Inspection on 16/11/05 for Pamela Barnett

This inspection was carried out on 16th November 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

Pamela Barnett 14/05/07

Pamela Barnett 19/04/05

Pamela Barnett 07/12/04

Pamela Barnett 24/06/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Shelanu Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ Lead Inspector Tracy McGuire Brown Unannounced Inspection 16th November 2005 12:15 DS0000033981.V264338.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 DS0000033981.V264338.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. DS0000033981.V264338.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Shelanu Address Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ 01344 755523 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) bucketsandspades@norwood.org.uk Norwood Ravenswood T/A Norwood Mrs Leahanne Black Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places DS0000033981.V264338.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2005 Brief Description of the Service: Shelanu is part of the Norwood organisation based at the Ravenswood Village. The home is established to accommodate up to 8 Service Users aged between 18 and 65. The home accommodates Service Users with moderate, severe, complex learning and physical disabilities, persons with autism and/or severe communication difficulties; persons whose behaviour challenges services and persons with complex epilepsy. The home provides 24-hour staff support DS0000033981.V264338.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine inspection, which was announced so the Inspector could involve the home in a consultation project. The Inspection took place over a 4-hour period. The inspector was invited to have lunch the residents and staff. Time was spent talking to the Manager and staff. Samples of various records were examined. There was also a brief tour of the premises and garden. Some residents invited the Inspector to view their bedrooms. In addition the home has worked with the Inspector and took part in a service user consultation project. This involved feeding back the previous inspection report to service users recording method, interest and providing comments. The Inspector would like to thank all those involved for their assistance in this project. What the service does well: What has improved since the last inspection? Staff continue to be creative and develop more communication tools. Staff have developed picture tablemats with dietary and feeding detail. DS0000033981.V264338.R01.S.doc Version 5.0 Page 6 The garden has been completed and improved and residents were able to use the facility. The tree with the poisonous berries has been removed. 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. DS0000033981.V264338.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 DS0000033981.V264338.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): These Standards were not assessed on this occasion. EVIDENCE: DS0000033981.V264338.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): 8 Staff make maximum effort to consult with service users and offer opportunities to participate in aspects of life in the home. EVIDENCE: Service users have wide and varied complex learning, physical and communication issues. Staff in the home recognise and acknowledge in a professional the manner the limitation this may have for some service users. Staff are creative to offer service users as much consultation and information as possible, in accessible forms by using symbols, pictures and e.g. Makaton where possible. Notes seen in service users files detail where consultation is difficult to determine due to communication problems. Staff encourage and support service users to participate in all aspects of life in the home, this may prove impossible in some areas due to the individual complex range of needs. The Inspector was informed service users join staff meetings. One service user attends the village residents meeting and is supported by a staff member. DS0000033981.V264338.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): 17 Service Users are offered a healthy and varied diet, which caters well for varied, and complex dietary requirements. EVIDENCE: The Inspector was invited to join the service users and staff for lunch. The lunch was freshly prepared and well balanced. There was an actual picture of the meal on the menu board. The meal was nicely presented. Staff were observed supporting Service Users in a sensitive and dignified manner. The lunchtime was a sociable occasion and practice seen reflected detail in care plans. Since the previous inspection the home has developed individual tablemats for service users, which have their name and photograph on. In addition there is a photo of any specialist equipment required and a sensitively written plan of any feeding needs or assistance required. The staff in the home are able to provide liquid or pureed diets if required and this was observed on the day of inspection. As stated in the previous inspection report, menus in the home are excellent and have been subject to considerable work by staff in conjunction with the dietician to meet the very varied and complex needs of the Service Users. DS0000033981.V264338.R01.S.doc Version 5.0 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): These Standards not assessed on this occasion. EVIDENCE: DS0000033981.V264338.R01.S.doc Version 5.0 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): These Standards not assessed on this occasion. EVIDENCE: DS0000033981.V264338.R01.S.doc Version 5.0 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): 25, 26 and 28. Service Users have suitable single bedrooms to meet their needs. Suitable communal space is also available for service users. EVIDENCE: A brief tour of the premises was undertaken. Some service users invited the Inspector to view their rooms. The rooms seen were decorated and furnished to a good standard and reflected the individual needs, personality and culture of the service user. The home has a range of communal space available, which is decorated and equipped to a high standard to meet the needs of the service users. Since the previous inspection the work in the garden has been completed to provide additional communal space. The fencing has been completed and there is a gazebo area on the patio with chair and tables. The pathways have been completed to provide wheelchair access. The raised flowerbed has been rebuilt and is used to provide an “edible garden”. Staff have also researched which flowers are edible to provide an attractive and safe garden. The tree with poisonous berries has been removed also. DS0000033981.V264338.R01.S.doc Version 5.0 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 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 Service Users are supported by an effective staff team. EVIDENCE: The home currently has minimal staff vacancies; there is one 25-hour vacancy. The home has a well established staff team and turnover is low. The Manager in the home is popular and respected by the staff team. Staff share various tasks and responsibilities and the home is well organised and run. Staff were observed working in a professional and sensitive manner. The staff team display qualities of enthusiasm, motivation and commitment. Some staff records were examined and demonstrate that staff have a range of skills and experience and training is ongoing to develop the teams skills further. Samples of service users records seen also demonstrate that staff are able to work with families and other professionals. DS0000033981.V264338.R01.S.doc Version 5.0 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 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): These Standards not assessed on this occasion. EVIDENCE: DS0000033981.V264338.R01.S.doc Version 5.0 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 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 4 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 3 X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000033981.V264338.R01.S.doc Version 5.0 Page 17 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. 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. Refer to Standard Good Practice Recommendations DS0000033981.V264338.R01.S.doc Version 5.0 Page 18 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 DS0000033981.V264338.R01.S.doc Version 5.0 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!