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Inspection on 06/02/06 for New Wokingham Road 95

Also see our care home review for New Wokingham Road 95 for more information

This inspection was carried out on 6th February 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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 home is well managed. There is clearly a good rapport between the service users, staff team and the manager. A competent, well trained and experienced staff team support service users. Staffing levels are sufficient to meet the needs of the service users. There is a low turnover of staff. There are clear, robust recruitment systems in place. Staff receive regular, planned supervision.

What has improved since the last inspection?

Four of the five requirements made at the last inspection have been complied with.

What the care home could do better:

Two first floor bedrooms and a bathroom window, used by service users could pose a risk of falling. Risk assessments detailing the risks involved and action taken to reduce the risk need to be in place.

CARE HOME ADULTS 18-65 95 New Wokingham Road Crowthorne Bracknell Berkshire RG45 6JN Lead Inspector Lucy Martin Unannounced Inspection 6th February 2006 10:15 DS0000050661.V279758.R01.S.doc Version 5.1 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 DS0000050661.V279758.R01.S.doc Version 5.1 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. DS0000050661.V279758.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 95 New Wokingham Road Address Crowthorne Bracknell Berkshire RG45 6JN 0118 9297918 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 Mr Jimmy Bala Care Home 4 Category(ies) of Learning disability (4) registration, with number of places DS0000050661.V279758.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: The home provides care and accommodation to four service users with learning disabilities, aged between eighteen and sixty five years. The home is situated within a short distance from Wokingham and Bracknell town centres. A range of local amenities and shops are easily accessible within walking distance. The home has its own vehicle and there is good access to public transport. The property is detached and accommodation is provided on two floors. Windsor and Maidenhead Housing Association own the property and the care is provided by New Support Options. DS0000050661.V279758.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this unannounced inspection on a weekday from 10.15am until 3pm. A brief tour of the communal areas of the home and one bedroom was made and a sample of records relating to service users, staff and records required to be kept in the home, including health and safety were examined. Time was spent with service users, staff on duty and the manager. The inspector joined service users and staff for the midday meal. At the last inspection in August 2005,five requirements were made, these were that the manager carries out risk assessments and takes appropriate action to reduce the risk of falling from first floor windows, that a varied menu offering service users a choice of foods is introduced, that the home’s complaints procedure is in an appropriate format for service users, that all staff receive training/updating in the protection of vulnerable adults from abuse and that the advice of an occupational therapist is sought regarding the steps in the dining area and rear garden. Four of the five requirements have been complied with. Feedback was given to the manager and deputy manager at the end of the inspection. What the service does well: The home is well managed. There is clearly a good rapport between the service users, staff team and the manager. A competent, well trained and experienced staff team support service users. Staffing levels are sufficient to meet the needs of the service users. There is a low turnover of staff. There are clear, robust recruitment systems in place. Staff receive regular, planned supervision. DS0000050661.V279758.R01.S.doc Version 5.1 Page 6 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. DS0000050661.V279758.R01.S.doc Version 5.1 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 DS0000050661.V279758.R01.S.doc Version 5.1 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): None of these standards were inspected. EVIDENCE: DS0000050661.V279758.R01.S.doc Version 5.1 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): 9 There is a need to carry out additional risk assessments. This was subject to requirement at the last inspection. EVIDENCE: At the last inspection it was identified that risk assessments needed to be carried out for two service users with bedrooms and a communal bathroom on the first floor, as the windows open wide and pose a risk of service users falling. The manager and staff team considered that window restrictors would be most appropriate. A consultant who carried out a health and safety audit in December 2005 supported this. The brief risk assessments carried out by the home need to be developed further to include the identified risk and measures taken to reduce these. DS0000050661.V279758.R01.S.doc Version 5.1 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): 17 Service users are provided with a varied, well balanced and nutritious diet. This was subject to requirement at the last inspection. EVIDENCE: Since the last inspection, menus and food choices have been developed. Service users told the inspector that the food was “very good”. Several service users said that all members of staff were “good cooks”. Food stocks were seen to be plentiful with fresh fruit, vegetables and salad. The inspector joined service users and staff for the midday meal. The meal of spaghetti bolognaise, was well cooked and attractively served. Mealtime was relaxed with service users and members of staff chatting, staff were attentive in a discreet manner. Records of food eaten are recorded in service user’s daily records. DS0000050661.V279758.R01.S.doc Version 5.1 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): None of these standards were inspected. EVIDENCE: DS0000050661.V279758.R01.S.doc Version 5.1 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): 22 and 23 The home has an up to date complaints procedure and service users are protected from abuse. These standards were subject to requirement at the last inspection. EVIDENCE: Since the last inspection the home’s complaints procedure has been developed and is now in pictorial format for service users. All staff have undertaken training in the protection of vulnerable adults from abuse. DS0000050661.V279758.R01.S.doc Version 5.1 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): 24 Measures need to be taken to ensure that the home provides a safe environment for service users. This was subject to requirement at the last inspection. The home is comfortable, homely and clean. EVIDENCE: Since the last inspection the exterior of the home has been repainted and on the day of the inspection the interior of the home was being decorated. The inspector was told that there continues to be delays in getting routine maintenance tasks completed. Some first floor windows have been fitted with restrictors, but not all and three windows pose a risk of falling to service users. This is referred to in standard 9. One bedroom continues to have a broken window and needs to be replaced as soon as possible. A requirement made at the last inspection that the manager seeks the advice of an occupational therapist regarding steps in the dining area and rear garden has been undertaken and the recommendations made will be in place before the end of April 2006. DS0000050661.V279758.R01.S.doc Version 5.1 Page 14 DS0000050661.V279758.R01.S.doc Version 5.1 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): 32,33,34,35 and 36 A competent, well trained and experienced staff team support service users. Staffing levels are sufficient to meet the needs of the service users. There is a low turnover of staff. There are clear, robust recruitment systems in place. Staff receive regular, planned supervision. EVIDENCE: The home has four full time vacancies for support workers, these hours are covered by a well trained team of bank workers, who have worked at the home for a number of years and know the service users well. From examination of a sample of staff personnel files, it was evident that recruitment procedures are robust. No members of staff commence work in the home until a CRB check has been completed Staff training is well organised, the manager actively promotes staff training and career development. Many members of staff hold nursing or social work qualifications. All staff receive regular, planned supervision from appropriately trained staff. DS0000050661.V279758.R01.S.doc Version 5.1 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 and 42 This is a well managed home. Policies and procedures are in place. Records relating to fire, health and safety were seen to be well maintained and up to date. EVIDENCE: Staff in the home said that they are well supported by the manager. Policies and procedures are in place and are reviewed on a regular basis. A sample of records relating to fire safety, accidents, hot water temperatures and COSHH were seen to be well maintained and up to date. DS0000050661.V279758.R01.S.doc Version 5.1 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 Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x 2 x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 3 x x x x 3 x DS0000050661.V279758.R01.S.doc Version 5.1 Page 18 yes 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 YA9 Regulation 13(4) Requirement That the manager carries out risk assessments and takes appropriate action to reduce the risk of falling from first floor windows. Previous timescale of 09/10/05 not met. Timescale for action 13/02/06 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 DS0000050661.V279758.R01.S.doc Version 5.1 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 DS0000050661.V279758.R01.S.doc Version 5.1 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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