Inspection on 05/07/05 for Lawrence Dene

This inspection was carried out on 5th July 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

Lawrence Dene 27/09/07

Lawrence Dene 30/01/05

Lawrence Dene 10/01/05

Lawrence Dene 19/10/04

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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 Lawrence Dene Basingstoke Road, Reading, Berks RG7 1AP Lead Inspector Yvonne Souden Unannounced 5 July 2005 11:30 th 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 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 Stationary 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. Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lawrence Dene Address Basingstoke Road Spencers Wood Reading Berks RG7 1AP 01189886002 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Atlas Project Team Mr Graham Kenyon Care Home 3 Category(ies) of Learning Disabilities (LD) registration, with number of places Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 100105 Brief Description of the Service: Atlas Project Team Ltd are the provider for Lawrence Dene, which is a care home providing personal care and accommodation for 3 Young Adults aged 18– 65 who have a learning disability with associated behavioural problems. The home is situated in the village of Spencers Wood and is within walking distance to shops and a garage. The home has unmarked vehicles, and is only a short drive to all the recreational and shopping amenities within Reading Lawrence Dene is a four bedroomed detached property on the main road within the village, and has woodland and farmland behind. Service users have access to the back garden via the kitchen. The front garden is laid with gravel with room to park 2/3 cars; off road parking is available. Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection on a Tuesday morning/afternoon where an initial two residents and one staff member were present, the registered manager, a staff member and third resident arrived within half an hour of the inspector’s arrival, later to be followed by a regional manager. The residents who live in this home have limited to non-verbal communication skills but staff have received effective communication training. The inspector was able to observe positive interaction between residents and staff and was able to discuss the needs of the residents with two staff members and management. A minimum amount of records were observed. What the service does well: 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. Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 7 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 standard(s) Standards 1-5 were not assessed on this occasion. EVIDENCE: Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 8 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 standard(s) Standards 6- 10 were not assessed on this occasion. EVIDENCE: Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 9 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 standard(s) Standards 11 – 17 were not assessed on this occasion. EVIDENCE: Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 10 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 standard(s) 18 & 19 Service users receive support to meet their health and social care needs and are enabled to access health and social care services. EVIDENCE: The service users have non-verbal communication skills; staff interaction with service users was positive as they were observed to escort the individual service user in a dignified manner to the privacy of their room, so as to assist with personal care. Within individual discussion, staff showed a full awareness of the needs of the service user and of the key worker system in place. The home has a working file on the individual service user that contains documentation that identifies reviews, and updates on the health and social care needs of the service user, and has strategies in place to meet the need. Records show that service users are enabled to access health & social care services and that review of the service users needs takes place, and where applicable with care management involvement, and that the reviews are thoroughly minuted by the home. The service users are registered with a G.P. Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 22 & 23 Complaints are taken seriously by the home and systems are in place to protect the service user from abuse. EVIDENCE: A complaint record identifies that complaints are taken seriously and are fully investigated within the homes complaint procedure. Staff are aware of the multi agency policy and procedure for the protection of vulnerable adults and of the homes whistle blowing policy. Staff spoke of training received/planned within Strategies for Crisis Intervention and Prevention (SCIP), MAKATON, Protection of Vulnerable Adults and Anti-Discriminatory Practice. Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 12 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 standard(s) 24 & 27, 30 The home is clean and hygienic with plans in place to improve the fire safety and enable the home to meet the environmental standard. EVIDENCE: The home was clean with no offensive odours and has a toilet and wash hand basin on the ground floor and an assisted bathroom on the first floor; one service user has an en-suite facility and is intolerant at present to blinds or curtains and therefore the service users privacy is not assured. The assisted bathroom used by all service users does not have a blind or curtain to ensure privacy; management said that the provision of a blind/curtain may cause distress to the service user who has a low tolerance of furnishings introduced. Curtains and blinds have been introduced into communal areas within the home for example lounge, dining room and sensory room and a discussion took place on respecting the privacy of all service users. However it is recognised that the assessed needs of the service users dictate type, and of how much furnishings are acceptable to them and that this could prevent management from creating a homely environment. There are areas within the home that requires décor and repair and management are in liaison with the new landlords to ensure a planned Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 13 maintenance programme is implemented to enable the home to meet the environmental standard. The inspector observed a tie holding the fire door leading to the kitchen open. The manager confirmed that the door is shut at night but that in the day it has to remain open; the manager informed the inspector that within a risk assessment there is a risk that the service user may harm themselves or others by barging the door open. Management confirmed that, as a priority to ensure the safety of the service users they are in liaison with the landlords and fire authority to have an appropriate device installed that will automatically release the door in the event of a fire alarm activation. Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35 An effective trained staff team supports service users. EVIDENCE: The inspector spoke to the two staff on shift who spoke enthusiastically of the training provided within the home; records show a training and development plan in place that ensures staff cover statutory and specialist training and that staff are supported to undertake an NVQ in care. Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Standards 37 – 43 were not assessed on this occasion. EVIDENCE: Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x 2 x x 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lawrence Dene Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 17 N/A 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 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. 1. Refer to Standard 24 Good Practice Recommendations Following the discussions that the manager is in the process of having with the new landlord and the fire authority, the manager should send a copy of the maintenance report and any recommendation from the fire authority to CSCI. The report should detail anticipated timescale for completion of the work that would demonstrate a clear plan of action is underway to meet the shortfall within the envioromental standards and safety of the home. Management should consider the privacy of all service users so as to identfy a plan of action that will ensure their privacy whilst using the communual bathroom. 2. 24 3. Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 2nd Floor Arlington Business Park Theale 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 Lawrence Dene H52-H01 S11364 Lawrence Dene V226563 050705 Stage 4.doc Version 1.30 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. 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