Inspection on 11/05/05 for Radfords

This inspection was carried out on 11th May 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

Radfords 10/04/07

Radfords 05/10/05

Radfords 14/10/04

Radfords 11/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Honeybourne House

32 Beaumont Way

Stallcombe House

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

CARE HOME ADULTS 18-65 Radfords Main Street Broadhempston Totnes TQ9 6BD Lead Inspector Judy Cooper Announced 11/05/05 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. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Radfords Address main Street, Broadhempston, Totnes, TQ9 6BD 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) 01803 813622 admin@roc-uk.org Robert Owen Communities Gary Grieve Care home 12 Category(ies) of Learning Disability (12) registration, with number of places Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14/09/05 Brief Description of the Service: Radfords is a detached property situated in the centre of the village of Broadhempston, near Totnes in rural Devon. The residents’ accommodation is provided in three separate units - The Cottage, Hayloft (and The Flat), and the Farmhouse and there is a main office and communal rooms, converted from previous farm and barn accommodation, sited around a courtyard. Radfords is part of the Robert Owen Communities, a charity to help learning disabled people achieve their aspirations. The Communities has other residential and facilities locally. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one afternoon and evening. Several standard written feedback forms were received prior to the inspection from residents’ relatives. Opportunity was taken to tour the premises, examine appropriate records and policies and talk with the manager, residents and staff. All of residents at Radfords were spoken with, either individually or as part of a group, on their return from the various day activities they had been attending during the day. Staff on duty were also observed and some spoken with, whilst in the course of undertaking their care duties. What the service does well: What has improved since the last inspection? Staff have been given delegated duties and responsibilities which has allowed the manager more time to spend with the residents to ensure that standards are being maintained, and care provided, as residents wish. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 6 Residents have been given easy, understandable access to any information regarding the home, as all the communication has been, or is the process of being, put into a pictorial/symbol format within the home. This includes residents’ personal records and general information regarding the day to day running of the home. Assessments of residents has improved, in so far as that there is a now a much more detailed assessment undertaken of the residents needs which is done with the resident, and again, recorded in a suitable format which is understood by the resident. General paperwork within the home has been further streamlined and rearranged to allow easy access by staff and residents. 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. Radfords D54-D07 S3785 Radfords V215896 110505 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 Radfords D54-D07 S3785 Radfords V215896 110505 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 The individual needs and aspirations of any prospective resident are assessed in great depth and are well known by both the manager and staff prior to the resident’s admission. EVIDENCE: Radfords historically has a very stable resident group. Consequently the one vacancy that the home currently has is the first for a number of years. It has only occurred because another resident has now moved into a supported living scheme. The Robert Owen Communities manage vacancies in such a way as to ensure that all current members of the home are able to have a say in who comes to live at the home. Consequently the manager has invited five prospective residents (who were all on a waiting list) to trail the home for a two week period on an individual basis. On completion of this all current residents at Radfords, along with the staff make a joint, agreed decision as to who would be most suited to living at the home. All prospective residents are made aware of this admission process. The manger had very detailed information regarding each prospective resident, each of whom had been through an initial introductory visit before their stay. The resident trailing the home, when the inspection was taking place, stated that she was enjoying her stay very much and had settled and had made new friends. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 9 Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 10 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) 6,7,8,9 Staff are very skilled at ensuring that residents are involved in planning for all aspects of their overall needs and personal goals. EVIDENCE: Each resident has an in-depth personal file that can be accessed by the resident whenever they want to. Much of the file is produced in a pictorial or sign format so that residents can easily understand their records. The manager and staff have just completed an in-depth assessment called “My life, my plan” with each individual resident. This is a portable document that residents can take with them to any review or meeting and which, again, is in a format that each resident can understand and be able to easily refer to. Each resident has two appointed key workers who both have work specifically with the resident. Residents spoken with were very articulate as to their own chosen lifestyles, preferences and personal dislikes. All were able to confirm that their individual choices were upheld, and it was noted that residents were facilitated by the staff to fully participate in the necessary tasks associated with daily living. On the evening of the inspection residents were involved with cleaning tasks, had been previously agreed to, whilst staff prepared the evening meal. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 11 Residents then cleared up pots etc before attending their weekly house meeting. Residents chair the meeting in turn, with written records kept. One resident is currently working towards being able to go to the local shops on her own and staff are in the process of enabling the resident to do this in manageable and safe stages. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 12 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) 12,13,15,16,17 Residents lives are enhanced by being supported to participate in many varied activities and make full use of the local, nearby community facilities as well as to maintain, personal relationships as desired. The staff are committed to ensuring that meal planning, along with all aspects of daily living within Radfords, is determined by resident choice which allows residents to maintain control over their own lives. EVIDENCE: Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 13 Some residents are currently engaged in work placements on a farm and a craft centre, both operated by the Robert Owen Communities and further opportunities are currently being made available. On the evening of the inspection several residents returned to the home from the farm, the craft centre and an adult literacy course. All had had a good day and were enthusiastic about how they had spent their time. Residents continue to have very full and rich recreational opportunities as was evidenced by speaking to the residents and staff, with music having a large role within the home (one resident plays the cello and some others the piano, whilst another has just commenced learning the drums). Radfords is considered part of the local community and residents use all local facilities such as the shop, church and pubs. Visitors are