Inspection on 21/09/05 for Inglewood House

This inspection was carried out on 21st September 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

Inglewood House 08/08/07

Inglewood House 09/05/06

Inglewood House 05/01/06

Inglewood House 18/05/04

Similar services:

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Insight - Eastchurch

Southfields

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Dovedale Court

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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 Inglewood House Inglewood House 56 Middle Gordon Road Camberley Surrey GU15 2HT Lead Inspector Janet Daulton Announced Inspection 22nd September 2005 10:00 Inglewood House DS0000013686.V253514.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 Inglewood House DS0000013686.V253514.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. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Inglewood House Address Inglewood House 56 Middle Gordon Road Camberley Surrey GU15 2HT 01276 64776 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) The Regard Partnership Limited Mrs Elizabeth Gail Hayes Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The home may accommodate up to 1 (one) named resident with both LD & MD, Learning Disability/Mental Disorder within the total number of residents. The age/age range of the persons to be accommodated will be 24 - 65 years. The home may accommodate one service user with a mental disorder (Category MD) In the case of one named service user the age category will be reduced from 24 to 20 years of age. The home may accommodate up to 1 (one) resident with both LD & PD, Learning Disability/Mental Disorder within the total number of residents accommodated 5th October 2004 Date of last inspection Brief Description of the Service: Inglewood House is a semi detached house situated in a residential area of Camberley, and is within a few minutes walking distance from the town centre. The home is registered to provide care for up to 12 service users in the category of younger adults. The accommodation is provided over two floors, with communal areas on the ground floor, and bedrooms on the ground and first floor. All bedrooms are single, with a wash hand basin. There is a pleasant rear garden which is accessible to service users. Parking in mainly on street parking. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 4.0 hours and was the first inspection carried out by the Commission for Social Care Inspection for the year 2005-2006. The inspection was carried out by Mrs. J Daulton, Lead inspector for the service. The Manager Ms. E. Hayes, and Deputy Manager Ms. R. Thomas were present for all of the inspection. A tour of the premises took place. The inspector took lunch with the service users. Four care plans, the complaints log, and staff recruitment files, and a sample of safety certificates were inspected. The inspector spoke to all the service users and staff in the home on the day of the inspection. The inspector also spoke with one visitor who was in the home on the day of the inspection. This was a positive inspection, and the feedback from service users and one relative were generally very complimentary. The inspector would like to thank the staff and service users for their time, assistance, and hospitality during the inspection. What the service does well: The home continues to provide a homely and attractive environment for the service users. All service users appeared happy and relaxed in their surroundings. Staff were very knowledgeable about the service users. The staff were seen to be caring for the service users in a friendly and respectful way. All service users contacted stated that they felt safe and well cared for in the home. Service users were encouraged to maintain control over their daily life as much as possible. Individual preferences were encouraged, in choice of activities, decoration of room and personal leisure pursuits. Meals were varied, well balanced and nicely presented, offering a choice and variety. The service users care plans were detailed. They gave clear instructions to the staff about the service users needs and the care that had to be given to meet those needs. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 6 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. Inglewood House DS0000013686.V253514.R01.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 Inglewood House DS0000013686.V253514.R01.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): 2,6. Service users had their needs assessed before they moved into the home to ensure that the home could provide for those needs. EVIDENCE: All the care plans inspected had a pre- admission needs assessment completed by the Manager of the home, or the Social Services Care Manager. The assessment covered all elements of physical, mental, and social needs, and from the evidence seen at inspection it was clear that the service user was involved in the assessment process. There were no service users requiring nursing input from Community nursing teams at the time of the inspection. Inglewood House DS0000013686.V253514.R01.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): 6,7,9, The service users needs were clearly identified and the care and activities provided was person centred. EVIDENCE: The service users files were very well organised. The care plans, called life plans were detailed, and were drawn up with the emphasis on the service users likes, dislikes, and individual preferences. The service user signed the care plan. A recommendation was made that the care plan was also available in a format that was more suitable to the level of understanding of the service user. Risk assessments were included where appropriate, and each care plan was reviewed every three months or more often if required. A key worker system operated within the home. The service users knew who their keyworkers were. Service users were treated with respect by the care staff, and the service users who were spoken with said how kind the staff were, and one visitor stated that she felt confident her son was safe and happy in the home. The rights of the service users were upheld by the home, and any restrictions on freedom clearly stated in the risk assessments. 2 service users were able to go out unaccompanied; the other service users needed assistance when Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 10 going out. Individual choices were detailed in the life plan, and service users were supported in being as independent as possible. