CARE HOME ADULTS 18-65
Reeson Care Homes Reeson Care Homes 31 College Road Wembley Middlesex HA9 8RN Lead Inspector
Richard Adkin Unannounced Inspection 25th October 2005 08:30 Reeson Care Homes DS0000063660.V261051.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 Reeson Care Homes DS0000063660.V261051.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. Reeson Care Homes DS0000063660.V261051.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Reeson Care Homes Address Reeson Care Homes 31 College Road Wembley Middlesex HA9 8RN 020 8908 1268 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) Reeson Care Homes Ltd Mr Harrison Aibangbee Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Reeson Care Homes DS0000063660.V261051.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection No previous inspection Brief Description of the Service: Reeson Care Homes, Parkside, 31 College Road is a care home providing personal care and accommodation for up to three adults with learning disability. There were no residents living at the home at the time of the inspection. The home is owned by Harrison Aibangbee trading as Reeson Care Homes Ltd. This is the only home. The home is situated in a quiet residential street backing on to Preston Park. The home is 10 minutes from local shops and amenities and five minutes from the local library. There is a primary care clinic opposite and GP practice nearby in the same street. There is off street parking and parking for one car in the drive beside the house. The building has a ground and first floor. Access is by stairs. All bedrooms are fully furnished and have sinks. There is one bedroom on the ground floor. There is an office and sleeping in room on the first floor. There is one bathroom and one separate toilet and one toilet with shower. The home has a living/dining room with access to a reasonable sized garden that is backed on to by the park. Reeson Care Homes DS0000063660.V261051.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 over 4.5 hours on a midweek morning in Autumn. The home has no residents at this point in time. The home was registered on 30th June 2005. The registered manager kindly made himself available for the unannounced inspection. What the service does well: What has improved since the last inspection? What they could do better:
The policy on confidentiality needs to be further developed, along with a complaints leaflet that is pictorially appropriate for future residents at the home. Reeson Care Homes DS0000063660.V261051.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. Reeson Care Homes DS0000063660.V261051.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 Reeson Care Homes DS0000063660.V261051.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 Information is available in order that future residents and their representative can make an informed choice about the home. EVIDENCE: The registered manager has produced an up to date statement of purpose (November 2004). This statement of purpose sets out the aims and objectives and philosophy of the home; it details the range of care services, admission procedure, user and carer involvement and consultation, care plans etc. The Service Users Guide (November 2004) looked at by the Inspector details accommodation and access, aims and objectives of the home, services and facilities, fees and admission procedures. The ‘Residents Charter of Rights’ (November 2004) is a two page document for residents concerning their rights being respected, choice about lifestyles being encouraged, balanced with risk and privacy and confidentiality being promoted. The home’s brochure is attractive and clear. Reeson Care Homes DS0000063660.V261051.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): 10 The policy on confidentiality needs to be further developed to ensure residents’ confidences are kept. EVIDENCE: Confidentiality is recorded in the ‘Residents Charter of Rights’ (November 2004) under the section, Privacy and Confidentiality, concerning personal information being kept confidential, having private accommodation, inviting visitors to the room, respecting bedroom privacy and choosing to be alone and undisturbed by other residents. A separate policy is needed for the home on confidentiality and ensuring families and residents understand the policy through an appropriate format. Reeson Care Homes DS0000063660.V261051.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): EVIDENCE: None of these standards were assessed on this occasion, as there are currently no residents living at the home. Reeson Care Homes DS0000063660.V261051.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): 20 The home’s policies and procedures on dealing with medicines are comprehensive. EVIDENCE: The ‘Medicines Policy’ (March 2005) was looked at by the Inspector. It is a thorough comprehensive policy covering aims of the policy, labelling of medicine, reviewing medication, documentation, ordering and storing of medication, administration, refusal cover and administration, medicine away from home, self medication, disposal of medicine, homely remedies, drug errors and training. The registered manager is RMN. Arrangements are in place with a local pharmacy for the provision of medication and training. Registration is in hand with a local GP practice which is several minutes down the road. Reeson Care Homes DS0000063660.V261051.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): 22 Complaints procedures need to be in an appropriate format to ensure residents are protected from abuse. EVIDENCE: The registered manager kindly provided the Inspector with a Complaints Procedure (November 2004) and a ‘Concerns and Complaints Policy’. They are clearly laid out, encouraging comments, concerns and complaints to be raised and the stages of the complaints process and timescales. A complaints leaflet needs to be displayed on the hallway notice board; this should reflect the communication needs of residents. Reeson Care Homes DS0000063660.V261051.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): 24, 27, 30 The home provides a homely, clean and well-maintained environment to support individual’s needs being met. EVIDENCE: The premises are warm, comfortable, homely, and bright and free from offensive odours. The furnishings throughout are of good quality. The home is in keeping with the local neighbourhood and offers good access to local amenities such as a local library, transport network, shops, and GP and health clinic. The premises are well laid out. However, a grab rail is needed at the back door leading into the garden from the living room/dining room by the ramp to ensure safe access. The shower and toilet, bathroom and toilet are all in excellent condition and sufficient for the potential three residents. Reeson Care Homes DS0000063660.V261051.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): 34 The home’s recruitment policy is comprehensive to ensure that residents are supported and protected. EVIDENCE: The registered manager had produced a ‘Recruitment and Selection Policy’, (March 2005) which has a strong commitment to equal opportunities and antidiscriminatory practice. The policy is thorough and substantial and covers the requisite areas around recruitment and selection of staff to be employed at the care home. There has been only one application received so far to work at the care home. Two reference request forms, job description, induction training programme, equal opportunities monitoring form, medical questionnaire, application form, CRB request form were all present on the applicant’s file. Reeson Care Homes DS0000063660.V261051.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): 37, 42 The home is run by an experienced well-trained manager. EVIDENCE: The registered manager is well-qualified, competent and experienced in order to run the home and meet its stated purpose, aims and objectives. The registered manager is a registered mental health nurse and is registered with the Nursing and Midwifery Council (NMC). He also holds a Diploma in Management Studies and Certificate in Personnel Practice. He has twelve years management experience in Health and Social Care. There is a clearly laid out job description and person specification for the home manager. This gives a comprehensive list of main duties and responsibilities, resource management, service development and training and development. There is a Human Resources Policies and Procedures file with a range of policies.
Reeson Care Homes DS0000063660.V261051.R01.S.doc Version 5.0 Page 16 The Enforcement Officer, Environmental Health inspected on 26th April 2005 and found there was no contraventions found of the Food Safety Act 1990 and the Health and Safety at Work Act 1974. Reeson Care Homes DS0000063660.V261051.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 X X X X Standard No 22 23 Score 2 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X 2 Standard No 24 25 26 27 28 29 30
STAFFING Score 2 X X 3 X X 3 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 X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Reeson Care Homes Score X X 4 x Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000063660.V261051.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No previous 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 2 Standard YA10 YA22 Regulation 17 22(2) Requirement A separate fuller policy and procedure on confidentiality is needed. A complaints procedure in the public area that is pictorially appropriate needs to be displayed. A grab rail is need by the ramp leading into the garden from the dining/living room. Timescale for action 01/12/05 01/12/05 3 YA24 23(2)(n) 01/01/06 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 Reeson Care Homes DS0000063660.V261051.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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