Inspection on 30/11/05 for House 2 Slade House

This inspection was carried out on 30th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

House 2 Slade House 28/08/07

House 2 Slade House 03/08/06

House 2 Slade House 23/02/06

House 2 Slade House 16/02/05

House 2 Slade House 11/11/04

House 2 Slade House 09/03/04

House 2 Slade House 09/12/03

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

CARE HOME ADULTS 18-65 House 2 Slade House OLD NHS Trust Horspath Driftway Headington Oxford OX3 7JH Lead Inspector Catherine Kane Announced Inspection 30th November 2005 11:30 House 2 Slade House DS0000013162.V254366.R02.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 House 2 Slade House DS0000013162.V254366.R02.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. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service House 2 Slade House Address OLD NHS Trust Horspath Driftway Headington Oxford OX3 7JH 01865 228135 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) Oxfordshire Learning Disability NHS Trust Mrs Catherine Sarah Baker Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 3 16th February 2005 Date of last inspection Brief Description of the Service: The Step Down Service (House 2) is a three bedroomed house situated on The Slade site in Oxford. It provides a transitional placement for individuals who have a learning disability and have moved from secure in-patient environments. The service falls within the remit of the specialist health services at Oxfordshire Learning Disability NHS Trust (OLDT). The house provides short-term accommodation and outreach support for up to three people who are assessed to subsequently move into the community within a timescale of two years. Clinicians and the management team, before acceptance into the service, formally assess individual’s needs. Service users identify their own needs through a ‘life planning’ process/tool and are supported by staff to gain the skills required to achieve goals and eventually achieve independence in the community. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection visit took place during the day of Wednesday 30 November 2005. The purpose of the visit was to see how the home is meeting National Minimum Standards. The visit took three hours and the inspector spent this time with two residents who currently live in the home. The inspector also spoke with the acting manager, her manager and two staff on duty. She spoke with two other staff members on the telephone afterwards. During the inspection she read notes kept in the home, went on a tour of the building and was invited to join residents and staff for lunch. The inspector was told that the named registered manager no longer works in this home. The acting manager works hard to make sure that things run smoothly. However, CSCI needs to be kept informed of the management arrangements. OLDT must appoint a manager for this home who must apply to register with the CSCI. Three residents returned comment cards to the inspector. Whilst residents indicated that they were generally satisfied with the care provided at this home, one resident highlighted that they were not happy living there. Residents chose not to speak privately with the inspector at the time of the visit. The inspector would like to thank each resident for taking the time to speak with her and thank managers and staff for their assistance during the inspection. What the service does well: What has improved since the last inspection? From what the inspector saw during this visit and from the standards looked at during this inspection the inspector cannot make a judgement on what has improved since the last inspection. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 6 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. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 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 the following standard(s): The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 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 the following standard(s): The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 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 the following standard(s): 13 and 17 Residents have opportunities to take part in a variety of activities within their local community. Meals served are freshly prepared and the menu is varied. Residents said they are very happy with the meals provided. EVIDENCE: During the inspection the inspector spent some time getting to know residents who told her about the things that are important to them and what things they like to do. From talking with residents and staff, the inspector understood that it was very important for each person to be able to get out and about and use their local community facilities. Notes kept in the home, including the minutes of a residents’ meeting, indicated that staff time was allocated to supporting residents to do this. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 11 A freshly cooked snack meal was served at midday on the day of the inspection. All residents indicated to the inspector that the food served is very nice and told the inspector that they help put together the menu. One resident is a good cook and likes to help prepare meals. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 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 the following standard(s): The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 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 the following standard(s): 22 The complaints procedure is easy to follow. Residents know how to make a complaint. EVIDENCE: The complaints procedure is clear and made easy for people who use the services to be able to make a complaint. The details and actions taken to resolve issues and complaints made have been made available to the inspector. