Inspection on 08/12/05 for Kadimah

This inspection was carried out on 8th December 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

Kadimah 13/10/08

Kadimah 18/10/06

Kadimah 04/08/05

Kadimah 17/02/05

Kadimah 21/12/04

Kadimah 10/03/04

Similar services:

Pinta

Kestrel House, St Anne`s Opportunity Centre,

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Kadimah Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ Lead Inspector Marie Carvell Unannounced Inspection 8th December 2005 11:00 DS0000011369.V264081.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 DS0000011369.V264081.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. DS0000011369.V264081.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kadimah Address Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ 01344 755573 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) bucketsandspades@norwood.org.uk Norwood Ravenswood T/A Norwood ***Post Vacant*** Care Home 11 Category(ies) of Learning disability (11) registration, with number of places DS0000011369.V264081.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th August 2005 Brief Description of the Service: Kadimah is part of the Norwood organisation based at Ravenswood village. The home is registered to provide accommodation and care for up to ten service users, aged between eighteen and sixty five years and one service user over the age of sixty five, those main needs arise from learning disability. The home currently provides care to eleven male service users with low to moderate learning disabilities. DS0000011369.V264081.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by the lead inspector for the home on a week day morning from 11am until 3:10pm, and was unannounced. A brief tour of the communal areas of the home was made and a sample of records relating to service users, staff and records required to be kept in the home, including health and safety were examined. Time was spent with the manager, staff on duty and service users. The inspector also joined service users for the midday meal. At the last inspection in August 2005, four requirements were made, these were that the complaints procedure included the name, address and phone number of the Commission for Social Care Inspection, that all staff receive training in the Protection of Vulnerable Adults from Abuse (POVA), that an application is submitted to vary the home’s registration category for the service user over sixty five years of age and that accident records are maintained in accordance with the Data Protection Act 1998. Three of the four requirements have been complied with. Feedback was given to the manager at the end of the inspection. The home’s updated registration certificate is currently being processed and the details will be updated to appear on the next inspection report, which is generated centrally. What the service does well: The manager has had a positive impact on service users and the staff team. The home is well managed. Staff on duty were well motivated and all said that they felt supported by the manager. There is clearly a good rapport between service users, staff and the manager. Staff were helpful, courteous and professional in their approach to service users and visitors. There is clear evidence that all service users are offered choices and enabled to make decisions about their lives. DS0000011369.V264081.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. DS0000011369.V264081.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 DS0000011369.V264081.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): None of these standards were inspected. EVIDENCE: DS0000011369.V264081.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): None of these standards were inspected. EVIDENCE: DS0000011369.V264081.R01.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): None of these standards were inspected. EVIDENCE: DS0000011369.V264081.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 of these standards were inspected. EVIDENCE: DS0000011369.V264081.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): 22 and 23 The home has an up to date complaints procedure and service users are protected from abuse. EVIDENCE: Since the last inspection the complaints procedure has been developed to include the name, address and phone number of the CSCI. In- house training has been provided by the manager in the protection of vulnerable adults from abuse and the Berks. Multi-agency procedures. Staff spoken to confirmed that this training had been provided. DS0000011369.V264081.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): 30 The home is comfortable, well maintained and clean. EVIDENCE: Communal areas of the home were seen to be clean, fresh and hygienic. Service users continue to express their satisfaction of the home and the facilities available. Since the last inspection new furniture has been purchased for the lounge and dining room. The staff team work hard to make the home as comfortable and homely as possible. DS0000011369.V264081.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): 32,33, 34, 35 and 36 A competent, well trained and experienced staff team support service users. Staffing levels are sufficient to meet the needs of the service users. There is a low turnover of staff. The organisation has a robust recruitment procedure. Staff receive regular, planned and recorded supervision. EVIDENCE: The home is fully staffed with a well established staff team who have worked in the home for a considerable period of time and know the service users well. From examination of a sample of staff personnel files it was evident that recruitment procedures are robust. No members of staff commence work until an enhanced CRB has been completed. Staff training is well organised centrally, staff training and career development is actively promoted. The home has an up to date staff training and development programme. All staff receive regular, planned supervision, from staff who have received supervisory skills training. The manager is currently reviewing supervisory arrangements in the home. Supervision records were seen to be up to date. DS0000011369.V264081.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 Service users benefit from a well managed home. The home’s registration has been varied to include one service user over the age of sixty five years. Effective quality monitoring systems based on seeking the views of the service users are in place. Accident records are not maintained in accordance with the Data Protection Act 1998. Records relating to health, safety and fire were well maintained and up to date. EVIDENCE: Since the last inspection the manager has been registered with the CSCI, this has had a positive impact on service users and the staff team. The manager is experienced and well qualified. Staff feel supported by the manager and staff work well as a team. DS0000011369.V264081.R01.S.doc Version 5.0 Page 16 Effective monitoring systems based on seeking the views of service users take place on a regular basis. One service user attends the Ravenswood Residents Committee meeting, which is held monthly and monthly in-house service user meetings. In addition staff join service users for meals and chat informally about events in the home. At the last inspection a requirement was made that records must be maintained in accordance with the Data Protection Act 1998. This has not been complied with within the required timescale. Records relating to health, safety and fire are well organised and up to date. DS0000011369.V264081.R01.S.doc Version 5.0 Page 17 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 3 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 x x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x 2 3 x DS0000011369.V264081.R01.S.doc Version 5.0 Page 18 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 YA41 Regulation 17 Requirement That the manager ensures that records are maintained in accordance with the Data Protection Act 1998. Previous timescale of 04/10/05 not met. Timescale for action 09/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000011369.V264081.R01.S.doc Version 5.0 Page 19 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 DS0000011369.V264081.R01.S.doc Version 5.0 Page 20 - 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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