Inspection on 16/10/05 for Respond

This inspection was carried out on 16th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Respond 16/03/07

Respond 01/03/06

Respond 22/03/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Respond 3 Priors Close St Laurence Way Slough Berkshire SL1 2BQ Lead Inspector Julie Willis Unannounced Inspection 16th October 2005 12:10 DS0000031734.V256987.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 DS0000031734.V256987.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. DS0000031734.V256987.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Respond Address 3 Priors Close St Laurence Way Slough Berkshire SL1 2BQ 01753 554435 01753 554435 Paul.Nicoll@slough.gov.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) Slough Borough Council Mr Paul Raymond Nicoll Care Home 8 Category(ies) of Learning disability (8) registration, with number of places DS0000031734.V256987.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd March 2005 Brief Description of the Service: Respond provides planned and emergency respite care for service users and their carers from mainly the Slough area. Service users aged between 18 and 65 with learning and associated physical disabilities are offered a regular pattern of respite care based upon an assessment of need. A typical stay would be a weekend or midweek stay up to a period of two weeks. The service provides a specialist resource for those people with challenging behaviour. DS0000031734.V256987.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a Sunday morning and early afternoon. The inspector looked at all areas of the home including a number of bedrooms and communal areas. The inspector examined a number of care and health & safety records and spoke to the staff, and service users. Brief feedback was provided to the duty Residential Care Officer at the end of inspection about the inspector’s findings. There were no requirements outstanding from the previous inspection, which took place on 17th March 2005 and only one recommendation arose from this inspection. What the service does well: Service users live in a well run home which has a caring and kind staff team. Records are well kept and enable staff to provide the care needed by each person. The staff team treat users with dignity and respect. They encourage users to make choices and decisions about their lives. Staff and managers help the users to take part in the daily running of the home. Service users have active social lives whilst resident and take part in a wide range of community activities. The service is highly valued by its service users and their relatives. The service is flexible and responsive to the needs of the community. DS0000031734.V256987.R01.S.doc Version 5.0 Page 6 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. DS0000031734.V256987.R01.S.doc Version 5.0 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 DS0000031734.V256987.R01.S.doc Version 5.0 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 the following standard(s): 2 All service users are fully assessed prior to admission to ensure the home can effectively meet their need. EVIDENCE: From examination of documentation and discussion with staff it was clear that all service users are fully assessed prior to their placement in the home. A copy of the Local Authorities Care Management assessment had been provided to the home for each person referred for a service. The tool used for the purpose of assessment was comprehensive and holistic in content and involved the input of the service user, their families and on occasion a multi-disciplinary team of professionals. DS0000031734.V256987.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 The care plans were sufficiently detailed to enable staff to effectively meet service user need and activities that could be hazardous to users were underpinned by effective risk assessment and risk management strategies. EVIDENCE: Examination of four service user care plans evidenced that the records were up-to-date and documented in a user-friendly format. There was evidence that the staff team has tried to involve users in the care plan process and their input was well documented. The care plans were comprehensive and holistic in detail and provided sufficient information for staff to provide the appropriate care. There is a need to ensure that a photograph of the service user is at the front of the care file. This is particularly relevant for those users that may abscond during their stay. Service users are encouraged to try new activities and are provided with opportunity for personal development and growth. Risk assessments were being carried out in accordance with individual need and emphasised personal safety whilst recognising the need for objective risk taking. All activities that DS0000031734.V256987.R01.S.doc Version 5.0 Page 10 could be hazardous to users were underpinned by risk assessment and risk management strategies. Observation of care practice concluded that staff were aware of the needs of individuals who had little or no intelligible speech through their skilled observations of the users behaviours and gestures. Staff were clearly working hard to establish service users wishes in relation to the activities of everyday living. Service users confirmed that they enjoyed their visits to Respond and always looked forward to their “holidays”. DS0000031734.V256987.R01.S.doc Version 5.0 Page 11 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): 12, 17 Service users take part in activities that provide opportunities for personal development and growth. Service users are provided with a menu that is nourishing, varied and meets their individual need. EVIDENCE: Whilst resident at Respond service users are provided with a range of stimulating activities, which encourage independence and the acquisition of life skills. A number of the service users are involved with the shopping, cooking, cleaning and laundry activities in the home as part of their daily care plan. From Monday to Friday many users attend their normal day services so as not to disrupt their usual routine and to provide them with the opportunity to engage with their friends and peers. At the time of inspection a number of users were getting ready to go out to Windsor to walk along the river and to feed the ducks. Service users are invited to attend various celebrations through the year and at the time of DS0000031734.V256987.R01.S.doc Version 5.0 Page 12 inspection service users were looking forward to the