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Inspection on 20/01/06 for Loddon House

Also see our care home review for Loddon House for more information

This inspection was carried out on 20th January 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents say that they are happy at the home and staff provide a good standard of care. They also say they are treated with kindness and that they feel safe at the home. The staff support the residents to be as independent as possible and help them to make choices about their lives. The residents are comfortable and relaxed with the staff and the staff have a good understanding and awareness of their needs and provide a service that is specific to each individual.

What has improved since the last inspection?

The fire officer has recently visited the home and made some recommendations that will make the home safer for the residents.

What the care home could do better:

Not all staff have access to the contact details for the social services vulnerable adults co-ordinator, this will enable them to report any concerns that they have about the residents. The fire officer visited the home in December and made some recommendations. Not all of these recommendations have been met yet. These are recommendations that have been made.

CARE HOME ADULTS 18-65 Loddon House Loddon Court Farm, Beech Hill Rd Spencers Wood Nr Reading Berkshire RG7 1HT Lead Inspector Katy Brown Unannounced Inspection 20th January 2006 11:40 DS0000011378.V270801.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 DS0000011378.V270801.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. DS0000011378.V270801.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Loddon House Address Loddon Court Farm, Beech Hill Rd Spencers Wood Nr Reading Berkshire RG7 1HT 0118 988 4647 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) jay.dixon@new-support.org.uk New Support Options Limited Mr Jay Benjamin Dixon Care Home 5 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places DS0000011378.V270801.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th June 2005 Brief Description of the Service: Loddon House is a residential care home offering twenty-four hour personal care to four adults who have learning and associated behavioural difficulties. The home is a two-storey building and is not able to provide a service to people with severe physical disabilities, as there is no lift access to the first floor. The home has six single bedrooms, which have wash hand basins, but do not have en-suite facilities. The home is situated in a quiet residential area close to the town centre. There are local facilities within walking distance of the home. The home has its own vehicle and service users are able to access public transport, as appropriate. DS0000011378.V270801.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during the afternoon. There have been no additional visits made since the last unannounced inspection. A tour of the premises took place and residents’ care records and some of the homes’ records were inspected. All the four residents, three members of staff and the manager were spoken to during the visit. What the service does well: What has improved since the last inspection? What they could do better: Not all staff have access to the contact details for the social services vulnerable adults co-ordinator, this will enable them to report any concerns that they have about the residents. The fire officer visited the home in December and made some recommendations. Not all of these recommendations have been met yet. These are recommendations that have been made. DS0000011378.V270801.R01.S.doc Version 5.0 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. DS0000011378.V270801.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 DS0000011378.V270801.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): 2. The residents received satisfactory care needs assessments prior to moving into the home. EVIDENCE: There has been one new admission and discharge to the home since the previous inspection. A satisfactory care needs assessment had been completed for the resident. The residents that live at the home have lived there for a number of years and received care needs assessments prior to their admission. Residents are encouraged to attend care reviews and any changes in need are acted on. DS0000011378.V270801.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. All the residents have plans of care that are detailed and informative. EVIDENCE: Individual plans of care are available for all residents and they contain pertinent information about their personal care requirements and their social care needs. The plans of care are currently being updated using person centred approach. Discussion with residents’ and staff indicated that residents’ needs are being met and that clear plans and guidance is in place. DS0000011378.V270801.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): 13, 16 & 17. The residents take part in a variety of activities and are provided with opportunities to take part in and explore local community events and residents are provided with opportunities to discuss the way the home is run. Residents are provided with balanced and nutritious meals. EVIDENCE: Staff encourage the residents to take part in a variety of community activities including, trips out to the local pub and drives in the homes vehicle. A resident spoke about his sky satellite television that he has recently had installed at the home and said that he had just returned from his club where he was listening to music and watching the dancing. Due to their complex needs, the residents do not attend house meetings to discuss topics that affect the way in, which the home is run. They do however, all have key workers in place and this system allows opportunities for staff and residents’ to identify