Inspection on 30/08/05 for Ridgewood Drive (1)

This inspection was carried out on 30th August 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

Ridgewood Drive (1) 29/10/07

Ridgewood Drive (1) 04/12/06

Ridgewood Drive (1) 14/12/05

Ridgewood Drive (1) 10/11/04

Ridgewood Drive (1) 03/08/04

Ridgewood Drive (1) 19/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 1 Ridgewood Drive Old Bisley Road Frimley Surrey GU16 9QF Lead Inspector Miss Marianne Barham Announced Inspection 30 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 1 Ridgewood Drive Address Old Bisley Road Frimley Surrey GU16 9QF 01276 62668 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) New Support Options Ltd Ms Regina Meakings CRH (PC) 5 Category(ies) of Learning Disability (LD) 4. registration, with number of places Physical Disability (PD) 4. Learning Disability over 65 years of age (LD(E)) 1. Physical Disability over 65 years of age (PD(E)) 1. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Of the 5 residents accommodated, up to 4 may fall within the category PD in addittion to the category LD. 2. Of the 5 residents accommodated, up to 1 may fall within the category PD(E) in addition to the category LD(E). 3. For those residents within the category LD or PD, the age range will be 31 64 years. 4. For those residents within the categories LD(E) and PD(E) the age range will be 65 years and over. Date of last inspection 10 November 2004 Brief Description of the Service: 1 Ridgewood Drive is a purpose built, detached bungalow set in a private residential area, located in Frimley, close to the town of Camberley. The home is owned and managed by New Support Options Limited and provides accommodation and care for up to five people with learning disabilities and/or physical disabilities. All areas of the home are easily accessible and the doors and hallways are wide enough for wheelchair access. Communal areas are arranged and furnished in a comfortable, homely way and there are ample toilet and bathing facilities. All bedrooms are single occupancy and of a good size, and all have a wash basin. No rooms have en-suite facilities. There is a garden to the rear of the property that is fully accessible to the service users and parking for several cars to the front of the building. The home has its own vehicle for accessing activities in the local community, trips out and attending day centres. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out at 10.30am by Marianne Barham, lead inspector for the service. The inspection was undertaken over a period of three and a half hours and was the first inspection in the Commission for Social Care Inspection (CSCI) year April 2005 to March 2006. The registered manager Mrs Regina Meakings was present, three staff members and a student nurse on placement at the home were spoken with, and records relating to the care of service users and running of the home were examined during this inspection. Of the four service users currently living in the home, two were spoken with and able to give their views on the service, one was out all day and the other was unable to express their views. Comment cards from service user’s relatives and involved health professionals were received prior to this inspection, all of which were complimentary about the care and services provided by the home. What the service does well: The home produces all information to service users in an easy read format using photographs and simple words in order that they understand as fully as possible what they are being told. The manager and staff team are to be commended for their commitment to this. The care plans for service users are well written, regularly reviewed and involve the service users at all stages. The manager and staff team are to be commended for their commitment to using the person centred approach when planning care. The service users are supported by the home to be a part of the local community and there is a full timetable of work and leisure activities in place for them to access. Service users are involved in the day-to-day running of the home as fully as possible and their views are listened to and acted upon by the home. Two service users spoken with expressed their satisfaction with the care and services provided by the home. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 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. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 5 Service users have enough information to make an informed choice about where they live and each receives a written contract with the home. EVIDENCE: The home has a comprehensive statement of purpose that gives clear and detailed information on the aims of the home and services provided. The statement of purpose and the service users guide are available in a pictorial format that is easy for the service users to understand. The service users guide was seen to be available to service users and those seen had been signed by the service user. The home is to be commended for its commitment to providing all information to service users in an accessible format. Each service user has a contract with the home that states the fees charged and the terms and conditions of residence in the home. Those contracts seen, had been signed by the service user and/or a representative. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 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 standard(s) 6 Each service user has an individual plan that reflects their personal goals and changing needs. EVIDENCE: Service users each have a ‘person centred plan’ that focuses on their aspirations as well as their assessed needs. These plans are of a high quality with evidence of the service users involvement throughout. All plans are reviewed and updated on a regular basis and detailed diary notes are kept for each service user. The manager and staff team are to be commended for the high quality and consistency of the care planning. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 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 standard(s) 11, 12 and 13 Service users take part in activities that are appropriate to their age, preferences and abilities. They are given opportunities to develop personally and are part of the local community. EVIDENCE: Each service user has an individual activity timetable agreed according to their assessed needs, preferences and abilities. The home accesses day centres, colleges and, other services for people with learning disabilities, such as Art Venture in Guildford. The home also makes full use of the facilities in the local and wider community, such as pubs, cinema, parks and shopping centres. Service users personal interests and hobbies are recorded in their care plans and they are supported and encouraged to pursue them. The home has its own vehicle and regularly organises trips out to places of interest. Service users have a holiday of their choosing each year, supported by the staff in the home. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 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 standard(s) 20 and 21 Service users are protected by the homes policies and procedures for dealing with medications. The ageing, illness and death of service users are handled with respect and according to the individual’s wishes. EVIDENCE: No service users self medicate. The home has a policy and procedure in place for dealing with medications. All staff members are trained to administer medications after a probationary period and the training is updated every six months. Medications were seen to be stored securely and appropriately, with no surplus stock and no items out of date. Medication administration records were maintained accurately and individual profiles are in place for each service user. The home has policies and procedures in place for care of the dying and death of a service user giving clear guidance for staff to follow. Several members of staff in the home have received bereavement training and the manager was able to demonstrate a good understanding of the needs of the dying person. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 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 standard(s) 23 Service users are protected from abuse. EVIDENCE: All members of staff, including bank staff, have received training on protecting vulnerable adults from abuse. The manager and several other staff members have also received the Surrey Multi-Agency training. The home has its own policy and procedure for adult protection and also a copy of the most recent Surrey Multi-Agency procedures. The home has a whistle blowing policy and all members of staff are made aware of this and have signed to show they have read it. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 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 standard(s) 24, 26 and 30 The home is clean, safe and comfortable and service users bedrooms reflect their individual needs, interests and preferences. EVIDENCE: The home is purpose built and this is reflected in the wide doorways, adapted facilities and spacious hallways. All communal areas are comfortably furnished with pleasant décor. The spacious kitchen is well equipped and fully accessible to the service users. Service users bedrooms are of a good size and are comfortably furnished with plenty of storage. The rooms are decorated according to the service user’s taste and reflect their individual interests and hobbies. Throughout the home photographs are displayed of holidays and outings taken and of occasions that are of interest to the service users. Two service users clearly enjoyed talking about these photographs and explaining where and when they were taken. During this inspection the main bathroom was being re-tiled and the exterior of the house was being re-painted. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 and 36 Service users benefit from an effective staff team that is appropriately trained and well supervised and supported. EVIDENCE: The home has an established staff team with eight permanent members of staff and four permanent bank staff, one of whom has NVQ level 3. The home uses agency staff to cover the night shifts, however these are the same staff each time and a permanent staff member is always on a sleep-in duty. The manager holds the NVQ level 4 Registered Managers Award, two senior staff members hold the NVQ level 3 and two care staff hold the NVQ level 2. The manager is an NVQ assessor and has two members of staff currently undertaking NVQ level 2. The home has a training programme in place with detailed records kept of all staff training. Training needs are identified initially at induction and then through the homes supervision and appraisal process. All members of staff are given at least six formal supervision sessions per year. Dates for these were displayed in the office with the annual appraisal date highlighted. Staff members spoken with stated that they received supervision every other month and attended training courses regularly. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40 and 41 Service users views are listened to and acted upon by the home. Their rights and best interests are safeguarded by the home’s record keeping and policies and procedures. EVIDENCE: The home sends out an annual survey to service users, relatives and people involved in the service users lives. The results of this survey are then published along with actions to be taken to address any shortfalls in the service, and made available on request. Each service users has a ‘ Are you getting a good service? ’ Workbook that is in an easy read pictorial format which asks simple questions about their experience of life in the home. This enables the home have a clearer picture of the needs and wishes of the service users. The home has a comprehensive list of policies and procedures in place that cover all aspects of running the home. The manager keeps a file of the key policies relating to the everyday running of the home and all staff sign to show 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 16 they have read these. All other policies can be found on the organisation’s intranet site. The manager stated that all staff are able to access this site and those staff members spoken with confirmed this. All records relating to the care of service users and/or the running of the home were seen to be stored in an appropriate manner. Those examined at this inspection, had been completed accurately and reviewed regularly as necessary. 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 17 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 4 x x x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x x x Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Ridgewood Drive Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 x x H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 19 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 1 Ridgewood Drive H58 H09 s13440 1 Ridgewood Drive v238959 300805 Stage4 ann.doc Version 1.40 Page 20 - 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!