Inspection on 17/09/05 for Loddon Court

This inspection was carried out on 17th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Loddon Court 23/02/09

Loddon Court 12/03/07

Loddon Court 01/03/06

Loddon Court 10/02/05

Loddon Court 26/10/04

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 Loddon Court 289 Wokingham Road Earley Nr Reading Berkshire RG6 7DU Lead Inspector Rhian Williams-Flew Unannounced Inspection 17/09/0 10:45 Loddon Court DS0000057907.V249647.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 Loddon Court DS0000057907.V249647.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. Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Loddon Court Address 289 Wokingham Road Earley Nr Reading Berkshire RG6 7DU 0118 966 4494 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) New Support Options Limited Miss Tracey Katherine Mallett Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th February 2005 Brief Description of the Service: Loddon Court is an eight bedroomed short break service that provides a service for people in the Wokingham area who have learning disabilities and in some cases associated complex needs. The facility is divided into two discrete units called Honeysuckle and Bluebell. The unit is staffed throughout the 24-hour period. There are waking night staff and a sleeping staff member. The building is on one level and each unit is self-sufficient, having a lounge/dining room, kitchen, bathroom, shower room toilets and individual bedrooms. There is one room that it can be used by both units this contains Snoozellen equipment. Loddon Court is located in a suburb of Reading called Earley. It is close to all major transport links and there is a small town centre nearby. Access to the service is via Wokingham CTPLD team. The manager, to ensure that the service can meet the needs of the guests, requires that a thorough assessment has taken place. Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection occurring on a Saturday morning between the hours of 10:45 and 15:15. The deputy manager was present throughout the inspection. 6 guests were using the service at the time of the inspection. All were either spoken with or their interactions with staff were observed. The emphasis of the inspection was to meet and/or observe the guests, who were visiting the service, to review their care plans and observe the environment of the service. What the service does well: What has improved since the last inspection? The service has revised and updated its Statement of Purpose, Service User Guide and issued contracts to all of the guests who access the service. There is a plan to provide all these documents via audiotape so that more of the guests are able to access the information. The service is providing more guests with access to the service. This has been achieved by the manager recruiting to her staffing establishment and ensuring that the members of staff she employs embrace the philosophy of the service. Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 Page 6 The Registered Manager at the service always strives for further improvement on what is already a good service. 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. Loddon Court DS0000057907.V249647.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 Loddon Court DS0000057907.V249647.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): 1, 2, 3, 4 & 5. This home provides good information about the service it provides. It has a thorough assessment procedure to ensure that it can meet the needs of the people who use the service. EVIDENCE: The service has met previous requirements to revise its Statement of Purpose and Service User Guide and has issued contracts to all the guests who use the service. It is the services intention in the future to provide all this information on audiotape. The care records of a guest who had accessed the service most recently were reviewed and it was evident that their admission had only been considered once a full care management assessment had been undertaken. The assessment was detailed and provided good quality information regarding the persons needs and wishes. The person’s carers had also provided very detailed information about the persons wishes and preferences. This information had been provided on a pro forma form devised by the service. This particular individual had visited the service on a number of occasions for short visits and overnight stays. This had not only enabled the person and their carers to be certain that the service could meet the persons needs but it also allowed the service to be certain that they could meet the very specific needs of this guest. This particular guest has complex physical health needs. Loddon Court DS0000057907.V249647.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): 6, 7, 8, 9 & 10. The personal information of guests who access the service is up-to-date and clearly identifies their needs and wishes. Any risks are also assessed and reviewed regularly. EVIDENCE: Information about guests is recorded in documents called personal portfolios. The service provides short breaks/respite care to over 50 guests. This requires considerable commitment from the staff team to ensure that all the personal portfolios are up-to-date. The portfolios of four guests who were using the service at the time of the inspection were reviewed in detail. The information provided was current and clearly stated. The individual wishes and needs of the guests were identified, their communication needs were clearly stated, their health-care needs were well documented and thorough risk assessments were in place. All information regarding the guests who use the service is kept securely and confidentially. Loddon Court DS0000057907.V249647.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): 11, 12, 13, 14, 15, 16 & 17. The staff at Loddon Court are very proactive in supporting their guests to maintain appropriate and fulfilling lifestyles. The service is responsive and flexible to the people who use the service. EVIDENCE: The service liaises with all other interested parties who are involved in the delivery of care and services to the guests who use Loddon Court. This ensures that any guest, who may have day services or employment are able to continue to access the services whilst they are visiting Loddon Court for a short break. The service is in close proximity to a number of local services and community facilities. The guests who use the service are frequent visitors of these facilities. Indeed, during the inspection 3 of the guests went to a local park area and shops. The service has its own transport and some of the guests are able to access public transport if they wish to. At the commencement of the inspection all of the guests were enjoying a leisurely brunch meal as they had all chosen to get up later and enjoy a Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 Page 11 relaxing Saturday morning reading the newspapers, watching television, listening to music etc. The atmosphere at Loddon Court throughout the inspection was very relaxed and good-humoured. The guests were encouraged to make their own choices at all times and all of those who were able to communicate confirmed that the members of staff are kind and supportive. Guests are allocated their own room (which the staff try to ensure is the same room on each of the visits). 