Inspection on 26/04/07 for REACH Upton Court Road

This inspection was carried out on 26th April 2007.

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

REACH Upton Court Road 08/11/05

REACH Upton Court Road 09/06/05

REACH Upton Court Road 18/11/04

REACH Upton Court Road 22/07/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

The Farmhouse

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 REACH Upton Court Road 2a Upton Court Road Slough Berkshire SL3 7LX Lead Inspector Jill Chapman Unannounced Inspection 26th April 2007 10:50 REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 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 REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 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 Older People and 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. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service REACH Upton Court Road Address 2a Upton Court Road Slough Berkshire SL3 7LX 01753 570222 01753 579222 upton@reachdisabilitycare.co.uk 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) R.E.A.C.H. Limited Miss Aklima Miah Care Home 8 Category(ies) of Learning disability (8) registration, with number of places REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: 2A Upton Court Road is a residential home offering a service to eight adult service users, of both sexes who have learning and associated behavioural difficulties. The house is owned and the care provided by Rehabilitation, Education and Community Homes Ltd. The home is a two storied, specially adapted house, offering accommodation on the ground and first floors. The home is located within a few minutes walk of Slough Town Centre, within easy reach of all amenities. There is a park nearby and public transport is easily accessible. The home has its own transport. The weekly fees for 2006/2007 are £1170-£1577. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 10.50am and was in the service for four hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. The inspector looked round the building and spoke to most of the service user during the course of the visit. The manager was on sick leave at the time but staff on duty and the Operations Manager helped with the inspection. Records relating to care, staffing and health and safety were sampled. What the service does well: Service users needs are fully assessed to make sure that the home is suitable for them. They are given the opportunity to try the home out before deciding to live there. Service users plans show how staff how to meet service users needs. Staff help service users make meaningful choices in their daily routines. A parent said his son ‘is positively encouraged to make life changing decisions, albeit small ones.’ Detailed risk assessments help staff keep service users safe. Service users benefit from a stimulating and fulfilling lifestyle. Individuals are encouraged to pursue interests and activities of their choice. Staff work hard to help service users with diverse needs be integrated into the local community. Staff support service users to keep in contact with family and friends. Service users have an interesting and healthy diet. Service users receive care in the way that they prefer. Staff help service users to keep healthy and look after their medication well. A relative said that being supported to self medicate had increased his sons self esteem and sense of responsibility. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 6 The complaints procedure is easy for service users to use and they know who to talk to if they have a concern. Staff are trained to know how to protect service users and service users are given help to protect themselves. Service users benefit from an excellent environment and are happy with their accommodation. Service users are comfortable in their accomodation and have a sense of pride and ownership. Staff and service users keep the home very clean and hygienic. Service users are supported by a motivated and well-trained staff team. There are enough staff to meet service users current needs and to support them to enjoy activities in the community. Recruitment checks make sure new staff are suitable to work with vulnerable service users. Staff are trained to meet service users’ equality and diversity needs. A relative survey said that ‘they (Staff) are friendly, honest and above all the care of the resident is uppermost in their minds. I would suggest that they are in fact so good at what they do that they should be used as a benchmark against which other residential home providers are judged against. I cannot praise the staff at Upton Court Road enough and all of the staff from REACH’ The home is well managed and the organisation is supportive to the home and service users. The views of service users and others are sought to help develop the service. Good health and safety systems help keep service users safe. 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. The summary of this inspection report can be made available in other formats on request. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are fully assessed to make sure that the home is suitable for them. They are given the opportunity to try the home out before deciding to live there. EVIDENCE: The home has an admissions procedure, which includes carrying out, a full assessment to make sure that the home can meet a new service users needs. A parent said that they carried out a very thorough assessment of his relative needs. Staff and service users said that new service users come for introductory visits and overnight stays so they can get to know the home and other service users REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 9 before moving in. The introductory period is well documented and copies of assessments were seen on files sampled. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 & 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users plans show how staff how to meet service users needs. Staff help service users make meaningful choices in their daily routines. Detailed risk assessments help staff keep service users safe. EVIDENCE: Service users’ files were sampled and service users plans are very detailed and give staff clear information about how service users like and need to be helped. Daily diaries show that care plans are carried out. It was clear in discussion with staff that there are cross gender care guidelines for a female service user. Detailed behavioural guidelines are in place for service users, as REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 11 required from the last inspection. A relative said that the home are proactive in their care planning and that care plans are well thought out. In discussion with service users and from records sampled, it was seen that they are supported to make decisions about their daily routines. Any restrictions in choice are supported by risk assessments to show why choice is limited. A parent said his son ‘is positively encouraged to make life changing decisions, albeit small ones.’ A previous requirement, to make sure that all risks for service users have been considered, has been met. It was seen that there are individual risk assessments in place and that there is clear guidance for staff about how to reduce any risks identified. Bathing risk assessments needed further detail to show that the risk of drowning has been assessed and the Operations Manager said this would be carried out. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 13 12, 13, 14, 15 & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a stimulating and fulfilling lifestyle. Individuals are encouraged to pursue interests and activities of their choice. Staff work hard to help service users with diverse needs be integrated into the local community. Staff support service users to keep in contact with family and friends. Service users have an interesting and healthy diet. EVIDENCE: The home is excellent at supporting service users to develop their potential. Service users told how they are supported to attend college courses, work placements and activities in the local community. One service user said he likes his jobs helping at a local farm and a local garden centre. Another works as an age concern volunteer and at the garden centre. Others attend college for a variety of classes, including cookery and art therapy. Staff support service users to join in activities in the local community which include going to support Windsor and Eaton football team each week, picnics in local parks, trips out using their free bus passes, visits to a community church group each Sunday and a monthly visit to a local nightclub. It was clear in speaking with staff that they advocate for service users and help them access activities that are not geared towards their disability, for example the town centre night club. Staff said that the community of Slough is very accepting of people with diverse needs. It was clear that staff work hard to help service users with diverse needs be integrated into the local community. Service users spoken with were keen to tell of their interests and achievements. Some use the local swimming pool, go trampolining, to aquaaerobics and the weekly Mencap club. Staff support service users to have an annual holiday. Service users told of a previous holiday at Centre Parcs and are planning a holiday for this year. There was good feedback from relatives about the care the home gives to service users and their friendly and honest approach. Records show details of important family members and friends and the way that service users like to keep in touch with each person. Service users spoke of contact with their families. Service users told of how they help plan menus and help with the shopping. Menus show a good variety of nourishing meals on offer. It was seen that service users choose whether to eat together or in their room. The staff team are multicultural and the menu shows occasions where a meal from another REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 14 culture is offered. Service users said they enjoyed trying different kinds of food. On Sunday’s staff help service users bake a cake. Food stocks were good and food is stored safely. Weight is monitored and staff are trained to help service users who need help with feeding or maintaining a healthy weight. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users receive care in the way that they prefer. Staff help service users to keep healthy and look after their medication well. EVIDENCE: There are clear guidelines in place to help staff know how service users like to be supported with their personal care. Service users confirmed that their routines are flexible and that they can choose bedtimes, bath times etc. There are guidelines in place to show how staff should help service users manage routines such as room cleaning, bathing and self-medication. It was noticeable that service users clothes were well cared for and they were encouraged to be well groomed. Their clothing reflected their personality and choice. Some REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 16 changed clothes after coming in from work and others dressed smartly for an afternoon outing. A father confirmed that his relative’s health is well monitored and that he is supported to access appointments with health professionals. Health care records are well organised and there are records of health appointments. Charts are kept to monitor specific health needs like weight and continence. The home’s medication system was seen and was well organised and secure. Medication stocks are checked when they are delivered and it is audited weekly. There is a stock control system in place and unused medication is returned to the pharmacy. Staff are given a medication induction and formal training. There are guidelines in place for service users who self medicate. A relative said that being supported to self medicate had increased his sons self esteem and sense of responsibility. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The complaints procedure is easy for service users to use and they know who to talk to if they have a concern. Staff are trained to know how to protect service users and service users are given help to protect themselves. EVIDENCE: The Commission has not received any information from service users or others about complaints against the service Service users surveyed said they knew who to talk to if they have a concern. The complaints procedure is also produced in widget format (a picture-based communication method), and a simple language format with staff photos to help service users know who can help them. Staff said they receive training in how to handle complaints during their induction period. There have been no recent complaints received by the home. In discussion with staff and the Operations Manager it was found that all staff have received Protection of Vulnerable Adults training. Some service users have attended advocacy classes to learn how to protect themselves. There REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 18 have been no POVA incidents in the home. Cross gender care guidelines are in place. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from an excellent environment and are happy with their accommodation. Service users are comfortable in their environment and have a sense of pride and ownership. Staff and service users keep the home very clean and hygienic. EVIDENCE: REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 20 The home is well cared for and has very good quality furniture and equipment. A maintenance man is employed by the organisation and spends regular days at the home carrying out general maintenance. Since the last inspection a new staff office has been built and service users told how they helped choose the décor for this room. Some service users showed the inspector their bedrooms and they were well decorated and furnished and were personalised to the individuals taste. It was seen that there are flexible communal seating areas that give service users the choice to sit quietly or as a group in the lounge. Service users said they were very pleased with their accommodation. There is a good-sized garden, which is well kept and private. There is attractive good quality garden furniture. Service users told of how they like to spend time there in the summer months. It was seen that service users are comfortable in their environment and have a sense of pride and ownership. The home was very clean. Observation of the after lunch deep cleaning routine of the kitchen showed that staff are aware of how to maintain a clean and hygienic environment. Records show that service users are involved in cleaning routines. There are appropriate laundry facilities and service users are supported to carry out their own laundry. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported by a motivated and well-trained staff team. There are enough staff to meet service users current needs and to support them to enjoy activities in the community. Recruitment checks make sure new staff are suitable to work with vulnerable service users. Staff are trained to meet service users equality and diversity needs. EVIDENCE: Staff on duty were motivated and related very well to the service users. They were aware of the differing personalities and needs of the service users and made it clear that their role was to support the service users to live a ‘normal’ REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 22 lifestyle in the local community. The staff team is multicultural and staff said they have had cultural awareness training to help them look at the differences between their own and the service users’ culture. Regular staff meetings and handovers are held to maintain communication about service users needs. A relative survey said that ‘they (Staff) are friendly, honest and above all the care of the resident is uppermost in their minds. I would suggest that they are in fact so good at what they do that they should be used as a benchmark against which other residential home providers are judged against. I cannot praise the staff at Upton Court Road enough and all of the staff from REACH’ There is a programme of National Vocational Qualification training in place, some staff have already gained NVQ 2 or 3 and others are taking this currently. Staffing levels were found to meet service users’ current needs. There are three support workers on duty during daytime and evening shifts. At night there is one waking night and one sleeping in staff. Service users are given individual copies of the duty rotas so that they know who is working on each shift. In discussion with staff it was clear that staff deployment is flexible to meet service users needs. Staff spoken with confirmed that they were recruited according to the organisations recruitment policy, this includes following up references and checks to make sure staff are suitable to work with vulnerable people. A staff said he felt welcomed by the multicultural team when he joined. The Operations Manager said that new staff are interviewed a service user is part of the interview panel and candidates are also asked if they would be prepared to support service users to leisure activities, some of which that involve late nights for example staying out till 12pm to go to a nightclub. Staff were confident and knowledgeable about their role. In discussion with staff it was found that they receive a six-week induction and core training that covers essential training. Staff also receive training to meet the specific needs of the services user group for example Autism, Epilepsy, Dementia and Equality and Diversity. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 24 37, 39 &42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and the organisation is supportive to the home and service users. The views of service users and others are sought to help develop the service. Good health and safety systems help keep service users safe. EVIDENCE: The Operations Manager confirmed that the Home Manager has completed her National Vocational Qualification Level 4/Registered Managers Award. Although the manager was not on duty during the inspection, there was plenty of evidence that the home is well managed. This included well-organised records, the presentation of the home and the feedback from staff and service users. The manager is seen as approachable, good at her job and encourages staff to learn. There was feedback that proprietors are supportive and regularly visit the home, sometimes at the service users request. The Operations Manager said that they carry out Quality Audits twice a year and that service users, relatives and professionals are surveyed to give their views. The results of these surveys are used to identify areas for improvement. The Care Services Manager carries out Regulation 26 visits. There are good arrangements to ensure health and safety; these include monthly health and safety audits as part of regulation 26 visits. Staff are trained in health and safety and are given health and safety handbooks. The homes health and safety file was sampled and shows that regular servicing and checks are made of essential equipment. Health and safety records seen were up to date. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 25 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 4 34 3 35 4 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 3 43 X 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 REACH Upton Court Road Score 4 4 4 x DS0000043664.V330906.R01.S.doc Version 5.2 Page 26 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 REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 27 • Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. REACH Upton Court Road DS0000043664.V330906.R01.S.doc Version 5.2 Page 28 - 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. 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