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 11 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): 12,13,15,16,17. The home encouraged service users to maintain their interests and partake in activities. EVIDENCE: Several service users went to college for basic training in skills such as Art and Crafts. There were no service users taking up opportunities for paid work. Service users were encouraged to partake in local activities, and to attend the local amenities, such as swimming pool and leisure centre, local shops and pubs and the cinema. The rights of the service users to privacy and respect were observed during the inspection. Service users were encouraged to maintain family and friends. A few of the service users had regular contacts with their families, Personal relationships with people of their own choice were enabled, and risk assessments were completed if necessary. Service users had unrestricted use of the house and gardens, and keys were offered to the house and rooms. The home operated a no smoking policy for service users and staff. 1 Service user smoked and provision was made for that. Service users were encouraged to take responsibilities for housekeeping tasks. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 12 The provisions for meals provided choice. The menus for the following week were discussed every Friday, and service users assisted with the shopping for food. The service users were encouraged to eat together at least once a day. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 13 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): 18,19,20, Service users had access to healthcare support from the community. Medication was safely administered and appropriately stored. EVIDENCE: All service users were registered with a local GP. One relative confirmed that visits to the GP were undertaken where necessary. Assistance was given with personal care, and this was evidenced in the care plans. Thee were no service users self-medicating. Records were seen which showed that medication was given and recorded by suitable trained staff. A recommendation was made that any as required drug is signed if refused. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 14 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): 22,23 Service users are protected from abuse by the homes policies and procedures. The complaints procedure needs amending to give full details the CSCI, and it should be in a format that is suitable for the service users to understand. EVIDENCE: There was a complaints procedure in place in the home. To be fully compliant with the Regulations the complaints procedure must give the details of the CSCI. It is also recommended that the complaints procedure be produced in a format that is suitable for the service users level of understanding. A record was kept of any complaints. There had been 1 complaint since the last inspection, which had been dealt with in an appropriate manner. All staff had received vulnerable adults training. The homes policies and procedures protected the service users financial affairs. There was a whistleblowing policy in place. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 15 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): 24,30 Service users lived in comfortable homely surroundings, and the standard of cleanliness was good. EVIDENCE: The home had comfortable bedrooms and communal areas. The furnishings were domestic in nature, and the lighting and heating were satisfactory on the day of the inspection. Laundry facilities were satisfactory, and gloves and aprons were seen to be used when carrying out personal care. Inglewood House DS0000013686.V253514.R01.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): 33,34,35, The numbers and skill mix of the staff met the service users needs. Service users were protected by the homes procedures for recruitment. EVIDENCE: The staff rota inspected demonstrated that the staffing numbers and skill mix were appropriate to meet the assessed needs of the service users living in the home. All interactions observed between staff and service users during the inspection were seen to be caring and respectful. Regular staff meetings were held, and minutes were maintained. Two staff files were examined. The recruitment files were well organised. All necessary checks had been completed prior to employment, and staff received Statements of Terms and Conditions. Induction records were seen at inspection; staff have a six month probation period. Each staff member had a training and development profile. Inglewood House DS0000013686.V253514.R01.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): 38,39,42 The management of the home ensures that the service users live in a well run home with open leadership. The quality monitoring systems needs further development to ensure that the views of service users are actively sought. EVIDENCE: Service users, visitor, and staff stated that the manager had an open door policy, and was supportive to service users and staff. A questionnaire for distribution to service users, obtaining their views on the home, was shown to the inspector, however this had not yet been given to the service users. This needs further development. Health and safety records were sampled, including moving and handling training, fire drill and fire safety checks, and gas and electrical certificates. These were all in order. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 18 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 N/A Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 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 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Inglewood House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 2 x x 3 x DS0000013686.V253514.R01.S.doc Version 5.0 Page 19 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 22 Regulation 22 Requirement The complaints procedure must include the address and telephone number of the Commission for Social Care inspection. An internal audit is implemented, and the results of service user surveys are published and made available for service users and their representatives. Timescale for action 30/11/05 2 39 24 31/12/05 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 2 3 Refer to Standard 6.7 20 22 Good Practice Recommendations The care plan is available to service users in a format that they can understand. Any PRN drug is detailed if it is refused. The complaints procedure should be produced in a format suitable for the level of understanding of the service users. Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Inglewood House DS0000013686.V253514.R01.S.doc Version 5.0 Page 21 - 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. 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