4 of the guests happily showed the Inspector the rooms they were staying in. As far as possible the room had been personalised. Guests are free to come and go to their rooms as they wish although, during the inspection the majority of guests preferred to be in the communal areas. There are small garden areas available to the guests. Meals and mealtimes are flexible in the sense that whatever is planned for a particular day will depend on when meals are served. Because of the frequent changes of guests throughout the week food shopping and cooking is planned to respond to these frequent changes. Therefore, specific menu planning is not really feasible. The guests who were able to communicate confirmed that their choices and preferences with regard to food are provided and they always enjoy the meals they have whilst staying at the service. The brunch meal was certainly very popular! Liaison with the family members and carers of the guests is seen as crucial to ensuring that the delivery of the service is successful. During the inspection a new guest arrived to access the service. Members of staff spent time ensuring that her carers were satisfied that the guest would be settled and happy to stay. The members of staff also spent time ensuring that they had up-to-date and correct information about the guest’s needs and the carers’ emergency contact details. As soon as the carers had left a member of staff helped the guest arrange their possessions in their room, introduced them to the other guests and help them choose an activity that they wanted to participate in. Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 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 the following standard(s): 18 & 19. The philosophy of this service positively promotes the autonomy of the guests who access the service. Guests with more complex health care needs are fully supported to participate in the facilities of the service. EVIDENCE: It was evident during the inspection that the guests using the service received their personal support in a way that they preferred. The observations of the delivery of this care were borne out in the information contained in their personal portfolios. With guests who had no verbal communication the staff were sensitive and responsive to their needs by observing their behaviour. Some of the guests had complex health needs, which the staff ably supported. The personal portfolios for these guests detailed their health needs. There was also ample evidence that staff had received up-to-date training to ensure they carried out any healthcare procedure, with regard to these guests, safely and competently. This is excellent practice. Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 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 the following standard(s): 22. The service does have a robust complaints procedure. An investigation of a complaint should prompt a review in the delivery of care to the guest, to ensure that any outcomes of the complaint investigation are put into place. EVIDENCE: There has been one formal complaint since the previous inspection. The Registered Manager has investigated it and the complainant was responded to within the timescales required by the homes complaints procedure. It was advised that the Registered Manager record the outcome of the complaint in the complaints log. The issue raised in the complaint will require that the particular guests care plan be reviewed. This had not occurred at the time of the inspection. Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 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 the following standard(s): 24, 25, 26, 27, 28, 29 & 30. The service provides a homely and comfortable environment for the guests who use the facility. EVIDENCE: A tour of the home was conducted, with guests showing the Inspector the particular areas of the home they were using. All areas of the home are homely and comfortable and provide a safe environment for the guests who use the facility. The guests who were able to communicate with me were complimentary about the facilities offered to them. The communal areas in Bluebell are limited and could be restrictive if a number of guests who use wheelchairs or walking aids coincided for a short break at the same time. The guests who showed me their rooms said they were very contented with the facilities offered to them. They also appreciated the fact that the staff always attempted to provide them the same room each time they came in for a short break. The bathroom and toilet facilities are well equipped and provide aids and adaptations to meet the needs of the guests. The premises are clean and hygienic. Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 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 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): None of these standards were inspected on this occasion. EVIDENCE: None of these standards were inspected on this occasion. Loddon Court DS0000057907.V249647.R01.S.doc Version 5.0 Page 16 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): None of these standards were inspected on this occasion. EVIDENCE: None of these standards were inspected on this occasion. Loddon Court DS0000057907.V249647.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 3 3 3 3 3 Standard No 22 23 Score 2 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Loddon Court Score 4 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000057907.V249647.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. 1 Standard 22 Regulation 15 Requirement Outcomes from a complaint investigation about the delivery of care should prompt a review of a guests care plan and any alterations in the delivery of care should be speedily implemented. Timescale for action 15/10/05 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 Loddon Court DS0000057907.V249647.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 Loddon Court DS0000057907.V249647.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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