forthcoming Halloween & Firework Night barbeque and disco. The home provides a nourishing menu, which meets the specific needs of each user. Service users are provided with choice and variety and are consulted about the menus at the weekly service user meetings. Special diets can be catered for and religious and cultural needs can be met by the home. At the time of inspection one user required a Vegan diet and this had been planned and catered for. Service users confirmed that they enjoyed taking part in the activities at the home. One service user was visiting for the day because he enjoys the company of staff and other users. A number of the service users confirmed that the food provided was to their liking. DS0000031734.V256987.R01.S.doc Version 5.0 Page 13 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): 18, 20 Service users physical and personal support needs are well met and medication is dealt with safely and appropriately. EVIDENCE: Service users that attend Respond for respite care remain registered with their own GP. If they become ill whilst resident and are not in their own doctor’s catchment area the user will be taken to the NHS Walk-in Clinic at Upton Park Hospital for further medical assistance. At the time of inspection several of the users had complex health needs and were being provided with the technical aids and equipment they needed to maximise their independence. Electric hoists, other manual handling equipment, specialist bathing facilities and other aids are available at Respond to ensure the comfort, privacy and safety of users. Respond have their own system for the administration of medication. There is a cabinet in the office from which medication is dispensed into pots. The medication is provided to Respond from the users own home in labelled boxes, bottles and packets. DS0000031734.V256987.R01.S.doc Version 5.0 Page 14 All staff have received training in the safe administration of medicines and have regular updates and monitoring checks to ensure compliance with the Boroughs medication policy and procedure. Observation of practice evidenced that two staff administer medication together and are required to sign the MAR charts, which provides a double check and aids the safety of users. It is recommended that a photograph of each service user is at the front of their medication chart to assist staff to identify each user and to ensure service user safety. DS0000031734.V256987.R01.S.doc Version 5.0 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 the following standard(s): 22 The complaint policy is in a user-friendly visual format, which is accessible to users. Service users are confident that their concerns will be taken seriously listened to and acted upon. EVIDENCE: Respond have provided users with complaint information in a visual format which aids users understanding of the process. The booklets are available to each user and a copy is kept in each care plan. Discussion with the senior staff on duty indicated that feedback is actively sought from service users and their families on a regular basis. Service user meetings are held at regular intervals, which enable users to express their opinions and concerns. Examination of minutes of meetings evidenced that service users comments are considered and acted upon. There have been 4 complaints recorded by the home since the last inspection. All have been fully investigated by management. In one case the complainant has been responded to in writing and has used the Boroughs complaint process to take concerns to Stage 2 of the process. Service users are provided with details of the Boroughs complaint policy and the CSCI as a point of contact at any stage in the process. DS0000031734.V256987.R01.S.doc Version 5.0 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 the following standard(s): 24, 30 Users of the service benefit from living in a safe, hygienic and comfortable environment. EVIDENCE: The home has been subject to building works since the last inspection and these works are now completed. The home has a new ramp and handrail to the front door. There is a new front entrance hall and door, a new enclosed staff office, a sleep-in room with en-suite shower and a new Managers office. Other completed works included a new boiler system and pipe works, low temperature radiators, new decoration, new lighting and new carpets. Service users confirmed that they liked staying at the home, which appeared pleasant and homely. Service users are allocated a room for their stay, which can effectively meet their needs. The home was found to be clean and hygienic throughout, with no residual odours noted. Staff were advised to ensure that soiled laundry is put into DS0000031734.V256987.R01.S.doc Version 5.0 Page 17 baskets rather than on the laundry floor to reduce the risk of contamination and cross infection. DS0000031734.V256987.R01.S.doc Version 5.0 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 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): None of the staffing standards were inspected on this occasion EVIDENCE: None of the staffing standards were inspected on this occasion DS0000031734.V256987.R01.S.doc Version 5.0 Page 19 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): 42 Service users live in a safe environment where risks to their safety are assessed, minimised, monitored and managed effectively. EVIDENCE: Examination of a number of health & safety records indicated that all necessary checks and servicing of equipment in relation to fire safety and the maintenance of the water system are routinely undertaken to safeguard the health and welfare of users. Unnecessary risks to users are identified using a comprehensive risk assessment. So far as possible the risks are reduced or eliminated by putting in place effective procedures. DS0000031734.V256987.R01.S.doc Version 5.0 Page 20 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 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x DS0000031734.V256987.R01.S.doc Version 5.0 Page 21 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. 1 Refer to Standard YA20 Good Practice Recommendations Consideration should be given to providing a photograph on the front page of each users MAR chart to assist staff with identification. DS0000031734.V256987.R01.S.doc Version 5.0 Page 22 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 DS0000031734.V256987.R01.S.doc Version 5.0 Page 23 - 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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