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 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 the following standard(s): 24, 28 and 30 The standard of the décor in this home is poor. The kitchen facility is in a very poor state of repair and potentially dangerous, placing residents and staff at risk. Systems for the control of infection and maintaining good hygiene could be improved. EVIDENCE: Residents took the inspector on a tour of the building and garden and highlighted to her some of the areas of the home that concerned them. The shared areas of the home are badly in need of redecoration and repair to the plasterwork. The acting manager said that this is planned for March 2006. The kitchen was in a very poor state of repair with broken cupboards and flooring coming unstuck. One resident told the inspector that they were particularly frustrated when cupboard doors would fall off while they prepare meals. It is an essential part of the aims in this home that residents are supported to be independent; this kitchen facility must be in good working order and safe for both residents and staff. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 15 Recent groundwork in the garden has left broken path slabs. The garden path must be made safe. The garden shed, where garden products are stored, has broken windows that must be repaired. The home was clean and tidy at the time of the inspection. A freezer where food is stored is kept in the laundry room. It is not appropriate to store food in an area where there is dirty clothing and soiled linen. The acting manager must consult the local authority responsible for environmental health for advice on good hygiene practice in the home. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 16 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 and 35 There is a core of well-established staff that provide some consistency of care within this home. However, staff morale could be improved. EVIDENCE: Residents gave positive feedback about the staff team and they were able to confirm that they feel that staff generally understand their needs. The inspector spoke with three staff members. All confirmed a strong commitment to providing quality services for residents. Staff commented that a recent period of increased absence of staff due sickness and frequent changes to management has had a negative effect on staff morale. They indicated that more staff with the right qualities for the type of work involved were needed. The staff team share delegated responsibilities based on their range of skills and qualifications. A comprehensive training programme is available to staff that includes NVQs and other specific training related to the work staff are expected to do. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 17 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 and 42 The home needs a permanent manager to provide leadership, guidance and direction to staff to ensure that residents receive consistent quality care. EVIDENCE: The inspector was informed that the named registered manager no longer works in this home. CSCI must be notified of any changes to the management of the home and informed of the arrangements made to ensure that the home is well run. The home has been run by the acting manager, who has been overseen by a clinical nurse manager, who, whilst experienced, is not registered with CSCI. While the current management arrangement may have worked reasonably well, this home does need to have its own registered manager to develop the service. The acting manager has plans to take up a full time course of study in the near future. A manager must be appointed who must register with the Commission. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 18 The inspector was told that the log of health and safety check records kept in the home went missing in November 2005. A new log has been started. The acting manager informed the inspector that searches and her internal investigation about the disappearance of these records has been unsuccessful in finding the folders. The home should ensure that all records kept that are needed for inspection be kept safe. The checklist system used was unclear and did not provide sufficient detail to ascertain that the items being checked were or were not within acceptable health and safety margins. A log to confirm that fire safety system checks and staff fire safety training and updates take place was well kept. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 19 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 3 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 2 X X X 2 X 2 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 House 2 Slade House Score X X X X Standard No 37 38 39 40 41 42 43 Score 2 X X X X 2 X DS0000013162.V254366.R02.S.doc Version 5.0 Page 20 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 YA28 Regulation Requirement Timescale for action 15/01/06 2 3 YA28 YA28 4 YA37 16(2)(g),(h) The registered person must provide an action plan detailing a reasonable timescale for the kitchen facility to be replaced or satisfactorily repaired so that it is safe for both residents and staff to use. 13(4)(a) The garden path must be made 15/12/05 safe. 13(4)(a) The garden shed where garden 15/12/05 products are stored has broken windows that must be made repaired. 38(1)(b), The organisation person must 15/01/06 38(2) provide CSCI with details of the 39(a),(b) arrangements for managing this home. 8(1)(a) 13(3) 16(2)(j) 23(5) The organisation must put forward a plan to appoint a manager to register with CSCI. The acting manager must consult the local authority responsible for environmental health for advice on good hygiene practice in the home. 15/01/06 15/01/06 5 6 YA37 YA30 House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 21 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 YA42 Good Practice Recommendations The inspector strongly recommends that the home should ensure that all records that are to be kept in the home are kept safe and made available for inspection. House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 22 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 House 2 Slade House DS0000013162.V254366.R02.S.doc Version 5.0 Page 23 - 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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