Inspection on 22/11/05 for Dysons Wood House

This inspection was carried out on 22nd November 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

Dysons Wood House 07/12/06

Dysons Wood House 22/06/05

Dysons Wood House 01/02/05

Dysons Wood House 17/08/04

Dysons Wood House 26/02/04

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Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

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Pinta

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

CARE HOME ADULTS 18-65 Dysons Wood House Dysons Wood Tokers Green Caversham Reading RG4 9EY Lead Inspector Catherine Kane Unannounced Inspection 22nd November 2005 11:50 Dysons Wood House DS0000013079.V267909.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 Dysons Wood House DS0000013079.V267909.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. Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Dysons Wood House Address Dysons Wood Tokers Green Caversham Reading RG4 9EY 0118 9724553 0118 9723479 dw@disabilities-trust.org.uk 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) Dysons Wood Trust Mr Jose Antonio Rodriguez Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2005 Brief Description of the Service: Dysons Wood House is a residential centre registered for 15 young adults with autistic spectrum disorders. There are two units providing accommodation on one large site with extensive grounds and a sensory room. The service is located in a rural area of South Oxfordshire and near to the facilities of Reading. Transport is available to access community resources and for service users to attend a day centre which is managed by the provider, the Disabilities Trust. Due to the nature and diversity of autistic spectrum disorders, Dysons Wood House provides a service for young adults with challenging behaviours and complex needs. Dysons Wood House DS0000013079.V267909.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 during the day of Tuesday, 22 November, 2005. Managers 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 eight of the residents who currently live at Dyson’s Wood. The inspector also spoke with the registered manager, the head of care and two staff. The inspector also read notes kept in the home and was present when residents were preparing for lunch. Five residents’ families returned comment cards to the inspector. Whils residents’ relatives indicated that they were generally satisfied with the care provided at this home, some relatives highlighted that communication could be better. Comment cards from social and health care professionals and the home’s GP also indicated that they were generally satisfied with the care provided at this home. The inspector would like to thank each resident for taking the time to speak with her and thank managers 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: The auditing of all other care plan documents should be completed in a timely fashion. Dysons Wood House DS0000013079.V267909.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. Dysons Wood House DS0000013079.V267909.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 Dysons Wood House DS0000013079.V267909.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): None These standards were looked at during the announced inspection held on 22 June 2005. EVIDENCE: Dysons Wood House DS0000013079.V267909.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): 9 Risk assessments were included in residents’ care plans and had all the essential information staff need to be able to care for residents. Staff have clear guidance about what they must do should a resident go missing. EVIDENCE: The inspector viewed at random the files for four residents. Each had the essential information that staff need to be able to care for people who live in this home. The inspector viewed the outcomes of recent reviews that had taken place for some residents. Risk assessments had been reviewed and updated. A review of all residents’ care plan files has started; these updated files were neat and easy to read. Dysons Wood House DS0000013079.V267909.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): 12,13,15, 16 and 17 Residents have opportunities to take part in a variety of activities. Staff work at keeping good relationships with residents’ relatives. Meals served are freshly prepared and the menu is varied. EVIDENCE: The inspector saw how staff on duty had built a strong bond with residents as they shared jokes together. During the inspection the inspector spent time with residents. Care plans seen indicated that a wide variety of structured activities are available. These include specific sessions held at the Disabilities Trust day service and in-house activities. Comment cards received from residents’ relatives indicated that they were generally satisfied with the care provided in this home. Two residents’ relatives stated that communication between staff could be improved. Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 Page 11 The home regularly produces newsletters with interesting pieces of news and developments at the home, which are sent to residents’ families. During the inspection a member of staff was preparing a freshly cooked meal. Other residents had already had a snack lunch. Two residents indicated that they were happy with the meals provided in the home. One resident told the inspector, “Everything’s fine”. Some restrictions to certain areas of the home, unless accompanied by a staff member, are in place to promote residents’ welfare. During the inspection residents who indicated that they wished to use the kitchen to make themselves a hot drink or have a snack were helped by staff to do so. Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 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 Care plans had all the essential information staff need to be able to provide personal care for residents. EVIDENCE: In the four care plans viewed by the inspector all the information needed by staff to be able to provide personal care support was included. Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 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 the following standard(s): None These standards were looked at during the announced inspection held on 22 June 2005. EVIDENCE: Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 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 the following standard(s): None These standards were looked at during the announced inspection held on 22 June 2005. EVIDENCE: Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 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 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): None These standards were looked at during the announced inspection held on 22 June 2005. EVIDENCE: Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 Page 16 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 This home is well run and professionally managed. EVIDENCE: The inspector was informed of the review of the management structure in this home. The recently appointed head of care, who formerly held the assistant manager post, is to make an application to register as manager with the Commission. Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 Page 17 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 X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 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 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dysons Wood House Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000013079.V267909.R01.S.doc Version 5.0 Page 18 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 Dysons Wood House DS0000013079.V267909.R01.S.doc Version 5.0 Page 19 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. 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