Inspection on 13/07/05 for Limber Oak

This inspection was carried out on 13th 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

Limber Oak 26/02/09

Limber Oak 24/10/06

Limber Oak 06/12/05

Limber Oak 22/02/05

Limber Oak 13/10/04

Limber Oak 19/03/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 LIMBER OAK Crookham Common Newbury RG19 8DH Lead Inspector Lucy Martin Unannounced 13 July 2005, 09:50 am 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. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Limber Oak Address Crookham Common, Newbury, RG19 8DH 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) 01635 871213 Mrs Pamela Mary Eales Ms Lyn Allen Care Home (CRH) 6 Category(ies) of Learning Disability (LD) registration, with number of places LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning disability, some of whom may also have a physical disability. Date of last inspection 22 February 2005 Brief Description of the Service: Limber Oak is a spacious two storey building, built on a slope, therefore presented as two bungalows. The home is situated in a lane with no through traffic for ease of walking and wheelchair access. The amenities of Thatcham and Newbury are close by and there is a shop and public house within walking distance. Limber Oak provides accommodation and care for up to six service users, aged between eighteen and sixty-five years of age, who have a learning disability and some of whom also have a physical disability. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which started at 9.50am and finished at 1.30pm. The inspector spent time with the service users and observed the interactions with staff. None of the service users are able to verbally communicate with the inspector. The inspector spoke to the Manager, Deputy Manager and two other staff on duty. Records, including service user’s files were seen. What the service does well: What has improved since the last inspection? What they could do better: The care plans were being reviewed every six months at a meeting but there was a significant delay in updating the written care plans. This is important to ensure that service users changing needs are recognised and plans are updated quickly. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 6 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. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 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 standard(s) None EVIDENCE: LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 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 standard(s) 6, 9 Service users have care plans and risk assessments in place. They are reviewed every six months but the written plans had not yet been updated. EVIDENCE: Each service user has a care plan in place and there are review meetings held every six months. Family and the Care Managers are invited to the meeting and the written care plan is reviewed and amended following the meeting. It was found that a number of the written care plans had yet to be reviewed following meetings held in May and June 2005. It is recommended that this is done to ensure that service users plans accurately reflect changing needs. Risk assessments are routinely written and are all reviewed six monthly as part of the review meeting. It was positive to see that some risk assessments had recently been updated and some were written as part of the review meetings. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, Service users are able to participate in an excellent variety of activities while living at the home and are part of the local community. EVIDENCE: All the service users are involved in a wide range of daily activities and the home employs an Activities Manager to co-ordinate and oversee the activities programme. In addition, service users go out on an almost daily basis on walks, shopping and sporting activities. Other activities such as puzzles and cooking are undertaken in house. There is an activities timetable and good recording of the activities undertaken in the daily report book. If service users refuse an activity, this is also recorded. It is positive that the service user attending a college course one day a week has finished the year and is going back in September. All of the service users except two have been on a holiday this year, and it is anticipated that the remaining two will go away later in the year. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 11 The home makes good use of local facilities and there are regular trips to local shopping centres, swimming pools, garden centres and cafes. The home has two vehicles which can be used by the staff who can drive. This is essential as the home is in a rural setting and there is only a shop and public house within walking distance. The inspector was informed that the home is shortly to be using the local village hall one day a week for activities. This will provide an excellent additional resource. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 12 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) 19 The healthcare needs of the service users are well looked after. EVIDENCE: All the service users health needs are closely monitored. There are regular trips to the GP and other health care professionals. One service user has been suffering from ill health and the home has been proactive in trying to establish the cause and working with relevant specialists. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 13 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 The home has clear complaints procedures in place. EVIDENCE: The home has a complaints book which contained no new entries. The service users have information regarding complaints in symbol form. Most of the service users are in regular contact with members of their family who could make complaints on their behalf if necessary. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 14 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, 30 Service users live in a comfortable and homely environment. The home is kept clean and hygienic. EVIDENCE: The home is in keeping with the local community and is spacious and bright. On a hot day, the home was cool and the upstairs lounge had an air conditioning unit in operation to ensure that the service users were kept at a comfortable temperature. All the communal areas seen were well decorated and maintained. The home has an industrial washing machine and drier in a room downstairs which is situated well away from the kitchen. The washing machine has a sluice programme. All areas of the home were clean and tidy. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 15 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, 34 Service users are supported by an effective staff team and there is a thorough recruitment procedure. EVIDENCE: The home continues to have a core group of experienced staff, many of whom have worked at the home for a number of years. Since the last inspection a few members of staff have left and new staff have been appointed. There is a good mix in terms of age and gender within the staff team. Staffing levels are good with 5 staff on duty during the day and one waking member of staff at night plus a sleep-in. There has been no use of agency staff and there are a few bank workers who are used if short staffed. This ensures good levels of consistency for the service users. Team meetings take place every two months and are minuted. The CRB (Criminal Record Bureau) disclosures were seen for all the staff team and the recruitment information obtained for the most recently appointed member of staff. There was evidence that all the required information had been obtained including two written references and a CRB disclosure. The member of staff had started work in a supernumery and supervised capacity a few days before the full police disclosure had been obtained and advice was LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 16 given that the disclosure should be obtained before the member of staff starts work. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 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 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) 37, 42 The home is well managed and the health and safety of service users are protected. EVIDENCE: Since the last inspection the Manager has successfully completed the Registered Manager’s Award which includes qualifications at level 4 NVQ in both management and care. Health and safety matters are taken seriously at the home. There are regular weekly tests of the fire alarm system and doors, as well as routine servicing of the fire equipment. Regular fire drills are also carried out. The hot water temperatures are tested and recorded weekly, although it was noted that they had not been tested the week prior to this inspection. The security of the premises is good and it is a safe environment. Any accidents to service users are recorded and appropriate action is taken to minimise reoccurrence. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 4 x x x Standard No 31 32 33 34 35 36 Score x x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 LIMBER OAK Score x 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 19 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 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 6 Good Practice Recommendations The service users written care plans are reviewed and updated every six months. LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 LIMBER OAK H52-H01-S11213-Limber Oak-V229817-130705Stage 4.doc Version 1.40 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. 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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