whether there are any personal issues that need to be explored by the residents and staff. The residents have been offered keys to their own rooms and have free access throughout the home apart from the DS0000011378.V270801.R01.S.doc Version 5.0 Page 11 office, which is occasionally locked due to behavioural needs. The residents have a record on their file that identified the reasons why this restriction is in place. The procedure for evacuating the building in the event of a fire is in a language that is accessible for the residents and displayed on a notice board at the entrance to the home. The meals that are provided at the home are varied, balanced and nutritious and reflect the individual preferences of the residents. The staff are aware of the residents dietary requirements and provide the individual level of support that is required for each resident. DS0000011378.V270801.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): 20. The residents are protected by the polices and care practices when being supported with medication. EVIDENCE: The home has satisfactory policies and procedures in place to enable staff to administer medication to the residents. The medication policy was reviewed in July 2004. All staff that provide support with medication have received the appropriate training. The pharmacist visited the home in September and December 2005; no concerns were raised during these visits. There are no residents at the home that self-medicate. DS0000011378.V270801.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): 23. Residents are protected from abuse. EVIDENCE: The residents that were spoken to said that they felt safe at the home and that staff cared for them well. The home has a satisfactory policy for abuse and has adopted the Berkshire Inter-Agency Procedures. The staff confirmed that they have received training in the protection of vulnerable adults. Staff were very clear that the protection of the residents was paramount and advised that any suspicion of abuse would be immediately reported to the manager or a senior representative. Not all staff, however, were aware of the social services vulnerable adults co-ordinator and did not have access to the contact details. DS0000011378.V270801.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. The residents live in a safe environment that is able to meet their needs. EVIDENCE: A tour of the premises identified that parts of the home are in need of redecoration. The manager advised that there had previously been some complex behavioural issues with a resident and that although some of the soft furnishings had been replaced, some, work was still required. The manager confirmed that the carpets in the communal areas are due to be replaced. All residents have their own bedroom and there are separate facilities for the lounge and dining room areas. There are two toilets, which are combined with a bathroom and the manager confirmed that a request to New Support Options to purchase a new bathroom suite has been made. DS0000011378.V270801.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): 32. Competent and qualified staff support the residents. EVIDENCE: The home has a staff compliment that is a rich mixture of experience and skills and knowledge. There are nine members of staff working at the home and they are dependent on the use of bank and agency staff. Currently there is one member of staff that has achieved NVQ level 3 and two others are scheduled to complete shortly. Other members of the team have either already commenced the qualification or are scheduled to commence the course at a later date. DS0000011378.V270801.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): 37 & 42 The manager is competent and the home is run in the interest of the residents. The welfare of the residents is met through the policies and care practices at the home. EVIDENCE: The residents and staff say that the home is well run and the manager is liked and trusted. The manager of the home has 12 years experience working with people with learning disabilities and has worked at Loddon House for 7.5 years. He has NVQ level 4 in care and has completed the Registered Managers Award. The manager has completed a number of training courses to maintain his professional development and attends monthly manager quality workshops. The home has satisfactory health and safety policies and procedures in place and staff complete training in health and safety. Regular maintenance checks are completed for equipment used at the home and a visit by the fire officer in December 2005 resulted in recommendations being made. Most of these recommendations have now been met, although, two remain outstanding. The DS0000011378.V270801.R01.S.doc Version 5.0 Page 17 manager has arranged for the work to be completed and is waiting for confirmation of a start date. Regular fire checks and drills are carried out at the home. DS0000011378.V270801.R01.S.doc Version 5.0 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 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 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 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000011378.V270801.R01.S.doc Version 5.0 Page 19 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. 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 2 Refer to Standard YA23 YA42 Good Practice Recommendations The registered person should ensure that all staff have access to the contact details of the vulnerable adults coordinator. The registered person ensures that the recommendations made by the fire officer are met within the required timescale. DS0000011378.V270801.R01.S.doc Version 5.0 Page 20 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 DS0000011378.V270801.R01.S.doc Version 5.0 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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