Inspection on 09/02/06 for Rivers Reach

This inspection was carried out on 9th February 2006.

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

Rivers Reach 31/05/06

Rivers Reach 03/05/05

Rivers Reach 25/11/04

Rivers Reach 04/06/04

Rivers Reach 22/04/04

Rivers Reach 07/05/03

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 Rivers Reach Fontley Road Titchfield Fareham Hampshire PO15 6QX Lead Inspector Laurie Stride Unannounced Inspection 9th February 2006 10:45 Rivers Reach DS0000011923.V271424.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 Rivers Reach DS0000011923.V271424.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. Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rivers Reach Address Fontley Road Titchfield Fareham Hampshire PO15 6QX 01329 842759 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) staff@riversreach.demon.co.uk Rivers Reach Care Limited Ms Karen Hurt Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 Brief Description of the Service: Rivers Reach is a large family bungalow situated in a quiet residential area. The premises include a large garden, activities room and field so residents may spend time outside the home.Accommodation is provided in single rooms on two floors. There is a large lounge and lounge/diner for communal activities.The home provides care for adults with mild to moderate learning disability and challenging behaviour. Residents are encouraged to be as independent as possible and to participate in the day-to-day running of the home by helping with shopping, cooking and cleaning.There are opportunities to access day care provision outside the home and to make contact with other homes owned by Rivers Reach Care Limited. Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two unannounced visits and lasted four hours, during which the inspector met four service users, the registered manager and two staff members and viewed some of the home’s records. The inspector looked at the key standards not assessed at the last inspection and therefore this report should be read in conjunction with the previous report. Since the last inspection the one outstanding requirement had been met. There were no requirements made as a result of this visit. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made as a result of this visit. Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 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. Rivers Reach DS0000011923.V271424.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 Rivers Reach DS0000011923.V271424.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): None of these standards were assessed on this occasion. Please refer to the previous report of 03/05/05. EVIDENCE: Rivers Reach DS0000011923.V271424.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): 7 Staff at the home support service users to make informed decisions. EVIDENCE: Through discussion with staff members it was evident that they respect service users rights to make their own decisions. Staff were observed to provide service users with assistance and support to make decisions where needed; and evidence of this is also included in individual care plans. Care plans contain records of individual ‘agreed boundaries’ between service users and staff. Service users were also seen to be making choices in their every day lives, such as when to get up and whether or not to take part in activities. Staff provide support to service users who may need assistance from time to time with managing their finances and service users can choose to use their personal allowances as they wish. The home had recently been in contact with a local advocacy service. Rivers Reach DS0000011923.V271424.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): 12, 15, 16 and 17 The service is well organised in providing service users with opportunities for taking part in appropriate activities, maintaining relationships, being involved in the daily routines of the home and eating healthy diets. EVIDENCE: A service user had recently started attending college again and spoke to the inspector about the activities on offer there. The service user was also accessing the local library. The registered manager confirmed that other service users also attended college or chosen activities such as bowling. Further evidence of service users having opportunities to take part in appropriate and fulfilling activities was contained in their care plans. Written timetables showed a variety of activities for service users both within and outside of the home. The home has a written visiting and signing-in policy and comments received by post from three visitors indicated that staff welcomed them in the home at any time. Service users were observed going out to visit relatives or spoke to the inspector about planned visits. The home supports service users who wish to develop and maintain personal relationships with people of their choice, Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 Page 11 through written policies and obtaining information and specialist guidance. Care plans contained details of service users’ ongoing relationship needs and support. Through discussion with staff and observation of working practice it was evident that the daily routines of the home promoted service users’ participation, independence and choice. For example, through the ‘agreed boundaries’ previously mentioned, choosing whether to go out or not, what to do and whether to join in-house activities. Service users were seen to be able to choose when to be alone or in company, and were able to move about the communal areas of the house without restrictions. Staff were observed interacting in a friendly and respectful manner with service users. The registered manager confirmed that all service users are provided with their own house key and receive their own mail to open. Service users confirmed that staff respect their privacy. Care plans contained information about household tasks that service users were responsible for. The home has two pet rabbits. Service users indicated that they liked the food provided in the home. A week’s menu detailing breakfast, lunch, dinner and supper was on display in the kitchen. Individual care plans contained information about any special dietary needs and encouragement in relation to healthy eating. Service users were able to help plan and prepare meals and details of this were also included in their personal care plans. Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The personal support needs of service users are well met with multi agency working taking place. EVIDENCE: Service users’ comments indicated that staff treated them well and that they felt well cared for. Care plans contained information about service users’ preferences with regard to how staff provide support and evidence of external specialist support and guidance. Copies of Care Plan Approach (CPA) meetings were also on file where applicable and each service user had a named key worker. Daily records are kept of the personal care given to each service user and evidence was seen of regular reviews and updates of individual needs. The home was in the process of further developing the format of support planning. Each service user was being given a personal folder containing support information written in an easy to follow pictorial style. These outlined, for example, people’s morning, afternoon and evening routines, their preferences regarding how they are supported, likes and dislikes and help with how to make a complaint. A service user guide and introduction to the home was also included in this format. Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has a clear and user-friendly complaints procedure to ensure that service users views are listened to and acted upon. Clear policies, procedures and staff training ensure that service users are protected from abuse, neglect and self-harm. EVIDENCE: The homes complaints procedure was displayed in the home, and response timescales were inside twenty-eight days. The procedure is issued to service users and other stakeholders as part of the Service User Guide, and includes the name, address and telephone number of the Commission for Social Care Inspection. Service user’s own support folders contained prepared envelopes to assist them in forwarding a complaint to people outside the home if they wished. The home keeps a record book for complaints with forms for recording the date and nature of the complaint and action taken. The home had received no complaints in the last twelve months. Service users’ comments indicated that they knew who to speak to if they were unhappy with the care provided. The home had copies of procedures for the prevention of abuse such as the Hampshire Adult Protection guidelines and Whistle Blowing. The inspector was informed that the home does not use any physical interventions and saw that the home had a written policy in relation to this. Staff sign records to say they have read and understand the policies. There is also a written policy regarding aggression toward staff members and the registered manager confirmed that breakaway training had been provided. Records in the office showed that training was provided to staff in managing and understanding challenging behaviour. Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 Page 14 On the day of the inspection some of the staff team were attending a training course in adult protection issues. Through discussion with members of staff it appeared that staff were aware of the home’s procedures for responding to any allegation or suspicion of abuse, keeping appropriate records and reporting to the manager and relevant agencies. Service user comments indicated that they felt safe living in the home. Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 Page 15 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): None of these standards were assessed on this occasion. Please refer to the previous report of 03/05/05. EVIDENCE: Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 Service users benefit through the home encouraging staff to undertake relevant care qualifications. EVIDENCE: Through observation and discussion with staff it was evident that staff had the attitudes, skills and experience necessary for the tasks they were expected to do, for example knowledge and understanding of service users personalities, needs and abilities. Staffing levels had increased in response to service users needs. Staff members confirmed that they thought the structured induction and training was good and relevant to their work with service users. Staff induction training is based on a Training Organisation for the Personal Social Services (TOPSS – now called Skills for Care) induction and foundation standards workbook. It was advised that the registered person obtain information about the Learning Disability Award Framework (LDAF) induction standards for staff working in learning disability services; and information on the forthcoming changes to Common Induction Standards (CIS) for staff, available from the Skills for Care website. The registered manager reported that four members of staff had obtained NVQ level 2 or 3 awards and another four were currently enrolled and undertaking NVQ training. Documentation in relation to the awards was seen in a sample check of two staff personnel records. Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 Page 17 Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 Page 18 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): Service users and staff benefit from a well run home and the leadership of the registered manager. EVIDENCE: The manager has previous experience of working with people with learning disabilities, is working on an NVQ4 Registered Manager Award and undertakes regular training to maintain and update her skills. Since coming into post the manager has continually improved the organisation of the home and developed links with other relevant agencies. There are clear lines of accountability within the home and the organisational management structure. Staff comments confirmed that the manager is accessible and supportive. Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rivers Reach Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000011923.V271424.R01.S.doc Version 5.0 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rivers Reach DS0000011923.V271424.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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