Inspection on 27/06/05 for Sandalwood

This inspection was carried out on 27th June 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sandalwood 08/05/07

Sandalwood 22/12/05

Sandalwood 14/12/04

Sandalwood 25/08/04

Sandalwood 14/01/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

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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 50 Fordbridge Road Fordbridge Road (50) Ashford, Middlesex TW15 2SP Lead Inspector Sandra Holland Unannounced 18 May 2005 10:00 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. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 50 Fordbridge Road Address Fordbridge Road (50), Ashford, Middlesex, TW15 2SP 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) 01784 421223 N/A N/A Owl Housing Limited Grove House, 551 London Road, Isleworth, Middlesex, TW7 4DS Ms Jane Susan Gupta Care home only (PC) 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD), 1 of places Learning disability (LD), 8 Learning disability over 65 years of age (LD(E)), 3 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Within the category of learning disability (LD) up to 3 (three) of the residents can be accommodated over the age of 65 years. 2 Within the category of learning disability (LD) one resident can be accommodated with a mental disorder (MD) Date of last inspection 18 January 2005 Brief Description of the Service: Fordbridge Road (50) is a large detached house which can accommodate up to eight adults who have a learning disability. It is situated in an established residential area of Ashford with shops, leisure facilities and public transport available nearby. The registered provider for the service is Owl Housing and the premises are managed and maintained by Airways. The property is a two storey building and a lift enables service users to access all areas. There is a large garden with patio which can be accesed from the dining area or the lounge. Ramps and handrails are provided to support service users mobility. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first to be carried out in the Commission for Social Care Inspection year April 2005 to March 2006 and took place over five hours. The inspection was carried out by Mrs. Sandra Holland, Lead Inspector for the service. Mrs. Belkis Sbai, Designated Responsible Person (DRP) was present, representing the service. A tour of the premises took place and a number of records and documents, including care plans, medication administration record sheets and service user finance logs were examined. All eight service users were met with and seven members of staff were spoken to. The inspector would like to thank the service users, the Designated Responsible person and the staff for their time, assistance and hospitality during the inspection. What the service does well: What has improved since the last inspection? What they could do better: In the smaller upstairs shower room the shower tray and surrounds are very worn. Marks on the wall on the landing outside the room, indicate that water is leaking into it. Cleaning materials are stored in a locked cupboard on the landing but the Control Of Substances Hazardous to Health (COSHH) advice 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 6 sheets are not stored with them. Care plans and risk assessments have been drawn up for each service user but need to be updated. 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. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 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 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 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) 2 and 4. Prospective service users would be fully assessed and given the opportunity to make trial visits to the home. EVIDENCE: The DRP advised that the current service users have lived together for approximately ten years, since the home opened. It has not been necessary to introduce any prospective service users but the DRP was able to explain the assessment procedure that would take place if a vacancy occurred. She made it clear that any prospective service user would be introduced to the other service users very gradually to ensure they did not feel unsettled by the possible newcomer. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 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, 7, 8 and 9. A plan of support needs and areas of possible risk to service users are drawn up for each person. Service users are encouraged to be involved in running the home and are supported to make decisions. EVIDENCE: Care plans and risk assessments were seen to contain a good range of information to guide staff to each service user’s support needs. These need to be updated to show service user’s present needs more accurately. The DRP stated that service user’s plans are being reviewed to present the information in a more user-friendly way. The DRP advised that service users are encouraged to make their own decisions and staff offer support if required. Service users spoken to confirmed they are able to make decisions in their daily lives and are supported. One service user who smokes has a plan that she has agreed with staff, noting when and where she can smoke and the support that she requires. A risk assessment has been carried out to minimise the risks to the service user and others. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 10 Service users are involved in day-to-day decisions about the home, which are discussed at regular meetings. The DRP advised that they are not involved in the forming of policies or procedures in the home. A requirement and a recommendation have been made – please see page 20. