Inspection on 20/10/05 for Hazeldene

This inspection was carried out on 20th October 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 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

Hazeldene 24/04/07

Hazeldene 12/07/05

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 Inspection 20th October 2005 10:00 Hazeldene DS0000011088.V259441.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 Hazeldene DS0000011088.V259441.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. Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hazeldene Address 127 and 129 Wantage Road Reading Berkshire RG30 2SL 0118 950 0567 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) Choice Limited Ms Lynne Honour Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Hazeldene offers twenty-four hour residential care to nine, male service users with varying degrees of learning 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 rear gardens. The properties are owned and the care is provided by C.H.O.I.C.E Ltd. A private provider who has several homes in the local area and in adjoining counties. 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 vehicle and public transport is easily accessible. Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine inspection that the home had been given some notice of, as they had participated in a project with the inspector to make inspection reports more accessible to the residents. The inspection took place between 11.00 and 14.30. The inspector spoke with three residents, the manager and looked at some staff and resident records. Some ‘in-house’ activities were observed, some of the house was seen and the inspector had lunch with service users and staff. 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 DS0000011088.V259441.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 Hazeldene DS0000011088.V259441.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): 2 The home has excellent assessments, which are reviewed regularly. EVIDENCE: The home has not had a new admission since 2002. The records were seen and it was evident that the resident was given choice about whether he moved in or not, there were comprehensive assessments and an excellent transition plan on file. Hazeldene DS0000011088.V259441.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 EVIDENCE: Hazeldene DS0000011088.V259441.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): 12,13,15,16 and 17 Service users have individual daily programmes, which incorporate education, leisure and community activities. Appropriate relationships are encouraged and service users are assisted to develop and maintain existing and new ones. The home has an ‘ethos’ of respect for service users who are also made aware of their responsibilities. Menus are healthy and nutritious. EVIDENCE: Service users have an individual daily programme, which are changed and developed according to the needs and preferences of the service users. Whilst external day services have, recently been decreased, in some cases, the home has ensured that service users have an alternative programme that fulfils individual needs. Two service users now have a personal tutor to assist them with education programmes, appropriate to their ability and developmental level. Two residents confirmed that they do more activities than they did and that they really enjoy what they do. Staff and service users were observed doing some of the ‘in-house’ activities and individuals appeared to be really enjoying Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 Page 10 them. One service user was to link his daytime activity to a leisure activity, by going to a concert of his favourite pop star, whose site he had been linked to on the internet. Activities in the day care programmes included music (at college), internet (in house), Link up (sheltered workshop), Bennett Road (day centre), Horticulture (in house and at college), drama (college) and work experience. The home has good contacts with most of the families, those service users who do not have contact generally have a friend or the home attempt to find them an advocate. There was evidence that the home work extremely hard to ensure appropriate contact, this includes accompanying service users on lengthy journeys to see families and participate family events. One service user was discussing the family wedding he had participated in, over the lunch period. Excellent interactions were observed between staff and service users, service users were very comfortable to approach any member of the staff team to discuss issues and just to socially interact. Service users choose, shop for and prepare their own meals. Staff support and help them to choose foods that are reasonable healthy and a dieticians’ advice is sought, as necessary. Meal times were seen to be social and enjoyable occasions. Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 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 the following standard(s): Neither EVIDENCE: Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 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 the following standard(s): 24 and 30 The home is comfortable and safe and there are adequate standards of cleanliness. EVIDENCE: The standard of cleanliness and hygiene in the home has improved since the last inspection. The kitchen is still not to the required standard but work is to start on a total refurbishment on the 21st October 05. Service users were very pleased and excited about the new kitchen but rather unsettled because they had very little notice that the work was to start. The staff were observed working very hard to reassure and explain to service users how they would try to limit the disruption. They were going to discuss the situation at a full house meeting the following day (21st). Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 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 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): 32,34 and 35 The home has a stable, competent staff team who have good opportunities for training. The home has robust recruitment policies and practices. EVIDENCE: The home has a stable staff team, approximately 50 of the team have been working at the home for over two years. Excellent interactions were observed between service users and staff members and staff were very knowledgeable about the needs of individuals. Staff were observed supporting each other and the service user to deal with difficult behaviours. The staff team have good opportunities for specialist and professional training. Seventeen of the twenty-two staff are currently qualified or participating in professional courses. The home has thorough and safe recruitment procedures and ensures all staff supply the correct identification paperwork prior to starting work. The home did not have copies of the necessary paperwork in the home for the newest staff members, this is currently being held at head office. Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 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 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 home is well run and the health and safety of staff and service users is seen as a priority. The home does not have a formal quality assurance system. EVIDENCE: The home manager is experienced and knowledgeable and is completing his N.V.Q. Registered Managers’ Award, the home is effectively and efficiently managed. All the Health and Safety maintenance checks are completed regularly and a six monthly Health and Safety check is carried out by a Health and Safety advisor on behalf of the insurance company. The advisors opinion and assistance is sought, by the manager, for any Health and Safety issues or concerns. The staff mandatory Health and Safety training is current and repeated at the necessary intervals. The home does not have a formal quality assurance system, or annual development plan. The service users views, however, are regularly sought and regular regulation 26 visits are carried out. The quality of care remains high within the home. Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 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 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 4 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hazeldene Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000011088.V259441.R01.S.doc Version 5.0 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 YA39 Regulation 24 Requirement To develop a formal quality assurance system. Timescale for action 01/03/06 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 Hazeldene DS0000011088.V259441.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Berkshire Office 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. 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