Inspection on 12/12/05 for Severn Oaks

This inspection was carried out on 12th December 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

Severn Oaks 04/08/09

Severn Oaks 25/06/07

Severn Oaks 09/05/06

Severn Oaks 05/04/05

Severn Oaks 11/01/05

Severn Oaks 07/05/04

Severn Oaks 03/12/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Severn Oaks 6 Jesmond Road Clevedon North Somerset BS21 7SA Lead Inspector Paul Grey Announced Inspection 12th December 2005 09:30 Severn Oaks DS0000008135.V260941.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 Severn Oaks DS0000008135.V260941.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. Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Severn Oaks Address 6 Jesmond Road Clevedon North Somerset BS21 7SA 01275 878447 01275 873775 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) Cintre Community Limited Mr Robert Michael Hogan Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age of persons who may be received in the home is 18 - 35 years Date of last inspection 5th April 2005 Brief Description of the Service: Severn Oaks is a small home based in the community, which provides support to young people with learning disability and complex needs. The home strives to promote independence and acts as a springboard for service users to move toward independent living. Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection found a clean, comfortable home, happy service users and a well orchestrated efficient care service. The inspector notes the manager’s aspirations to develop a premium service, the evidence from this and earlier inspections would suggest that Severn Oaks significantly exceeds national minimum standards over a broad range of activities. The inspector noted a range of improvements to an already strong service and commends the manager and staff team on the standard of care offered at Severn Oaks. What the service does well: 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. Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 6 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 Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 7 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): 1,2,3 The home provides potential service users with sufficient information to make an informed choice about the service. The home assesses service users needs to ensure the home can meet them. The home can meet service users assessed needs. EVIDENCE: Severn Oaks offers a structured and comprehensive range of activities to its service users, this is based on an in depth assessment of their needs. The needs of some service users may be quite complex and require a sensitive balance between support and encouraging independence. Severn Oaks meets these needs appropriately and responsibly. The inspector sampled 3 care files covering a range of sensitive and complex issues. The inspector found evidence from both staff statement and documentation outlining the process of negotiation, care planning and risk assessment. The standard of documented care was excellent. The inspector noted the care outlined within care files was of a high standard. The home exceeds national minimum standards. Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 8 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 Service users needs were clearly and comprehensively assessed. The Inspector noted that staff assesses service users and that these needs are reflected in the service users care plan. The staff team support service users to take reasonable risk as part of independent living. The home exceeds national minimum standards in a range of standards. EVIDENCE: The inspector reviewed documentary evidence for 3 service users. This process involved review of care plan, care assessments, risk assessments and daily notes. All were clear, comprehensive and up to date. The inspector noted staff and service user statement indicating that great care is taken to involve service users in all decisions. The home was able to provide Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 9 clear examples of the way in which service users were involved the formation of their plan of care. Due to their complex needs and the need to balance the rights of the individual within a risk assessed framework, the homes risk assessments cover a range of sensitive issues. Risk assessments were thorough, well written and addressed every conceivable risk. Severn Oaks DS0000008135.V260941.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): 11, 12,14,16 The home provides its service users with opportunities for personal development. Service users are supported to take part in age, peer and culturally appropriate activities. Service users are supported to participate in appropriate leisure activities. The service respects service users rights within their daily lives. EVIDENCE: The inspector noted clear documentary and statement evidence to conclude the home meets service users needs for age, peer and culturally appropriate activities. The inspector notes and commends the considerable efforts by the team to meet the needs of the service user group. Service user feedback was very positive regarding these standards. Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 11 The inspector notes the efforts by the staff team to improve resources at the home. In particular, on the day of inspection the home was carrying work out on the conversion of 2 cellar rooms: one was to be a woodworking workshop, the other computer suite. The inspector commends Cintre and the team on their efforts. Severn Oaks DS0000008135.V260941.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): 20 Service users are supported in the control of their medication. EVIDENCE: The inspector noted that the home control and administer medication on behalf of the service users. On closer inspection the inspector noted this was risk assessed and occurred within a clear framework of policies and procedures. The inspector noted evidence of safe practice and the medication sheet had crossings out, or omissions. Severn Oaks DS0000008135.V260941.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): 23 The home protects service users from abuse or neglect. EVIDENCE: The home protects service users from abuse and actively encourages open discussion with service users over what constitutes abuse and their part in detecting or becoming aware of it. The inspector noted service user involvement in all processes of their care. In particular the inspector notes negotiated agreements between staff and service users over socialising outside of the home, the consumption of alcohol and general behaviour off the premises. The inspector was shown documentary evidence of staff training relating to the identification of types of abuse and action to be taken. The home also had a range of appropriate policies and procedures relating to appropriate action in the event of suspected abuse. Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 14 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): 24,28, Service users are provided with a homely and pleasant environment. Shared spaces compliment and supplement service users bedrooms. EVIDENCE: Severn Oaks offers pleasant communal living for the service user group. The premises has recently been decorated and was well presented internally and externally. The inspector noted extensive evidence of ongoing maintenance and improvements to the building. The inspector noted communal areas to be clean, spacious and attractive. Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 15 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): 31,33,34,36 The inspector notes evidence that the staff team are aware of their roles, appropriately supported and supervised. The home has sufficient staff to provide service users with an effective team. Service users are protected by the homes recruitment policy. EVIDENCE: The inspector noted good recruitment policies and procedures were in place, evidence of references, C.R.B and identity checks were present. The inspector noted staff statement evidence from 2 sources and documentary evidence that staff are able to support service users and were available in sufficient numbers. Documentary evidence of supervision of staff was available for inspection. Severn Oaks DS0000008135.V260941.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): 38,41 Service users benefit from the general ethos and management within the home. The homes written policies safe guard the best interests of service users. EVIDENCE: The staff at the home are open, supportive and involve service users in all aspects of care within the home. Service users appeared at ease with staff and gave positive feedback to the inspector about the team and their care. The inspector again, noted a particularly strong culture of open problem solving between staff and service users. The staff team address sensitive and complex issues well. The inspector sampled a range of records and noted they were all present and up to date. Severn Oaks DS0000008135.V260941.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 4 4 4 x 3 Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 x 4 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X 3 X x LIFESTYLES Standard No Score 11 4 12 3 13 X 14 4 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X 3 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Severn Oaks Score X X 3 x Standard No 37 38 39 40 41 42 43 Score X 3 X X 3 x x DS0000008135.V260941.R01.S.doc Version 5.0 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. 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 Severn Oaks DS0000008135.V260941.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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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