Inspection on 01/11/05 for Flint House

This inspection was carried out on 1st November 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Flint House 20/04/07

Flint House 22/06/05

Flint House 09/12/04

Flint House 17/08/04

Similar services:

The Cotswold Home

Fairways

Treloar College

Rush Court

The Maypole Nursing Centre

Fir Tree Lodge

Chilmington House

The Firs

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

CARE HOME ADULTS 18-65 Flint House Police Rehabilitation Centre Reading Road Goring Oxfordshire RG8 0LL Lead Inspector Kate Harrison Announced Inspection 1st November 2005 10:00 Flint House DS0000027184.V251113.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 Flint House DS0000027184.V251113.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. Flint House DS0000027184.V251113.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Flint House Address Police Rehabilitation Centre Reading Road Goring Oxfordshire RG8 0LL 01491 874499 01491 875002 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) The Board of Trustees, The Police Rehabilitation Centre Mrs Sarah Allen Care Home 5 Category(ies) of Past or present alcohol dependence (2), Past or registration, with number present drug dependence (2), Physical disability of places (3) Flint House DS0000027184.V251113.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 18 years of age and over. To allow no more than 2 residents in the categories A or D at any one time 22/06/05 Date of last inspection Brief Description of the Service: The Police Rehabilitation Centre at Flint House is managed by a charity and is set in 14 acres of Oxfordshire countryside near Goring. Flint House has very comfortable accommodation and communal facilities and offers convalescence facilities for eligible sick and injured police officers from 28 police forces in England and Wales, serving or retired. The Board of Trustees manages Flint House and an experienced administrator has responsibility for the day to day running of the centre. Departmental managers have responsibility for staff and services within their area, and the registered manager is responsible for the management of the nursing department. Guests are admitted for 12 day therapeutic stays and return home after that time. Facilities include a physiotherapy department, hydrotherapy and gymnasium. Other therapeutic services include massage, acupuncture and workshops designed to meet individual psychological needs. Registered nurses care for the guests admitted to the nursing department. Flint House DS0000027184.V251113.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This CSCI announced inspection was conducted over one morning when no guests in the nursing category were staying at Flint House. The inspector met with the registered manager and discussed policies and procedures and saw records and the relevant areas of the centre. 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. Flint House DS0000027184.V251113.R01.S.doc Version 5.0 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 Flint House DS0000027184.V251113.R01.S.doc Version 5.0 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): None of these standards were assessed at this inspection. Standard 2 was assessed at the last inspection. EVIDENCE: Flint House DS0000027184.V251113.R01.S.doc Version 5.0 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): None of these standards were assessed at this inspection. Standards 6, 7 and 9 were assessed at the last inspection. EVIDENCE: Flint House DS0000027184.V251113.R01.S.doc Version 5.0 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, 16 and 17. Standard 12,13 and 14 do not apply to Flint House. Residents have full control over their personal relationships, and take responsibility for their stay as agreed before arrival at Flint House. Nutritional needs are very well addressed. EVIDENCE: Residents understand the rules of their 12 day stay at Flint House, through the written information supplied to them before their arrival as part of the admission process. The document ‘Notes for Guests’ explains guests’ rights and is available in individual rooms. Guests have contact with whom they wish and visitors are welcome up to 11pm. Residents have keys to their rooms and staff respect their privacy. Flint House provides a healthy diet for residents at flexible times. Residents’ nutritional needs are assessed and staff know how to refer to the community dietician when necessary. The ‘a la carte’ and daily menus are available in the comfortable restaurant, and include vegetarian and various healthy options. Residents can also choose to have meals in their rooms. Two members of staff have gained the diploma in clinical nutrition. Flint House DS0000027184.V251113.R01.S.doc Version 5.0 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): 20. Medication is well managed. EVIDENCE: Flint House has a policy and procedure regarding medication. The inspector was satisfied that medications are managed in accordance with the Royal Pharmaceutical Society’s guidelines, including the controlled drugs. Flint House DS0000027184.V251113.R01.S.doc Version 5.0 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): None of these standards were assessed at this inspection. Standards 22 and 23 were assessed at the last inspection. EVIDENCE: Flint House DS0000027184.V251113.R01.S.doc Version 5.0 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): None of these standards were assessed at this inspection. Standards 24 and 30 were assessed at the last inspection. EVIDENCE: Flint House DS0000027184.V251113.R01.S.doc Version 5.0 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): 32, 33, 34 and 35. Competent and qualified staff support residents at all times. Appropriate recruitment procedures are in place but need to be monitored. EVIDENCE: All the care staff at Flint House are registered nurses. The induction procedures include training on how to lead the workshops and staff learning needs are assessed regularly. Staff training is ongoing, recorded on a matrix and relevant to the needs of the service, including the new category of drug dependency. The staff rota shows appropriate numbers of staff are available at all times. The personnel department staff support the manager to administer the recruitment policy. The inspector checked staff recruitment files, and found that although an appropriate system is in place, proof of identity and a photograph was not available in one file. The registered manager must ensure that all the details regarding persons working at Flint House are available. Flint House DS0000027184.V251113.R01.S.doc Version 5.0 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 and 42. The guests benefit from a well run department, and quality monitoring is aimed at improving guests’ experience at Flint House. EVIDENCE: The registered manager is a well-qualified nurse who works closely with the centre’s administrator in the day-to-day running of the centre. The centre administrator manages the overall running of the centre, and the registered manager is responsible for the registered nursing care provision. Several ways of quality monitoring are used at Flint House, including Board of Trustees meetings, regular management meetings and questionaires for guests. Questionaires are used at different times of the 12 day stays, covering several topics, and results are acted on promptly. Monthly monitoring reports are also completed for CSCI. The inspector saw several letters and cards from satisfied guests and relatives sent to the registered manager and her team. Flint House has a separate Health and Safety department, and an identified individual is responsible for ensuring that health and safety procedures are followed. Flint House DS0000027184.V251113.R01.S.doc Version 5.0 Page 15 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 N/A 13 N/A 14 N/A 15 4 16 4 17 Standard No 31 32 33 34 35 36 Score X 3 3 2 3 X CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Flint House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 4 X X 4 X DS0000027184.V251113.R01.S.doc Version 5.0 Page 16 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 Standard YA34 Regulation 19 Requirement The registered manager must ensure that all the details regarding persons working at Flint House are available Timescale for action 30/11/05 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 Flint House DS0000027184.V251113.R01.S.doc Version 5.0 Page 17 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. Extracts may not be used or reproduced without the express permission of CSCI Flint House DS0000027184.V251113.R01.S.doc Version 5.0 Page 18 - 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. 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