Inspection on 30/11/05 for Robert House

This inspection was carried out on 30th November 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Robert House 09/12/08

Robert House 27/02/07

Robert House 07/07/05

Robert House 15/11/04

Robert House 25/05/04

Robert House 03/03/04

Robert House 18/03/03

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Hillview Farm

Dalewood Respite Care

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REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Robert House Robert House Avon Tyrell Bransgore Christchurch Dorset BH23 8EE Lead Inspector Mr Roy Bega Unannounced Inspection 30th November 2005 07:30 Robert House DS0000012459.V266792.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 Robert House DS0000012459.V266792.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. Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Robert House Address 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) Robert House Avon Tyrell Bransgore Christchurch Dorset BH23 8EE 01425 673297 The Fortune Centre of Riding Therapy Miss Jane Pritchard-Williams Care Home 7 Category(ies) of Learning disability (7), Mental disorder, registration, with number excluding learning disability or dementia (7) of places Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the LD and MD categories are not to be admitted under the age of 18 years. 7th July 2005 Date of last inspection Brief Description of the Service: Robert House is one of three student residential units managed by “The Fortune Centre of Riding Therapy”, a Specialist College offering young adults who have a learning difficulty a 3 year further education course through the media of care and management of horses. This is then transferred to personal development towards independent living. The unit accommodates up to 7 third year students in single bedrooms with en-suite facilities. Robert Houses philosophy is to provide an environment for students to develop further daily living/independent living skills. During the working day, students are provided with educational activities on the college’s campus. Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for adults 18-65 were being met at the time of the inspection. Standards not inspected on this occasion will be assessed during future visits. Robert House is a residential unit for seven students studying at The Fortune Centre of Riding Therapy, a Specialist College offering young adults who have a learning difficulty a three-year further education course through the media of care and management of horses. This inspection took place between 7-30 am and 11-30 pm on the 30 November 2005, a total of 4.hours. Opportunity was taken to look around the unit and visit the college’s main office and stables. The inspector viewed records, observed the working environment and spoke with several students and staff. The inspector was invited to and partook of breakfast with students and staff, which provided an opportunity for open discussion. The two requirements raised as a result of the previous inspection, were assessed to have been met. No requirements were raised resulting from this inspection. What the service does well: The organisation has an effective staff team sufficient in numbers and with complimentary skills to support students assessed needs. The Fortune Centre of Riding Therapy employ a compilation of professional staff disciplines i.e. teachers, riding instructors, care staff, physiotherapists etc. who work across the whole of the college. New staff are required to complete “The Learning Difficulties awareness Framework” induction programme accredited by the British Institute for Learning Disability. They are also complete a six-month probationary period mentored by a senior and provided with monthly one to one supervision. Robert House DS0000012459.V266792.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. Robert House DS0000012459.V266792.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 Robert House DS0000012459.V266792.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): 1 and 5. Prospective students and their relatives are provide with appropriate information to assess whether the college will meet their needs an aspirations EVIDENCE: The college’s statement of purpose has been reviewed subsequent to the previous inspection. The inspector was informed that it planned to produce the document both in audio and digital videodisc. A sample of two contract/statement of terms and conditions between the college and students’ were seen. They included the required information. Robert House DS0000012459.V266792.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): EVIDENCE: None of the standards in this section were assessed on this occasion. Robert House DS0000012459.V266792.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): EVIDENCE: None of the standards in this section were assessed on this occasion. Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21. The illness and death of students would be handled with respect. EVIDENCE: The inspector had to rely on the available policy and procedure to evidence this area. The document seen and discussions indicated that students are assured staff would treat them and their family with care, sensitivity and respect at the time of illness or death. Discussions indicated this standard would be met. Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards in this section were assessed on this occasion. Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27 and 28. The premises are suitable for its stated purpose as student accommodation in a specialist college. It is accessible, clean, safe and generally well maintained. Students are encouraged to personalise their bedrooms EVIDENCE: A requirement was raised resulting from the previous inspection for new lounge furniture to be provided. Students informed the inspector that they have chosen the chairs they want which are being delivered end of January 2006. The inspector had the opportunity to walk around communal areas and students’ bedrooms, which are in good decorative order. There is a programme of redecoration that is usually completed during the summer break. A full time maintenance engineer is employed to ensure daily snags are rectified. Students hold keys to their rooms. Observation and discussions indicated that students are encouraged to personalise their rooms with posters and “knick knacks”. The unit has a communal bathroom and all bedrooms have en-suite toilet and shower facilities. Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 and 34. Students benefit from a stringent recruitment policy and procedure, staff being appropriately trained and having good awareness of their roles and responsibilities. EVIDENCE: The Fortune Centre of Riding Therapy (TFCRT) employ a compilation of professional staff disciplines i.e. teachers, riding instructors, care staff, physiotherapists, medical etc. who work across the whole of the college. It has therefore, been agreed with the Commission that staff records be kept centrally in the college’s main office. During a previous inspection of another student residential unit, the inspector checked staff records. They included copies of detailed job descriptions and required documentation. New staff have completed “The Learning Difficulties awareness Framework” induction programme accredited by the British Institute for Learning Disability. They are also complete a six-month probationary period mentored by a senior Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 15 and given monthly one to one supervision. The inspector was shown the college’s training schedule that detailed courses for individual staff that have been and need to be competed. Observations, discussions and available records indicated that TFCRT has an effective staff team with complementary skills. Discussions with staff indicated an awareness of their own knowledge and skill limitations. Staff spoken with portrayed a positive attitude towards training. Positive relationships and respect was evident between students and staff on duty. Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 16 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): 39. The organisation has effective quality assurance and quality monitoring systems based on seeking views from students, family members and purchasing authorities. EVIDENCE: Internal and external audit and quality assurance systems are in place. Discussions and information indicated that students have weekly one to one meetings with their tutor to discuss any comcerns with regards to the daily running of the unit. Students informed the inspector that they are listened to and feel suppoprted. The organisation has a quality assurance group comprising of staff, independent professionals and trustees. The group meets bi-monthly. Reports were seen. Robert House DS0000012459.V266792.R01.S.doc Version 5.0 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 3 X X X 3 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Robert House Score X X X 3 Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000012459.V266792.R01.S.doc Version 5.0 Page 18 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 YA1 Regulation 4 (1) Requirement The Colleges statement of purpose is in the process of being reviewed and should be completed by 31 July 2005. The three piece suite in the students lounge requires replacing. Timescale for action 31/07/05 2. YA24 16 (2 c) 01/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA22 Good Practice Recommendations It would be best practice to maintain a separate single complaint sheet within students daily report logs detailing required elements of investigations. This will assist the organisation with maintaining confidentiality and the requirement to provide the Commission for Social care Inspectorate (CSCI) on request a statement containing a summary of the complaints made and the action that was taken. Robert House DS0000012459.V266792.R01.S.doc Version 5.0 Page 19 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. Extracts may not be used or reproduced without the express permission of CSCI Robert House DS0000012459.V266792.R01.S.doc Version 5.0 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. 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