Inspection on 16/08/05 for Peppard House

This inspection was carried out on 16th August 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

Peppard House 18/01/07

Peppard House 23/01/06

Peppard House 31/01/05

Peppard House 15/06/04

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

CARE HOME ADULTS 18-65 PEPPARD HOUSE 45 Woodcote Road Reading Berks RG4 7BB Lead Inspector Kerry Kingston Unannuoncedd 16 August 2005 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. PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Peppard House Address 45 Woodcote Road, Reading, Berks,RG4 7BB 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) 0118 9472067 CHOICE Ltd Ms Kerry Hardy Care Home (CRH) 7 Category(ies) of Learning disability (LD) registration, with number of places PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home is accommodating 2 service users over 65 years of age who were admitted when under 65 years of age. The home cannot admit other service users over 65 years of age. Date of last inspection 31 January 2005 Brief Description of the Service: Peppard House provides residential care to seven adults, of both sexes who have learning and associated behavioural disabilities. The house is owned by and the care provided by C.H.O.I.C.E Limited. It is situated in a residential suburb approximately two miles from the town centre, it has its own transport and is on a public transport route. The house is a large three storied building, with bedrooms on the first floor, there is ample communal space and an adequate, well used rear garden. PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place on the 16th August 2005 between the hours of 11am and 3pm. The manager, several staff and four residents were in the home on the day of inspection. Two residents were swimming with other staff members. The manager was appointed in April 05 and there is one resident vacancy, at this time. The inspector looked at resident files, some records and had lunch with residents. The inspector was not able to communicate clearly with the residents but was able to observe staff and resident’s interactions and behaviours. What the service does well: 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. PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 6 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 PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 7 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) None of the above standards were assessed at this inspection. EVIDENCE: PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 8 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 The home has excellent service user plans and risk assessments that ensure residents are able to be as independent as possible. Service users are helped to be as involved in the decision making process, as is possible. EVIDENCE: Service user plans are comprehensive, include behavioural guidelines and excellent risk assessments. The restraint guidelines are discussed with care managers and families and are signed by appropriate people. The care plans and guidelines cross-reference and development is also noted. Key aspects of the service users care are discussed monthly and the care plans are reviewed six monthly. PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 9 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) 12,13,15,16 and 17 Service users have individually tailored activity programmes, which include participation in the community. Service users rights and responsibilities are recognised and they are encouraged to maintain appropriate relationships. The home offers good quality and varied meals. EVIDENCE: The home has an activities organiser who co-ordinates activities, on a daily basis and works hard to ensure that service users daily activity programmes are adhered to. The daily records showed that service users attended a variety of activities, as appropriate to their needs and wishes. These included swimming, trampolining, computer work, art and craftwork and college courses. Household chores such as cooking and cleaning were included in development programmes. Two service users confirmed that they had enjoyed that mornings activities. The home also has a sensory room and plenty of space for individuals to pursue chosen activities within the home. Correspondence between the home and service users families was on file as were service users contacts with families and friends. PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 10 The menu was seen and offered nutritious and varied food, with service users being involved in purchase and preparation of meals, as appropriate. Lunchtime was relaxed and well organised, service users appeared to enjoy their meal and were sensitively supported by staff. PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 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 standard(s) 18,19 and 20 Service users receive excellent personal support and their emotional and physical needs are well met. The medicine administration system is robust and safe. EVIDENCE: Service users personal support guidelines are included in their care plans and are carefully developed for each individual. They include cross gender care and bathing guidelines, which ensure service users privacy and dignity at all times. Service users receive any necessary support from other professionals and health appointments and issues are comprehensively recorded. Service users were observed to be well dressed, well groomed and had very clean teeth and hair. The medication administration records were accurate, the medication procedure appears to be adhered to at all times and the pharmacist visits the home at three monthly intervals. Service users are not able to administer their own medication. PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 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 standard(s) The above standards were not assessed at this inspection. EVIDENCE: PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 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 standard(s) The above standards were not assessed at this inspection but the inspector noted that the home was well kept and very comfortable. EVIDENCE: PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34,35 and 36 The service users are supported by an effective, well-trained, well-supported and experienced staff team. EVIDENCE: The home has a large staff team, some of whom have been working at the home for a number of years. Over 50 of the staff have an N.V.Q.qualification and most of the others are either pursuing one or are registering on a course. The induction and foundation training is L.D.A.F. approved and other specialist course are provided. There is a good ratio of staff to service users, which is adjusted depending on the needs of the service users, in residence. The staff are being supervised approximately every six weeks and appear to be well supported. PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 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 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) None of the above standards were assessed at this inspection. EVIDENCE: PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 4 x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 PEPPARD HOUSE Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 17 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 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. Refer to Standard Good Practice Recommendations PEPPARD HOUSE H51-H01 S11090 Peppard House V235270 160805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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. 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