Inspection on 13/12/05 for Kestrel House, St Anne`s Opportunity Centre,

This inspection was carried out on 13th 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 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

Kestrel House, St Anne`s... 09/05/07

Kestrel House, St Anne`s... 31/05/05

Kestrel House, St Anne`s... 22/12/04

Kestrel House, St Anne`s... 29/04/04

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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 Kestrel House, St Anne`s Opportunity Centre, 84 Hambridge Road Newbury Berkshire RG14 5TA Lead Inspector Tracy McGuire Brown Announced Inspection 13th December 2005 09:20 Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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 Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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. Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kestrel House, St Anne`s Opportunity Centre, Address 84 Hambridge Road Newbury Berkshire RG14 5TA 01635 40862 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) St Anne`s Opportunity Centre Limited Mrs Jacqueline Louise Thompson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2005 Brief Description of the Service: Kestrel House is a small residential home located close to the local town and all amenities. The home is registered for 3 service users aged 18 - 65 years who have learning disabilities. The home offers structured care to enable service users to develop more independent life skills at their own pace and within their own abilities. The home is well equipped throughout and has a large secluded garden which is well utilised. Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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, which was announced so the Inspector could involve the home in a consultation project. The people in the home have requested that they are referred to as clients and not residents or Service Users in this report. The Inspection took place over a 3-hour period. Time was spent talking to the Manager, staff and clients Samples of various records were examined. In addition the home has worked with the Inspector and took part in a client consultation project. This involved feeding back the previous inspection report to the clients recording methods, interest and providing comments. The Inspector would like to thank all those involved for their assistance in this project. What the service does well: What has improved since the last inspection? Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.R01.S.doc Version 5.0 Page 6 Clients pointed out to the Inspector that they have had a new sofa since the previous inspection and this was important to them. Risk assessments have been updated and clients have undertaken new educational and work opportunities. 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. Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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 Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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): This Standard not inspected on this occasion. EVIDENCE: Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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): This Standard not inspected on this occasion. EVIDENCE: Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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): 16 The client’s rights and responsibilities are encouraged and respected. EVIDENCE: Time was spent talking to clients who informed the Inspector of their responsibilities within the home. Clients were observed chatting to each other and staff. Some clients have chosen to have a chain style lock on their door. The Inspector raised some concerns in respect of this, staff have put in place detailed risk assessments, the option of different style locks were discussed with staff who discussed with clients. Clients are very aware of privacy and confidentiality issues and are seen knocking on doors Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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): These Standards not inspected on this occasion. EVIDENCE: Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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): These Standards not inspected on this occasion. EVIDENCE: Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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): These Standards not inspected on this occasion. EVIDENCE: Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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 The clients are supported by an effective staff team. EVIDENCE: Staff records were available and examined. Staff in the home have varied qualifications and experience suitable for theclients living in the home, evidence of this was seen on staff training and recruitment records. Most staff have achieved a minimum NVQ level 2 or are working towards this. Staff may work in the organisations other homes, so developing wider skills and knowledge .The clients are complimentary about staff. There is a low turnover of staff. Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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 and 39. 42(partially inspected) The home is very well run. Client’s views underpin the monitoring and development programme in the home. Health and safety is promoted. EVIDENCE: The Manager of the home is well organised, this is reflected in the records held in the home. Staff and clients spoken to on the day of inspection were positive about the Manager and feel that they can approach her about any issues. The Inspector spent some time talking to the Manager who demonstrated sound knowledge of legal and development issues. The Manager has relevant qualifications and experience and has previously managed another home. The Manager promotes a client-centered approach. Client’s views are of paramount importance in the day-to-day running and the development of the home. The home seeks the views of clients in a variety of ways including: weekly house meetings where, each client is given equal time to raise and discuss issues, these meetings are all recorded. Clients also have the opportunity to explore coping strategies and this can be a good time to raise and discuss issues, these sessions are recorded and one was undertaken on the day of inspection. Regular monitoring visits are undertaken by the Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.R01.S.doc Version 5.0 Page 16 proprietor and supplied to the CSCI. The Inspector was informed that at reviews the home seeks the views of professionals and family/carers. The Inspector viewed the homes basic annual development plan and clients have individual development plans in their files. The records were examined in respect of the hot water temperatures. Water temperatures are recorded on a regular basis; these were seen and were between 47 and 50 degrees c. The safety of hot water was again discussed. The clients informed the Inspector “we always run a bath with cold water first and there is a thermometer to test the temperature is at 40 degrees c.” This was reflected in care plans and risk assessments seen.The home needs to continue to review and monitor records in respect of water temperatures including capability assessments and risk assessments to ensure safety. Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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 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 X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X 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 4 X 3 X X 3 X Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement Timescale for action 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 Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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 Kestrel House, St Anne`s Opportunity Centre, DS0000011175.V264342.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!