Inspection on 17/12/07 for Remus Gate

This inspection was carried out on 17th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Remus Gate 11 Remus Gate Brackley Northants NN13 7HY Lead Inspector Judith Roan Unannounced Inspection 17 December 2007 03:45 th Remus Gate DS0000070389.V352191.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 Remus Gate DS0000070389.V352191.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 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. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Remus Gate Address 11 Remus Gate Brackley Northants NN13 7HY 01280 709894 01280 840049 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) www.grooms-shaftesbury.org.uk Grooms-Shaftesbury Mrs Ann Jones Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First inspection since change to registration as a result of Grooms-Shaftesbury taking over the management of the home. Brief Description of the Service: Remus Gate is a detached house providing a home for 3 people with a Learning disability. The service is one of several homes in the area managed by the organisation. The house is situated in a residential area of Brackley a small market town in Northamptonshire. The house provides single room accommodation with shared access to a bathroom and communal areas. There are good amenities close by giving access to a range of shops, healthcare providers and leisure facilities. During weekdays there is a local bus service within the area. Public transport is limited at other times and people rely on the provision of the provider. The fee levels are available within the information provided by the provider to any person considering a service provided from the Grooms-Shaftesbury services. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. This process considers the services capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. Remus Gate was re-registered after a merge between two organisations with no change to the management structure at the home. Due to flood damage during the summer people living at the home have been residing in temporary accommodation in Northampton until the house was refurbished. The three people returned to Remus Gate in mid December. The homes registered manager has completed an Annual Quality Assurance Assessment (AQAA) a questionnaire required to be completed by CSCI. The inspection was unannounced and was undertaken during the afternoon and lasted 2.5 Hours. What the service does well: What has improved since the last inspection? What they could do better: It is recommended that a review is undertaken to consider how best to facilitate peoples choices and opportunities in leisure activities. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective users of the service can expect that their needs will be fully assessed as part of the admissions process. EVIDENCE: The three people who live at Remus Gate have lived there since the home opened and were consulted as part of an assessment of their needs moving into a new resource. Two files were seen and contained good information on the needs of individuals. Individual’s experiences were good and all people spoken to during the inspection confirmed that they were consulted with about their needs on a regular basis. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Person centred plans provide clear details to ensure that individuals are supported to live their lives as independently as possible. EVIDENCE: People who use the service were very positive about how they were supported and confirmed that they are fully involved in making decisions within the home and about their lives. They have been supported to make person centred plans about their future and care plans demonstrate their views in how they wish to be supported. Care plans are well written and inform carers of what needs are to be supported and how individual wish to receive the support. All the care plans case tracked reflect what individuals were saying they needed assistance with and were underpinned with a range of risk assessments to ensure personal safety. There is evidence that care plans are reviewed monthly and individuals are fully involved with these meetings. Carers were knowledgeable about the needs of individuals and records were well maintained within files. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal lifestyle preferences are met within the limits of the provisions of the service. EVIDENCE: Individuals confirmed that they were happy living at the home and were involved in many activities throughout the day either at the day centre or on a home day where one to one support was available to undertake personal shopping attend healthcare appointments and maintain their personal space in the house. Individuals were supported to undertake daily living skills and encouraged to learn new skills as part of an ongoing development plans. One individual enjoyed music, watching TV and going out with friends whilst another liked being at home preferring spending quiet time in their room undertaking hobbies. Issues do arise when one person wishes to go out and another wants to stay at home and staff levels do not facilitate these choices. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 11 There is also an issue about only one vehicle being available during the daytime that limits the choices when individuals have their one to one time. There are more vehicles available in an evening and weekend when a further two vehicles used at the day centre are accessible. The service does have access to additional staffing but this needs to be pre-planned and is limited. The closure of a local activity club has reduced opportunities for residents to meet with friends on a monthly basis. The organisation however is planning to develop a monthly activity evening by using a dedicated organiser within the staff team to promote leisure options across the service in the area. There is good communication between the houses within the organisation with regular opportunities to share in activities. The residents were keen to inform the inspector about the many Christmas parties that they had been to over the past few days. All residents are actively engaged with the planning and implementation of the menu. Choices about what to eat are taken at a weekly house meeting and individuals go out and shop to purchase ingredients throughout the week. Staff do support individuals when it is their turn to prepare the meal. In observation the three people living at the home have a very positive relationship and enjoy each other’s company. Files documented what individuals had eaten for that day. All residents see family on a regular basis with two going home for weekend visits. There appears to be good communication with families who are part of the care plan reviews undertaken. Residents are encouraged to maintain contact by using the homes telephone. Facilities are available to ensure privacy at this time to maintain confidentiality. