Inspection on 05/04/05 for Severn Oaks

This inspection was carried out on 5th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 12/12/05

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 Unannounced 5th April 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. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Severn Oaks Address 6 Jesmond Road, Clevedon, North Somerset, BS21 7SA 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) 01275 878447 01275 873775 Cintre Community Limited Mr Rob Hogann Care Home - Personal Care Home Only 7 Category(ies) of LD Learning Disability (7) registration, with number of places Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Age of persons who may be received in the home - 18-35 years [3] Date of last inspection 11th January 2005 Brief Description of the Service: Severn Oaks is a small home based in the community which provides support to young people with a learning disability in order that they can move to independent living. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Severn Oaks meets a range of needs for service users with learning disability. These needs are often complex and sensitive involving multiple agencies and multiple issues. The inspector concludes the service meets these complex needs well. However, the inspector observes that as an organisation (Cintre), needs to clarify the range of needs which can be met at Severn Oaks. What the service does well: What has improved since the last inspection? What they could do better: The home offers a good service. However, the inspector notes that on at least one occasion the service has allowed its practice to be dictated by external agencies. Whilst the inspector understands that pressures may be placed on the service by outside agencies, it is neither in the service users interests, nor the service providers to allow care to be dictated by funders. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 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. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 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 Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 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) 1,2,and 5 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. EVIDENCE: The inspector sampled 2 care files offering a range of particularly sensitive and complex issues. The inspector found evidence from both staff and documentation outlining the process of boundary setting and negotiation. The inspector noted the care outlined within care files. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 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 Service users needs were clearly and comprehensively assessed, part of this assessment involves service users active participation in both assessing how their needs have been met and how they need to be met in the future. Service users are actively involved in all aspects of their care, particularly risk assessment and risk management. EVIDENCE: The inspector reviewed documentary evidence for 2 service users. This process involved review of care plan, care assessments, risk assessments and daily notes. All were clear, comprehensive and up to date. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 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) 12, 13, 15 and 16 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 multi cultural and social needs of one particular service user within a sensitive and difficult situation. The inspector recognises the effort and degree of success achieved by the team. Service users are consulted and involved in all aspects of their care. The home has to address issues of risk management and enabling service users rights. The inspector notes the home has addressed this issue successfully and supports the home in its therapeutic approach. EVIDENCE: The inspector reviewed correspondence from external professionals, social services departments and internal documentation. The inspector noted clear evidence of an orchestrated approach to balance service user rights with sound risk assessment and risk management. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 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) 18, Service users receive appropriate personal support in accordance with their wishes. EVIDENCE: The inspector sampled care plans, policies and procedures within the home. Staff statement evidence outlined the staff team approach toward meeting personal needs identified the assessment process. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 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) 22, 23 The inspector noted evidence that service user views are sought over issues relating to their care or well being. 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. EVIDENCE: 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 D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 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) 30 Severn Oaks is well presented, clean and pleasant. EVIDENCE: The inspector did not audit these standards on this occasion. However on inspection the communal areas and kitchen were clean, free from offensive odours and well presented. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 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) 32, 34 and 36 The inspector notes evidence that the staff team are aware of their roles, appropriately supported and supervised. EVIDENCE: The inspector noted good recruitment policies and procedures were in place, a 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. Documentary of supervision of staff was present. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 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) 38 and 40 The inspector 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 commends the team. EVIDENCE: The manager has developed a clear sense of direction within the team, the inspector noted this throughout documentation, staff statement and policies and procedures. Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 Page 16 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 3 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 3 x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Severn Oaks Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x 4 x 3 x x x D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 Page 17 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 Severn Oaks D53 - D02 S8135 Severn Oaks, Clevedon V222737 050405 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Riverside Chambers Castle Street, Tangier Taunton Somerset, 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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