Inspection on 12/07/05 for Hazeldene

This inspection was carried out on 12th July 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

Hazeldene 24/04/07

Hazeldene 20/10/05

Hazeldene 01/02/05

Hazeldene 07/07/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 HAZELDENE 127 and 129 Wantage Road Reading Berkshire RG30 2SL Lead Inspector Kerry Kingston Unannounced 12 July 2005, 10;00 am 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. HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hazeldene Address 127, 129 Wantage Road, Reading, Berks 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) 0118 9500567 Choice Ltd Ms Lynne Honour Care Home (CRH) 9 Category(ies) of Learning Disability (LD) registration, with number of places HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1 February 2005 Brief Description of the Service: Hazeldene offers twenty-four hour residential care to nine, male servive users with varying degrees of learning disability and associated behavioural difficulties. The home consists of two adjacent properties, one with three bedrooms and one with six. The homes are spacious with small but functional gardens. The properties are owned and the care is provided by C.H.O.I.C.E. Ltd. The home is situated approximately ten minutes walk from Reading Town Centre and is a few minutes walk from a large park, public houses and local shops.The home has its own transport and public transport is easily accessible. HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on Tuesday 12 July 2005, between the hours of 10.15 and 2.45. The inspector spent time with the manager, met with five service users, spoke to staff, looked at various records including a sample of care plans and looked at some of the building. One service user spent some time with the inspector and the others were observed interacting with staff members and each other. 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. HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 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 standard(s) None of the above standards was assessed at this inspection. EVIDENCE: HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 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 standard(s) 6.7 and 9 Service users have care plans that are continually reviewed with their participation. Service users are actively encouraged to be involved in decision-making and excellent risk assessments support an independent lifestyle. EVIDENCE: Current care plans identify all service user needs and include behavioural guidelines as well as personal and developmental care needs. A new format and system for individual care planning has been developed and these have all been completed. The inspector was not able to see the ‘finished product’ on the day of inspection as they had been sent to head office for typing and the manager was unable to retrieve a copy. All service users have their own key worker and confirmed, in conversation, that they knew who they were and what their role was. Service users were also aware of their care managers and their roles and responsibilities. Service users are actively encouraged to participate in all the decision-making processes. House meetings are held regularly and service users said that they were ‘good’ and ‘staff listen to us’. If there are any issues or problems to be resolved the manager encourages service users to come up with their own HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 Page 9 solutions, with staff assistance. Some service users call their own meetings when they think it necessary. Service users financial situation is noted inn their care plan. The home has developed excellent risk assessments, which cross reference with behaviour and developmental guidelines. HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 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) Not assessed at this inspection. EVIDENCE: HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 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) 18,19 and 20 Service users receive excellent support, their physical and emotional needs are appropriately met and the home administers medication safely. EVIDENCE: Comprehensive care plans enable staff to support service users appropriately. They include service users likes and dislikes and preferred ways of being supported with their personal, emotional and healthcare. Service users were observed making choices about who they wanted to take them on trips and outings. The provider has its’ own psychology team who assist individuals in the home as necessary. Service users have regular health checks and specialist assistance is sought as appropriate. The home has a very robust medication system, staff are trained and assessed before being able to administer medication and service users are helped to understand why they are taking medication and what its’ effects are likely to be. All service users have recently had a medication review which has resulted ion some reduction in medication and positive outcomes for some individuals. The pharmacist carried out a check in the home on 5th May 2005 and found no areas of concern. HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 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 The home has a comprehensive complaints policy which service users use as necessary. The home ensures that service users are protected. EVIDENCE: The home has no recorded complaints since May 2004; this was recorded in the complaints book and responded to appropriately. There is a comprehensive complaints procedure, which has been produced, in a user-friendly format. Service users confirmed that they knew how to complain and would do so if they felt the need. Vulnerable adults procedures are used as necessary and staff are trained in Vulnerable Adults issues. There are behavioural guidelines in place for all service users who may display physically or verbally aggressive behaviour. The home uses physical restraint and there was some concern that there was a period when staff were not trained in the new system of restraint being adopted by the provider. Staff are now booked to attend a formal training course on the 27th July and will feel more comfortable about using the new techniques. Service users money is kept safely but there was a recent concern that the acting manager had very limited knowledge of their financial situation. This has now been resolved. The acting manager was advised to review the service users financial recording system to ensure that it is effective and protective. HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 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 and 30 The house is homely and comfortable but standards of cleanliness and hygiene are not adequate. EVIDENCE: The home has good quality furniture and service users are involved in choosing colour schemes and furniture. The communal areas reflected the personalities of the group of service users and they said that it was very comfortable. The inspector observed that some areas of the home were not very clean with dirty skirting boards and paintwork and stained carpets. The main kitchen has loose tiles, mouldy woodwork round the sink area, damaged worktops and very dirty skirting boards. Some staff and service users expressed unhappiness with the condition of the kitchen. The manager advised the inspector that a refurbishment of this area is planned but the date is unknown. The condition of the kitchen was discussed at the last inspection but there has been no improvement. HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 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) The above standards were not assessed at this inspection. EVIDENCE: HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 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) The above standards were not assessed at this inspection. EVIDENCE: HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 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 x 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 4 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 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 HAZELDENE Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 Page 17 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 24,30 Regulation 23.2 (b) (d) Requirement To ensure the house is kept clean and refurbish the kitchen to an adequate standard. Timescale for action 01.09.05 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 HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 2nd Floor, 1015 Arlington Business Park Theale Berks RG7 4SA 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 HAZELDENE H51-H01-S11088-Hazeldene-V229913-120705Stage 4.doc Version 1.40 Page 19 - 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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