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Inspection on 08/11/05 for REACH Upton Court Road

Also see our care home review for REACH Upton Court Road for more information

This inspection was carried out on 8th November 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home makes sure that people can choose where they live and can get to know the home before they move in. Residents can talk to staff and people outside the home if they are worried about anything. The home looks very nice, comfortable and clean and residents are very proud of their bedrooms.

What has improved since the last inspection?

The home looks after the residents very well, as it did at the last inspection.

What the care home could do better:

Staff could make sure that they write down how to help residents who may sometimes find it difficult to behave properly. The home could make sure that anything that residents do is as safe as possible.

CARE HOME ADULTS 18-65 2a Upton Court Road Slough Berkshire SL3 7LX Lead Inspector Kerry Kingston Unannounced Inspection 8th November 2005 11:00 2a Upton Court Road DS0000043664.V261681.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 2a Upton Court Road DS0000043664.V261681.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. 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 2a Upton Court Road Address Slough Berkshire SL3 7LX 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) 01753 888699 R.E.A.C.H. Limited Miss Aklima Miah Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th June 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. 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on the 8th November 2005 between the hours of 11am and 4pm. Residents and staff knew the inspector was visiting as they had taken part in an exercise to see if the residents knew what was in the last report and wanted to discuss it with the inspector. The seven residents were present during some of the inspection and the manager and service manager were present throughout. The inspector talked to staff and residents, looked at some records and care plans and looked around the house. The home has high standards of care, there were no requirements or recommendations from the last inspection and two requirements from this one. 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. 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 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 the following standard(s): 2 and 4 Service users needs are assessed prior to admission and they are given opportunities to visit the home and choose if they wish to live there. EVIDENCE: There has been one new admission since the last inspection. The home is registered for eight but there remains one vacancy as the home ensures that the service users are able to ‘fit in’ with the current service user group and want to live there. The new service user told the inspector that he had been offered a place at another home run by the same provider but did preferred to live at Upton Court Road, he said he was very pleased with his choice. He said that the staff helped him and he was settling in well (he moved in, in July 05). The home keeps thorough records of the introductory programme and families, care managers and any relevant others are included in the process. 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 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 the following standard(s): 6,7 and 9 Service users needs are, generally reflected in their individual plans but there was an absence of behavioural guidelines for some service users. Service users are encouraged to make as many decisions as possible but there were some omissions in the risk assessment process. EVIDENCE: Individual plans are developed with the service users and are reviewed on a six monthly cycle, more frequently if necessary. There is evidence of good support from specialists such as the psychiatric teams. Whilst there are some guidelines in place to deal with difficult behaviours some were not up-to date or detailed. Incident reports showed that staff did not always use a consistent approach and on some occasions this resulted in inappropriate reactions from staff members. Service users said that they felt staff looked after them well and helped them when they needed it. The manager explained that the home is currently developing a new format for the care plans, which may address some of the issues about behavioural guidelines. Most service users have families who are involved in their care and help them make appropriate decisions, one service user has an advocate. There are 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 Page 9 regular residents meetings, in which service users participate. There is evidence that staff take note of their concerns and ideas and act upon them. Service users ability to deal with their own money is noted on care plans and development plans are also noted. Most service users have appropriate risk assessments but it was noted that there are some omissions particularly with regard to bathing guidelines for an epileptic service user. 2a Upton Court Road DS0000043664.V261681.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): None of the above standards were assessed at this inspection. EVIDENCE: 2a Upton Court Road DS0000043664.V261681.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): None of the above standards were assessed at this inspection. EVIDENCE: 2a Upton Court Road DS0000043664.V261681.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 and 23 Service users are able to express concerns and views on their care and are protected from all forms of abuse. EVIDENCE: The home has a robust complaints procedure and service users know how to use it. Service users also told me that they could talk to the home manager or the senior manager of the company if they wished to. Hose meetings also evidenced that service users were comfortable to express their concerns and staff generally acted on them. There have been no complaints since the last inspection but the complaints process is discussed at service users meetings to ensure they remain aware of it. All staff have been trained in the protection of vulnerable adults and appropriate action is taken if a possible vulnerable adults issue arises. There has been one possible vulnerable adults complaint made since the last inspection and this was appropriately dealt with. Some issues around the use of language and possible inappropriate reaction to challenging behaviour was discussed with the manager. (See standard 6) All financial records checked were accurate and all service users had evidence of appropriate expenditure. There was some discussion about development programmes for service users to deal with more of their finances and to know their overall financial position if there money was administered by families. 2a Upton Court Road DS0000043664.V261681.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 and 30 The home is very comfortable and has high standards of hygiene and cleanliness. EVIDENCE: The home has very good quality furnishings and equipment and is an excellent environment. The service users said that they were very happy with the house and were very proud of the standard of furniture and décor in their bedrooms. The home achieves very high standards of cleanliness and hygiene. There is reference in staff meetings and handovers to ensuring hygiene rules are followed and regular cleaning is done. 2a Upton Court Road DS0000043664.V261681.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): 32 and 34 The staff team is appropriately qualified and competent and the home has a robust recruitment procedure. EVIDENCE: Four of the ten staff have N.V.Q. qualifications and new staff have a detailed induction programme. The home manger ensures that staff receive appropriate training and is aware that there are some issues around values and attitudes in the staff team (See standard 6). Service users said that they like the staff and they are always there when they are needed. They had no complaints about the way they were treated and knew who to talk to if they did. Recruitment records were seen and all the necessary information was on file. There was discussion with the manager about ensuring that references were checked if there was any doubt about their source. 2a Upton Court Road DS0000043664.V261681.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): 37,39 and 42 The home is well run and there is an annual audit of the quality of care. Service users health and safety is promoted in the home. EVIDENCE: The manager is registered with the C.S.C.I she has been pursuing her N.V.Q. Registered Managers Award for sometime and has completed four units, she is expecting to complete it within six months. The home has regular regulation 26 visits, holds six monthly reviews for service users and complete an annual audit of the service. An annual development plan is produced as a result of the audit, his was not available on the day of inspection. All the necessary Health and Safety checks were up-to-date and all the staff have completed the necessary mandatory training. The home has an annual Health and Safety check, carried out by the insurers, this is very thorough. The home is able to seek Health and Safety advice from the Health and Safety officer. 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 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 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 4 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 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2a Upton Court Road Score X X X X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 3 X DS0000043664.V261681.R01.S.doc Version 5.0 Page 17 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 2 Standard YA6 YA9 Regulation 12.1(a) 13.4(c) Requirement To develop behavioural guidelines for service users, as appropriate. To risk assess any activities that may be hazardous for service users. Timescale for action 01/01/06 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA32 Good Practice Recommendations To ensure that all staff display the appropriate values and attitudes to service users. 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Berkshire Office 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. Extracts may not be used or reproduced without the express permission of CSCI 2a Upton Court Road DS0000043664.V261681.R01.S.doc Version 5.0 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!