Inspection on 26/06/06 for Just Homes

This inspection was carried out on 26th June 2006.

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

Just Homes 25/02/08

Just Homes 20/09/05

Just Homes 26/04/05

Just Homes 21/12/04

Just Homes 31/07/04

Just Homes 06/02/04

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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 Just Homes 3 Newhill Purley On Thames Reading Berkshire RG8 8AY Lead Inspector Mrs Sandra Grainge Unannounced Inspection 26th June 2006 09:00 Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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 Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Just Homes Address 3 Newhill Purley On Thames Reading Berkshire RG8 8AY 0118 962 4887 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) Mrs Pamela Mary Eales Mrs Susan Donovan Care Home 3 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (1) of places Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20.09.05 Brief Description of the Service: Just Homes, in Purley aims to provide its Service Users with a secure, relaxed and homely environment in which their care, well being and comfort are of prime importance. Carers will strive to preserve and maintain the dignity; individuality and privacy of all Service Users within a warm and caring atmosphere and in doing so will be sensitive to the Service User’s ever changing needs. Such needs may be medical/therapeutic (for physical and mental welfare), cultural, psychological, spiritual, emotional and social. The Service Users are encouraged to participate in the development of their individualised Service User plans in which the involvement of family and friends may be appropriate and greatly valued. (Extract from the Statement of Purpose). Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Just Homes provides residential care for three adults who have learning difficulties. The accommodation is a large detached bungalow in a residential road in Purley. There is limited car parking on site; the property is situated next to a bus route and is close to local amenities. At the time of this unannounced site visit the Home’s Registered Manager and her deputy were off duty. The Service Users were in the capable hands of a senior carer and two other permanent members of staff. Both the Registered Manager and the Registered Person telephoned the Inspector during the site visit with offers to provide any additional information or to attend the home. This was not necessary. The staff who were working in the home were able to provide all that was required and the Inspector spent time with the Service Users to seek their views as well as making a tour of the property and track care. Only one person was able to comment verbally. Some weeks prior to the site visit “Have your say” comment cards had been sent to the home to assist Service Users to make their views known with the help of carers or relatives. No comments had been returned to CSCI. The Inspector did not meet any visitors during the site visit and so later made contact with a relative by telephone. Information provided by the registered manager in a pre-inspection questionnaire informed the report, as did records held by the CSCI. All three Service Users had been away on holiday with staff for the week prior to the site visit and staff were putting away holiday equipment and getting back into normal life in the house. One Service User was pleased to return to her pets even though she had enjoyed the holiday. Holiday memories were very fresh and Service Users were pleased with their new summer clothes. There was a busy happy atmosphere in the home; a relative described this as normal for the home. Staff were reported to be kind and caring. What the service does well: The Service Users were content and happy in their home environment. This was stated by the one person able to express a view and confirmed by the non-verbal behaviour of the others. A relative confirmed this view. All the Staff had worked in the service for a long time and demonstrated that they knew the needs of each individual and had the skills needed to provide care and manage potential disruptive behaviour. The staff worked together as a team. It was particularly good to find that the home operated well and Service Users were happy at a time when both the Registered Manager and her Deputy were not present. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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 Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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): 1 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There had been no changes in the occupation of the home for several years. A Statement of Purpose was available to provide information necessary to meet standard one. Each existing Service User had a written contract and terms and conditions of occupancy on their file. A relative confirmed that next of kin had been supplied with an information pack. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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, 8, and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each Service User had a plan of care available on file. These plans included specialist requirements and detail of how the Service would meet need. Attempt had been made to present these plans in a format that was understandable for the Service User. Staff were seen to consult Service Users about participation in daily life in the home. There was evidence that risk taking was in accordance with the planned care. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this Service. EVIDENCE: At the time of the visit planned activities were taking place. Photos and other memorabilia of holidays, outings and activities were displayed. Service Users had just returned from a week holiday. Suitcases were being stored away. Service Users were pleased with new holiday outfits. Accounts of holiday activities were recorded in each daily record book. Staff offered choice of appropriate leisure activities to Service Users and encouraged them to participate in the daily routine of the home and also in the selection of food for lunch. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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): 18, 19, 20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each individual had a care plan containing detail of the way in which staff are to offer personal care. There was evidence that these plans were followed and Service Users received personal care from trained staff who knew how to meet both their emotional and physical needs. Files contained record of care review meetings held regularly to develop care; relatives were invited to attend these with care managers and appropriate professionals. None of the Service Users was capable of holding and administering their own medication. Staff had been trained to do this for them. Records were up to date, in good order and medication was stored safely. A planned pharmacy inspection was due to take place in the near future. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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): 22 and 23 Quality in this outcome area is good. This judgement has been made has been made using available evidence including a visit to this service. The procedure for action to be taken in the event of allegation of abuse to vulnerable adults must be clarified. EVIDENCE: A complaint procedure was readily available. Although Service Users were unable to make a formal complaint it was obvious that they knew how to convey their wishes or dissatisfaction to staff. A relative confirmed that she knew how to make a complaint and had confidence that the management would take appropriate action. There was an official complaint record available. No complaints had been recorded and no concerns had been received by CSCI. Staff had received training to be aware of the protection of vulnerable adults. They reported that this had been helpful to them. No allegations had been made concerning practise in this service. A procedure for notification of an allegation was available; however this was confusing because it contained reference to notification and reporting to both Surrey and Berkshire County multi disciplinary teams. In order to provide Service Users with speedy correct protection in the event of an incident this procedure must be clarified. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each Service User has been provided with a room and accommodation that meets the standards. A Serive user invited the inspector to see her bedroom that contained a collection of beautiful dolls as well as her caged birds. A tour of the property was made as part of this unannounced site visit and everything was found to be in good order; the fabric was well maintained and the accommodation was both clean and tidy. The garden was landscaped, attractive, accessible and furnished with seats. Service Users have a cat and a pet rabbit in the garden. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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, 33 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff on duty reported that they had all been cleared for employment by procedure that included a police check. The registered Manager had sent a staff training schedule to CSCI following the previous inspection. There was evidence in the records that this schedule was in progress; staff on duty confirmed that they had received training as listed. In addition they received supervision on a regular basis. Personal staff records were not inspected on this occasion. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service Users benefit from a well run home. This was evident because the home was operating well without the Registered Manager and the staff team on duty were confident and demonstrated that they were skilled and capable of caring for the Service Users. The update of policy, procedure and staff training for fire protection, food hygiene, control of substances that are hazardous to health, safe control of hot water temperatures and the administration of medication had improved Service User safety. Staff had recently been issued with updated employment booklets. There was evidence that staff meetings were held regularly as well as individual supervision sessions. Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X 3 X 3 3 3 3 Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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 YA23 Regulation 13(6) Requirement The manager must ensure that all staff receive training in the protection of vulnerable adults from abuse and a copy of the Multi-Agency procedures obtained. Timescale for action 31/07/06 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 Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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. Extracts may not be used or reproduced without the express permission of CSCI Just Homes DS0000011212.V293574.R01.S.doc Version 5.1 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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