Inspection on 15/06/05 for Goddard Avenue (153)

This inspection was carried out on 15th June 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

Goddard Avenue (153) 19/06/09

Goddard Avenue (153) 19/06/07

Goddard Avenue (153) 06/12/05

Goddard Avenue (153) 09/03/05

Goddard Avenue (153) 21/12/04

Goddard Avenue (153) 19/01/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Goddard Avenue (153) 153 Goddard Avenue Old Town Swindon Wiltshire SN1 4HX Lead Inspector Elaine Barber Unannounced 15th 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. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Goddard Avenue (15) Address 153 Goddard Avenue Old Town Swindon Wiltshire SN1 4HX 01793 644643 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) Royal Mencap Society Ms Maureen Latimer Care Home 6 Category(ies) of LD Learning Disability (6) registration, with number PD Physical Disability (1) of places Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for 6 persons in the category LD, and 1 of these may be in the category PD Date of last inspection 9th March 2005 Brief Description of the Service: 153 Goddard Avenue is registered to care for seven people with a learning disability. The home is one of many run by Mencap and Ms Maureen Latimer is the Registered Manager. New Era Housing Association Ltd owns the property. The home is a large terraced house covering three floors in a residential area of Old Town, Swindon. All the bedrooms are single and there is a comfortable lounge and kitchen diner. The home is domestic in style and has a small garden with a patio area to the rear. The home operates a non-smoking policy and therefore all smoking is done outside. There is a minimum of one member of staff on duty throughout the waking day although this is sometimes increased to two in to support people to access social activities. At night one member of staff sleeps in and there is an on call system. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection and preparation took six hours. The inspector spoke to five people living in the home, three members of staff and the manager, read records, including personal notes and medication records, and looked at the accommodation. What the service does well: What has improved since the last inspection? What they could do better: Medication administration records must be recorded accurately to ensure that medication is administered safely and people are protected. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 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. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.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 Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.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 People’s individual needs and aspirations were assessed. EVIDENCE: People had lived in the home for several years. Their needs had been assessed when they moved in. Some people had reassessments by social workers. There was also detailed assessment information as part of the care plans. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.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 People knew that their assessed and changing needs and personal goals were reflected in their individual plans so that their needs could be met. People were supported to make decisions about their lives and to take risks to enable them to maintain an independent lifestyle. EVIDENCE: Three plans were examined and these were detailed and were reviewed with the person, their social worker and relatives at least once a year. The manager was introducing six monthly reviews or more frequent reviews if needed. There was a restriction of liberty because the kitchen was locked at night to safeguard one person. This restriction was recorded in each plan. People confirmed that they and interested relatives were involved in developing their plans. Most people could read their plans and two who could not read had them explained by staff. People made decisions about the meals they ate, activities, holidays, relationships, when they went out, cooking, cleaning, shopping and washing. They were supported to manage their finances and the inspector observed the manager assisting one person with their weekly budgeting. Each person had detailed risk assessments focusing on maintaining their safety and promoting independence. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 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) 13, 14, 15, 17 People were part of the local community, used community facilities and had varied leisure activities. They had appropriate personal, family and sexual relationships. People chose their own meals and were encouraged to have a healthy diet and they enjoyed the meals and meal times. EVIDENCE: People talked about their activities and these were recorded in their personal files. One person had a job, people attended two different resource centres and a drop in centre. They had activities and outings through their day services. Staff supported people to pursue activities and interests including the theatre, day trips, food and clothes shopping, visiting the library, attending rock concerts and occasionally church. At home people watched the television, videos and listened to music. People also talked about visiting their family and friends and on the evening of the inspection one person went out for a meal with their family. Three people talked about maintaining personal relationships. Staff supported people to plan balanced meals and healthy eating was encouraged. One person had seen a dietician and had a special diet. People took turns to cook and staff supported them to shop and prepare the ingredients. Alternatives were offered if a person did not like the meal offered. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 Page 11 One person cooked and shopped separately as part of an independence plan. People said that they enjoyed preparing and eating the meals. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 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 standard(s) 19, 20 People’s physical and emotional health needs were met. People who were able had control of and administered their own medication. The general arrangements for the medication protected people except the inaccurate recording of administration could pose a risk. EVIDENCE: Health needs were recorded in the care plans. Details of appointments with health professionals were recorded in the personal notes including the GP, optician, dentist, psychologist, psychiatrist, dietician and community nurse. People confirmed that their health needs were being met. Each person’s consent to medication was obtained and recorded in their plan. Four people looked after their own medication and had a locked box to keep it in. Records were kept of when medication was handed over to them and they took their medication independently. Staff administered medication to two people. There were occasionally gaps in their administration records when staff had not signed to confirm administration. There was a requirement made at the last inspection about medication records and this had not been addressed. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 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 standard(s) 22, 23 People felt that their views were listened to and acted upon and they were protected from abuse, neglect and self-harm. EVIDENCE: There was an accessible complaints procedure and people were supported to make complaints. They have information about advocacy and could use advocacy to assist in making a complaint. Each person had a red folder with the complaints procedure in a user-friendly format and simple English, and also on tape. There was a card to fill in and post to the regional office if a person did not wish to make the complaint direct to the manager. There was a record in individual files of when people had been reminded about how to use the complaints procedure. Feedback from the quality assurance questionnaires showed that people felt their views were listened to and acted upon. There were procedures for responding to suspicion or evidence of abuse and there was an abuse policy. Staff received training about abuse. The manager said that in the last year there had been one complaint or allegation of abuse. The incident was reported through the vulnerable adults procedure and to the Commission for Social Care Inspection and investigated appropriately. People were supported to manage their own money and records were kept of transactions. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 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 standard(s) 24, 25, 28, 30 People lived in a homely comfortable environment, where shared spaces complemented people’s individual rooms and were clean and hygienic. People’s bedrooms suited their individual lifestyles and promoted independence. EVIDENCE: The accommodation was comfortable, clean, domestic in style and covered three floors. Private accommodation was personalised and consisted of six single rooms. One had en-suite facilities. People were able to have a key to their room. There was a comfortable lounge, a large kitchen/diner, two bathrooms and a shower room and a small rear garden with patio area. People had chosen the décor and carpets for their own and the communal rooms. The home had a non-smoking policy and therefore anyone wishing to smoke did so outside. There was an office and staff sleeping in room There was a separate laundry room and people were supported to do their own washing and ironing. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 People were supported by an effective staff team and were protected by the recruitment procedure and practices. EVIDENCE: The staff rota showed that there was one person on duty at all times during the waking day and sleeping in at night. The home had 228.5 staffing hours per week. Extra hours were used to provide support to people when participating in activities and going out and there were also additional staffing hours at weekends. Two people needed support so that they could go out. The manager reviewed staffing levels to reflect people’s changing needs. Specialist services, such as physiotherapy and occupational therapy, were provided by the local community team. There was a recruitment procedure and prospective candidates completed an application form and had an interview. Three references, Criminal Records Bureau and Protection of Vulnerable Adults checks were taken up before a person was appointed. A copy of the birth certificate and passport to verify identity and copies of qualification certificates were also obtained. One of the people who lived in the home was involved in selection interviewing and developed interview questions with the other residents. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 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 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) 39 People’s views underpinned all the self-monitoring, review and development of the home. People’s views were obtained and acted upon. EVIDENCE: There was general service monitoring information including health and safety checks, taking of fridge and freezer and cooking temperatures, fire checks. Year on year development for each person was monitored through their care plan reviews. An annual questionnaire was sent to all people living in the home and their relatives. An action plan was developed from the information gathered to address any areas of concern raised. The recent questionnaires showed a high level of satisfaction with the service. Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 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 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 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Goddard Avenue (153) Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 Page 18 1 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 20 Regulation 13, 2 Requirement The Registered Person must ensure that all staff sign the MAR sheets to demonstrate the administration of all medication. This requirement was identified at the last inspection and the one before. Timescale for action 15/6/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 Page 19 Commission for Social Care Inspection Avonbridge House Chippenham Wiltshire SN15 2BB 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 Goddard Avenue (153) D51_D01_S3212_GODDARD(153)_V233964_150605Stage4.doc Version 1.30 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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