welcomed to the home and a visitors record kept, evidenced that residents were able to have visitors at times to suit them. Feedback from a relative stated the following: As the parent of a resident I am always made to feel welcome when I visit and as a family we are informed of matters of importance affecting our daughter as a resident at Radfords”. Meals are planned by the residents at the weekly residents’ meeting with each of the three houses having a different, personally tailored menu. Fresh, organic produce is provided where possible and a delivery of the same arrived at the home during the afternoon of the inspection. Residents were pleased to talk about their holiday plans, with some going to Spain in a couple of weeks, whilst others had chosen a holiday in this country. Robert Owen have funded a significant part of these holidays Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 14 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 Radfords provides sensitive and flexible personal support and care to maximise a residents’ privacy, dignity, independence and choice over their own lives, within the framework of a community. The manager and staff demonstrated an impressive awareness of residents’ health and emotional needs which has allowed the residents to maintain good health and achieve a feeling of self worth and esteem. EVIDENCE: Care provided is tailored to each individual resident’s needs. To this end some residents have support with personal hygiene, whilst others with socialisation skills. Residents’ written records contained full details of all care provided and these are also presented in such a format as to ensure that residents can understand all that is recorded. All residents stated that they liked living at Radfords and that they liked their key workers and other staff. They said they had busy lives and were happy. Written feedback received from a resident’s family stated the following: “we are extremely happy in every way with the standard of care, as is our daughter. We are also impressed with the regular communication given by her keyworker” Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 15 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) 22,23 Residents understand and are aware of the complaints procedure within the home and would feel able to approach the manager or staff with any concerns they may have. EVIDENCE: The complaints procedure is written in various formats, including a pictorial format, so that all residents can clearly understand it. It is displayed within the home’s main office/meeting room where residents regularly visit. There have been no complaints reported either to Radfords or to the CSCI within the past twelve months. The residents’ weekly meetings, and the three-monthly community days, give residents the opportunity to voice any concern/complaint they may have and these, are in turn, immediately addressed by the manager and staff. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 16 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) 24,30. Radfords is comfortable, clean, and mostly well maintained, however the residents’ living environment could be improved upon by the upgrading of some furniture and fittings that have now become worn. The home provides a safe environment for residents to live in. EVIDENCE: The tour of the building showed that the accommodation is comfortable, clean and welcoming and is well used by the residents. Some of the communal furniture and fittings including lounge suites, some carpeting and decoration was looking worn/shabby. The staff do carry out some decoration/upgrading as time allows, and there was evidence of this, however staff hours are currently only allocated for care. There are no designated maintenance hours. The manager and staff maintain the home’ fire precautions in line with the requirements of the local fire department. Residents’ bedrooms are very individually furnished according to individual residents’ wishes. The manager and staff maintain the required health and safety procedures and policies, within the home appropriately. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 17 Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 18 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) 35 Residents’ needs are fully met and supported by an experienced, well trained staff team which enhances their overall quality of life. EVIDENCE: Staffing levels were seen to be in sufficient numbers to ensure that residents’ needs could be met at all times. Residents said that they felt well looked after, liked the staff and that staff were always available if needed. Positive feedback was received from residents’ relatives as to the standard of care received, and the manner the care was delivered. Staff were noted as interacting in friendly, respectful manner with the residents. Training continues to be well planned and supports the staff in providing for the varied needs of the residents. Several staff hold NVQ2 or above, whilst other role related training is provided regularly to ensure staff are competent within their role and therefore able to provide the necessary support to the residents. Staff also stated that they felt supported in their role and it was evident, from watching the verbal communications and other interactions that took place Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 19 between the residents and staff, that the staff and residents have good, meaningful relationships. Residents are invited to be part of the recruitment process within the home. A newly appointed staff member was able to confirm that a resident had been on the interview panel, when she had applied for a job, and that the resident had been enabled to ask her several questions during the interview. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 20 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) 39,42 The home is very well managed. Radfords provides a safe environment where residents’ health and safety is upheld and maintained to a good standard. EVIDENCE: Residents and staff praised the manager’s ability to manage the home in a way that meets residents’ needs and creates a welcoming, open and positive place to live and work. Residents were seen to be relaxed with the manager and were clearly delighted when he had supper in one of the houses on the evening of the inspection. Suitable quality monitoring takes place, including monthly management meetings, three-monthly house meetings, weekly resident meetings (with one such meeting taking place on the night of the inspection) and parent meetings. This ensures that the home continues to operate as residents wish, with new ideas being able to be discussed/tried so that residents’ needs continue to be met appropriately. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 21 The manager and staff continue to maintain a safe environment with all appropriate and required checks in place to ensure that residents health and safety is not compromised. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 22 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 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 4 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 4 x 4 4 4 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Radfords Score 3 4 3 x Standard No 37 38 39 40 41 42 43 Score x x 4 x x 3 x D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 23 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 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 24 Good Practice Recommendations The registered provider should ensure that the furniture and fittings within the home are upgraded as required. Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Radfords D54-D07 S3785 Radfords V215896 110505 Stage 4.doc Version 1.30 Page 25 - 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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