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The healthcare needs of individuals are fully met by regular reviews of their needs. EVIDENCE: In discussions with individuals during the inspection they confirmed that they were supported in how they preferred and had no concerns with their carers. If they felt unwell they would talk with their key worker or another carer in their absence about any concerns. Files demonstrated healthcare checks were undertaken and all were supported in attending GP or hospital appointments as required. Any prescribed medication was clearly documented within files and daily reports confirmed how individuals were supported with health care needs. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can be assured that their concerns will be listened to and that care practices promote their safety. EVIDENCE: Residents when asked all felt safe living at the home and would have no worry in reporting any concern if they were unhappy with the service or how they were supported. It was evident that the member of staff on duty listened to residents and demonstrated a supportive attitude that was professional and caring. Staff spoken with confirmed that they had undertaken abuse awareness training and would feel supported in reporting any incident that occurred. They were fully aware of they reporting procedures. Earlier this year staff had acted promptly in supporting residents to safety when the house was flooded during the heavy rains in the summer. They had continued and helped residents settle into temporary accommodation whilst the house was repaired and refurbished. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is fit for purpose and provides a warm comfortable and safe environment for people using the service to live. EVIDENCE: The house has been repaired and refurbished after flood Damage in the summer. The residents have been living in temporary accommodation in Northampton during this time, which has meant long and tiring journeys to access day care in Brackley. Residents are all pleased to be back home tin time for Christmas and to re-establish their routines. Bedrooms are personalised and are places where they enjoy spending time. One resident who does not watch a great deal of TV liked to sit listen to music and do their hobbies. The room was warm and provided good facilities. Communal areas provide a separate lounge where residents can relax to watch TV and a dining room adjacent to the kitchen. There is a small garden are for summertime use. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 15 The home was seen to be clean and well maintained. All systems within the house had recently been rechecked as part of making the house habitable after the flood damage. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well trained staff that meet their needs supports people who use the service. EVIDENCE: In discussion and in observation the staff member demonstrated that they had good knowledge about the needs of individuals living at the home. The staff member had worked for the organisation for many years and know worked as a bank staff covering several services. They had known the three residents for many years. Staff records were not checked on this inspection but in discussion with the staff member and the Registered manager all training had been undertaken and they were up to date with all required training. All training is underpinned by equality and diversity policies. Staff records had been seen by an inspector to another home recently within the organisation. Only one issued had been raised and this has now been rectified. The staff member confirmed that they were well supported with good communication with management. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and people who live there consider that their views are listened to. Management systems ensure that people who live at the home are safe and protected. EVIDENCE: The home is managed to provide a person centred service to all people using the service. The support of individuals is central to all decisions made and the registered manager ensures that the service is run in their best interest. Quality assurance is maintained by the continual checks made with people using the service through their reviews and the completion of surveys. The registered manager has completed an Annual Quality Assurance Assessment and returned this to CSCI which was used to inform the inspector on how quality reviews of the service is undertaken. Monthly inspections are undertaken within the house to review quality of the service. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 18 Records are maintained and were found to be up to date. People using the service are fully involved with the preparation of their records and have access to them. All health and safety checks are undertaken in accordance with statuary requirements. All people using the service are supported to manage their finances. Finances in the home are managed in accordance with the organisation policies and procedures. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 19 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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. 1. Refer to Standard YA14 Good Practice Recommendations It is recommended that a review is undertaken to consider how best to facilitate peoples choices and opportunities in leisure activities. Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Remus Gate DS0000070389.V352191.R01.S.doc Version 5.2 Page 22 - 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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