Inspection on 22/06/05 for Flint House

This inspection was carried out on 22nd June 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

Flint House 20/04/07

Flint House 01/11/05

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 RG8 0LL Lead Inspector Kate Harrison Unannounced 22nd June 2005 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. Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Flint House Address Police Rehabilitation Centre Reading Road Goring RG8 0LL 01491 874499 01491 875002 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) The Board of Trustees Mrs Sarah Allen Care HOme (CRH) 5 Category(ies) of Physical disability (PD) 3 registration, with number Past or present alcohol dependence (A) 2 of places Past or present drug dependence (D) 2 Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1: 18 years of age and over. 2: To allow no more than 2 residents in the categories A or D at any one time. Date of last inspection 9th December 2004 Brief Description of the Service: The Police Rehabilitation Centre at Flint House is located in 14 acres of Oxfordshire countryside near Goring, and is a charity offering convalescent facilities for injured and sick police officers from 28 police forces in England and Wales. Flint House is managed by the Board of Trustees, in accordance with the Trust Deed, and has an administrator in day-to-day charge. Departmental managers have responsibility for staff and services within their area. Service users are admitted for 12 day therapeutic stays. Facilities include physiotherapy, hydrotherapy, sauna, massage, acupuncture and a gymnasium. The centre has been extended and now has 140 beds, five of which are registered for nursing care. The nursing part is managed by the registered manager, a nurse with considerable experience, supported by a team of registered nurses. Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during a busy afternoon at Flint House. The inspector saw several areas of the Rehabilitation Centre, spoke to the registered manager and other staff. One service user with physical difficulties was at Flint House during the inspection, and the inspector discussed his care with him. The inspector also saw individual files and other records. What the service does well: What has improved since the last inspection? What they could do better: The outcomes for service users at Flint House was of such a good standard that no issues for improvement were identified at this inspection. Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 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. Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 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 Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 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 The assessment procedures are well managed to ensure that individual service user’s needs are appropriately assessed. EVIDENCE: The individual, a police welfare officer and the individual’s GP complete the assessment documentation before admittance to Flint House. A care plan is developed with this information and other information gathered during the nursing assessment after admission. The inspector had a discussion with one individual and saw the care plan, and was satisfied that all the needs were recognised. Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 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 and 9 Care plans are comprehensive and are flexible to allow for changing daily needs. Service users are encouraged to be independent within a risk-assessed environment. EVIDENCE: The inspector discussed the care plan with one service user, who told the inspector that a nurse had discussed his needs with him, and gave an example of how his changing needs were recognised quickly and addressed. A service user said that he continued to make decisions for himself and that he was encouraged to make use of the centre’s facilities as he choose to. Risk assessments are completed on an individual basis and the environment is regularly assessed for safety risks. Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 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 standard(s) X None of these standards were assessed at this inspection, and will be assessed at the next inspection. EVIDENCE: Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 Page 11 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 and 19 Staff at Flint House provide individualised personal support and meet service users’ health needs through skilled experienced staff. EVIDENCE: The nursing assessment carried out on admission records details of how the individual prefers to be cared for. Registered nurses provide all personal care in private, and there are no restrictions on bedtimes or other daily activities. Mobility aids are provided, and service users have access to the well-equipped physiotherapy department if needed. The registered manager and her nursing team have strong links with other community health facilities, including medical help and advice, and are experienced through training and updating in providing care in a person centred way. The inspector heard from a service user about how his emotional needs were understood and quickly addressed, and understood from the registered manager how the physical health needs of a newly admitted service user were quickly recognised and addressed. Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 Page 12 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 and 23 Flint House has systems in place to make it easy for service users to voice their views of the service, and to protect vulnerable service users at Flint House. EVIDENCE: The service has a clear, easy complaints procedure for service users to follow if they have any complaints or concerns, and a copy is provided for service users in each bedroom. A service user told the inspector that he felt his views were listened to. Complaints are recorded and Flint House has received no complaints since the last inspection, and none have been received by the CSCI. Staff have received training on protection of vulnerable adults, and are supported in addressing protection issues by Flint House’s policy and procedure. Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 Page 13 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) 24, 29 and 30 The premises and environment at Flint House are consistent with the service’s statement of purpose and provide very comfortable and safe facilities for service users. Specialist equipment is readily available and the premises are clean and hygienic. EVIDENCE: The indoor communal areas are well furnished and include several sitting rooms, restaurant, bar and games room, whilst outside facilities include croquet and bowls areas, set in 14 acres of Oxfordshire countryside. Accommodation is in well-furnished private en-suite rooms, where partners can also stay, with satellite television and facilities to make hot drinks. The inspector saw one service user’s private room, which included bathing and mobility aids. A private contractor provides the laundry service and staff follow the policies and procedures on infection control. Hand-washing facilities and a sluicing facility are available. Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 Page 14 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) X None of these standards were assessed at this inspection, and will be assessed at the next inspection. EVIDENCE: Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 Page 15 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) X None of these standards were assessed at this inspection, and will be assessed at the next inspection. EVIDENCE: Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 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 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 4 x x x x 4 3 Standard No 11 12 13 14 15 16 17 x x x x x x 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 Flint House Score 4 4 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 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. 1. Standard Regulation NONE 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 NONE Good Practice Recommendations Flint House H57_H08_S27184_Flint House_V234945_220605_Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Burgner House 4630 Kingsgate 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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