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 and 16. Service users participate actively in fulfilling activities and are supported to be involved in the local community. EVIDENCE: It was evident that service users engage in a wide variety of activities, in the home and the community. Some service users went to local day centres or colleges to attend classes of their choice, including pottery and cookery, during the inspection. One service user proudly showed items she had made at a pottery class. Service users going out to activities are supported to handle their finances while out of the home. Another service user who has a strong interest in music has been supported to create his own “music room” and he advised that he enjoys providing a disco for parties at the home. A “lifestyle development “support worker is employed at the home to assist service users to achieve their chosen lifestyle and to assist to arrange their preferred activities and holidays. During the inspection the lifestyle support 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 12 worker was laying a path and further patio in the garden in consultation with one of the service users. The DRP advised that some of the service users are quite elderly and prefer quiet and more restful activities and this choice is accommodated. Service users were seen to be treated with respect by staff and were addressed in their preferred manner. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 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 standard(s) 18, 19 and 20. The health needs of service users are well met with evidence of a variety of health professionals supporting service users. EVIDENCE: Staff were seen to provide personal support to service users in a discreet manner, taking care to maintain each person’s privacy and dignity. The DRP advised that health professionals, such as district nurses and general practitioners (G.P.’s) visit service users if required. Where able, service users attend appointments with outside specialists, including the dentist and chiropodist. One service user who fractured her arm last year, has returned to full mobility following support and active encouragement to be independent. No service users currently administer their own medication. Medication administration was seen to be generally well managed, with effective procedures in place. One instance in which the receipt of medication had not been recorded was seen. A requirement has been made – please see page 20. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 14 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) These standards were not assessed at this inspection. EVIDENCE: 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, 29 and 30. The home is very well presented overall and provides a comfortable and homely place to live. EVIDENCE: The standard of the décor in the home is good, with bright and cheerful colour schemes. It is welcoming, warm and well lit and appeared clean and hygienic. Service users were happy to show me their bedrooms, which were appropriately furnished and made individual with their own pictures, photographs and belongings. Any specialised equipment required, is provided after assessment by an occupational therapist and is made available in a sensitive way. Two shower rooms and a bathroom are available with enough toilets to meet service user’s needs. These are all situated conveniently close to service user’s bedrooms and communal rooms. The smaller shower room upstairs needs to be renovated. A requirement has been made – please see page 20. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 Members of staff are supervised regularly and feel well supported. EVIDENCE: Staff spoken to advised that the manager is supportive and readily available to them. They stated that they have supervision meetings with the home’s manager each month. These meetings are arranged in advance so that both parties have time to prepare. The meetings are recorded and both the manager and the member of staff sign to agree the content. If there is any disagreement this would be noted. It was not possible to see any supervision notes as the home manager was on holiday at the time of the inspection. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 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 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) 37, 38, and 42. The home is effectively managed to the benefit of service users and staff. EVIDENCE: The DRP assisted the inspection process very capably and was managing the home satisfactorily in the absence of the manager. She advised and staff confirmed, that the home is managed in an open and inclusive manner. Owl Housing operate an on-call management system so that DRP’s have a point of contact in the event of an emergency. The home manager has recently completed the process of registration with the Commission for Social Care Inspection. 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 18 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 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 2 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 50 Fordbridge Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 19 YES 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. 2. Standard 6 9 Regulation 15 13 (4) (c) Requirement The service users plan must be kept under review. The registered person must ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. Risk asseeements must be kept under review. The receipt of all medication into the home must be recorded. The premises to be used as the care home must be of sound construction and kept in a good state of repair. The small shower room upstairs and adjacent wall must be renovated. Timescale for action 1st July 2005 1st July 2005 3. 4. 20 27 13 (2) 23 (2) (b) 10th June 2005 31st August 2005. 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 8 Good Practice Recommendations It is recommended that the registered manager offers service users opprtunities to contribute to the development and review of the policies and procedures of the running of the home. H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 20 50 Fordbridge Road 50 Fordbridge Road H09 H58 S13514 Fordbridge Road V224482 180505 Stage 4.doc Version 1.30 Page 21 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. 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