive training in the handling and administering of medication. The manager and a senior staff member recently attended a suitable train the trainer course and are in the process of putting a pack together to train the staff. An action plan to have all the staff trained by April 2006 is in place. The inspector is satisfied that the requirement will have been met when this is achieved so no further requirement has been made. At the previous inspection the procedures in Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 Page 13 place were satisfactory and the staff member spoken to appeared competent in administering medication. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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 the following standard(s): 22. A suitable complaints procedure enables service users to make their views known and have them responded to. EVIDENCE: The home has a Hampshire County Council complaints procedure and a suitable in house policy which is on the notice board for people to see. The service user spoken to knew who to complain to. They said that staff always have time to talk to them if you are unhappy about something. There is a procedure for logging and addressing complaints. No complaints have been made since the last inspection. Standard 23 was not assessed but it was noted that the only staff member not to have had adult protection training at the last inspection has now completed it. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were assessed. EVIDENCE: Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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 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 and 36. The protection of service users is promoted by the home meeting the requirement regarding information held on staff files. The improvement to staff supervision ensures service users benefit from well supported staff. EVIDENCE: As required at the last inspection, two written references are now available for all staff. Three staff files were seen to have all the relevant documentation. For example, suitable application forms, formal interviews, two references and relevant police checks. Reports from regulation 26 visits show that staff files inspected meet the standard. Records showed that staff supervision is taking place at least two monthly and in some cases monthly. This meets the requirement made at the last inspection. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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 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. The home is well run by a competent manager. EVIDENCE: The registered manager has been in post for 6 years. She has reached her national vocational qualification (NVQ) level 4 in management and care. She also has a certificate in social services management. She said she receives regular supervision from her line manager and is enjoying having 3 seniors in post to form a ‘management team’ for the home. The manager has shown herself to be competent and able to run the home well. She has worked hard to address the requirements in a compliant and positive manner. Staff spoken to at the last inspection said they thought the home was well run and the manager was supportive. Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 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 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 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X X X X X X Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO 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 Dalewood Respite Care DS0000037131.V279259.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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