Inspection on 19/04/05 for Pamela Barnett

This inspection was carried out on 19th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 16/11/05

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 19 April 2005 10.10am 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. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Norwood Ravenswood Ms Leahanne Black Care Home 8 Category(ies) of Learning Disability (LD) - 8 registration, with number of places SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NO Date of last inspection 7/11/04 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 SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection carried out between 10.10am and 3.10am. The Inspector spent some time looking around the home. Records of residents care were examined and the Inspector spoke to residents and staff in the home. The Inspector also spent some time observing care practice and training in the home. What the service does well: What has improved since the last inspection? Staff have continued to work hard to support residents to develop more and different communication skills SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 Page 6 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. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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 SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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) 2 Prior to admission full assessment information is gained EVIDENCE: Samples of Individual Service User records were seen. These include assessments, which are reviewed and evaluated on a regular basis. Annual reviews assess each Service User and the care plans are developed from this information. A recommendation was made in regarding developing a policy /procedure for if Service Users transfer between services in the Ravenswood village. The Manager informed the Inspector that this has been discussed in management meetings and is currently being considered. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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) 6,7,and 9 Service Users have comprehensive good quality individual care plans. Changes in need are assessed and records are updated to reflect this. Service Users are as involved as possible in decision making. Detailed risk assessments are in place and are reflective of practice in the home. EVIDENCE: Care plans are completed alongside I.P’s. The content of these are reviewed with the Service User and comments recorded on a separate signed document. If there is any restriction in ability to complete this there is a “statement” to reflect this. Staff training requirements are also highlighted in relevant care plans. Due to the complex needs of Service User the staff undertake a variety of methods to assist and support decision-making processes for Service Users. These include the use of picture cards, yes and no cards and the P.E.C’s system. Observations were made of staff offering and supporting Service Users to make choices and decisions. Each Service User file contains “Shelanu statements” which detail any restriction in choice and are made in the best interest of the Service User. Risk assessments are in place to ensure the safety of Service Users these are reviewed on a regular basis. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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) 12,13,14,15,16 and 17. Service Users undertake a variety of day activities both on site and in the local community, activities are also offered in house and have been well researched to meet Service Users complex needs. Ranges of leisure activities are also undertaken. Service Users are supported to maintain family and personal relationships. Service Users are offered a healthy and varied diet, which caters well for varied, and complex dietary requirements. EVIDENCE: Each Service User has an individual activity sheet and in addition daily reports detail various daily activities. On the day of inspection 2 Service Users were out on a community based activity and visiting the local shops. Some Service Users had been to aqua aerobics or the physio swim sessions. “Us and a bus” a travelling service came to the home to undertake a regular singing and sensors session with 1 Service User, there was also a aroma therapist session in the afternoon. Daily reports and care plans detail leisure activities and the local community shops, G.Ps, dentists and amenities are used on a regular basis. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 Page 11 24-hour daily reports and contact sheets on Service User files indicate that Service Users are supported to develop and maintain relationships with family and friends. Staff support some families to maintain contact via e-mail also. 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. Choices are always available and menus are displayed in a pictorial format. Lunchtime was observed and staff support Service Users in a sensitive and dignified manner. The lunchtime was a sociable occasion and practice seen reflected detail in care plans. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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) 18,19, 20. Service Users physical, emotional and personal care needs are well met. Medication procedures and practice in the home are safe and appropriate. EVIDENCE: Essential lifestyle Plans, Personal profiles and guidelines are in place for individual Service Users to ensure that personal care is delivered in a preferred and required manner. “About Me” documents have been produced with and for some Service Users and these include pictorial references to specific aids to assist the delivery of care. Healthcare records in the home are comprehensive and detailed. All appointments are recorded and can be cross-referenced. Service Users records seen indicate the home is in constant consultation with a range of healthcare professionals including, dieticians, speech and language therapists and physiotherapists. Complementary therapies are also used in the home. The home operates a robust medication procedure and policy. Medication is stored in a secure manner and staff are given thorough training and assessment prior to being authorised to administer medication The Inspector was able to observe a staff member undertaking a medication assessment in the home, this was well managed. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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 and 23 The home has satisfactory complaints procedures in place and protects Service Users from abuse. EVIDENCE: The organisation has a detailed complaints policy in place the Inspector was in formed this is in the process of having the C.S.C.I detail updated In addition each individual Service Users has a simplified pictorial complaints policy in their copy of the Service User Guide. A log is in place to record complaints. The organisation provides regular training in respect of the Abuse of Vulnerable Adults and the Home Manager is tutor on this course. Certificates of training achievement were seen. Staff demonstrate sound Knowledge of Vulnerable Adults issues. The home has detailed policies about protection of Vulnerable Adults and systems are in place to safeguard Service Users money. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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, 28 and 30 Generally the home is well maintained throughout, there is a problem with subsidence, this is constantly monitored and any repairs required are undertaken. There are plans for reprovision of the home. The Garden is in need of work to allow Service Users to access and enjoy their garden. EVIDENCE: The home is well decorated throughout and clean and tidy. On the day of inspection the home was having new radiator guards fitted to the radiators to safeguard Service Users. There appears to be no further deterioration to the building since the previous inspection. A new floor has been fitted in the dining room since the previous inspection. A project on the garden remains incomplete and there is no pleasant area for Service Users to use. Service User records indicate that the garden is a place where Service Users would like to sit and some could also practice skill learned at gardening day activity sessions. The garden needs to be completed. A tree is due to be removed from the garden area, staff did raise some concern about some berries on a tree which are apparently poisonous, this is to be risk assessed and discussed with the organisation SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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) 34 and 35 Staffing levels in the home are good and there is a low turnover of staff. The organisation has robust recruitment procedures. Staff training is good and ongoing. EVIDENCE: The organisation has a personnel section to deal with recruitment procedures; Managers are also involved in the recruitment processes. Detailed checks are made prior to appointment. A member was observed undertaking some training in the home on the day of inspection In addition training records examined detailed ongoing training and training achieved with copies of certificates to evidence the training. Induction training was seen and is of good content. Staff spoken to were positive about training opportunities offered. Training profiles identify training needs and if refresher training is required. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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 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) 37,39 and 42, The home Manager is well qualified and experienced. The home undertakes various checks to monitor Quality. A variety of health and safety checks are in place to safeguard Service Users and staff. EVIDENCE: The Manager of the home has achieved the Registered Managers Award and NVQ level 4 in addition to other qualifications gained. The Manager has relevant experience and comments made indicate she is a valued member of staff. Currently a formal Quality Assurance system is not in place, the home however uses staff meetings and Service User reviews, which are recorded, to gain views about the service. At reviews feedback is sought from parents, advocates and other professionals. This information is used to work on any issues raised. Staff are trained in health and safety and regular checks are completed, recorded and any works undertaken. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 2 x 3 Standard No 11 12 13 14 15 16 17 x 4 3 3 3 4 4 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 SHELANU Score 4 4 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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 28 Regulation 23(2o) Requirement That the garden is suitably completed and maintained for Service Users to access. Timescale for action 31.07.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 28 Good Practice Recommendations Risk assess and discuss the implications related to the berries from the tree which are apparently poisonous. SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading 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 SHELANU H52-H01 33981 Shelanu V214370 190405 Stage 4.doc Version 1.30 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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