Inspection on 06/02/06 for Staverton

This inspection was carried out on 6th 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

Staverton 30/04/07

Staverton 09/08/05

Staverton 16/02/05

Staverton 17/12/04

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 Staverton 25 Murdoch Road Wokingham Berkshire RG40 2DQ Lead Inspector Yvonne Souden Unannounced Inspection 6th February 2006 14:30 Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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 Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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. Staverton DS0000011359.V280341.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Staverton Address 25 Murdoch Road Wokingham Berkshire RG40 2DQ 0118 977 1157 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) Anthony Toby Homes Trust Mr Philip Bethell Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Staverton DS0000011359.V280341.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: Staverton is a large detached house set within a residential area, and within walking distance to Wokingham town centre. The home is registered to provide care and accommodation for up to 14 people aged 18 to 65 who have a learning disability. The home provides communual facilities on the ground floor to a high standard, and has 14 single bedrooms over three floors. All bedrooms have a wash hand basin, and communual bathrooms are on each floor. There is an open plan garden and drive to the front of the house with parking spaces for several vehicles, and there is an attractive enclosed rear garden that has a patio and seating. Public transport is available and the recreational facilities within Bracknell and Reading are within a short drive. Staverton DS0000011359.V280341.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is Stavertons second unannounced inspection within the inspection year 2005/06. The Inspector recommends that the reader refer to the inspection report dated 9 August 2005 to have an overall view of the key standards assessed within this inspection year. This inspection had positive outcomes that demonstrated staff awareness and knowledge of the residents needs, and observed that residents’ choice is promoted and that they are treated with dignity and respect. Two recommendations have been made for the home to further develop staff training programs/monitoring in place. 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. Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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 Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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): 2 Prospective service users individual aspirations and needs are assessed prior to having an opportunity to test drive the home. EVIDENCE: The home has met the requirement made at the previous inspection, 9 August 2005. Records identified that management ensures a needs assessment is obtained from the care manager of the prospective service user. The home has developed their own needs assessment to ensure assessment of prospective service users who do not have care management involvement. Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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): Standard 6 to 10 were not assessed. EVIDENCE: Staverton DS0000011359.V280341.R01.S.doc Version 5.1 Page 9 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): 12,13,15,16,17 Service users are supported to take part in age, peer and culturally appropriate activities within the community, and maintain personal and family relationships. The home provides a nutritionally balanced menu plan. EVIDENCE: This inspection took place on an afternoon/evening giving the Inspector opportunity to observe the service users return from daycare services eager to tell staff about their day. It was evident from those observations and discussions with service users and staff throughout the inspection process that service users are supported to go about their daily lives as chosen within paid employment, college and chosen activities/holidays. Service users spoke of the contact they have with family and friends, and spoke excitedly of planned holidays with staff and family. It was evident from discussions, records and pictures that service users are supported to visit family and friends and that family and friends of the service users are made welcome within the home. Records identify that service users are supported to maintain personal relationships within a risk management framework that protects the service user and ensures awareness of their decision-making. Staverton DS0000011359.V280341.R01.S.doc Version 5.1 Page 10 Service users were observed to participate in the preparation of the evening meal. Menu plans demonstrate choice, and it was evident that fresh fruit and vegetables are used. After the evening meal service users were observed to participate in an activity of their choice, and one service user showed the Inspector the work he had been doing on the homes computer. Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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): 18,19,20 Service users receive personal support in the way they prefer and require and their physical and emotional health needs are met. Service users are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Service users care plans and documentation from health and social care professionals identify that their needs are assessed and that they are enabled to access health care services. Records identify that service users’ nutritional needs are monitored to ensure a balanced diet is provided that meets their individual need. Records identify appointments that the service users have attended with their GP and other health care professionals. Observation identified that service users choose when to get ready for bed and receive assistance from staff as needed. One service user chose to get ready for bed early confirming that she wanted to watch TV in bed. The home has systems in place to ensure the safe administration of service users medicines; medication in stock matched records kept and staff receive in-house training on the nomad system used. Discussions with staff identified that staff have requested medication and epilepsy training and that their manager has confirmed with them that this training will be arranged. Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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): Standard 22 and 23 were not assessed. EVIDENCE: Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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): Standard 24 to 30 were not assessed. EVIDENCE: Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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): 32,34,35 Service users are protected by the homes recruitment policy and practices, and are supported by a staff team who receive training to meet the service users individual and joint needs. EVIDENCE: The home has a designated person with the responsibility of arranging staff training, but has not developed an annual training programme to identify the training needs of the whole staff team, and has not developed individual staff skill profiles that would identify their individual training needs. Training certificates identify that staff receive mandatory and specialist training and that some staff received accredited fire safety training in 2003, rescheduled within the home’s diary to take place in 2006. Staff and service users do not receive regular fire safety drills/practices on the home’s fire procedure that would ensure staff and service user awareness of the homes fire procedure in case of a fire. Over 50 of staff has a National Vocational Qualification in care. Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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 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): 37,39,42 Service users are listened to and their views taken seriously as they benefit from a well run home. Service users are protected by the homes Health and Safety policies and procedures. EVIDENCE: The manager attends periodic training to update his knowledge and skills and has significant management experience that is demonstrated from systems in place that promotes the independence of the service users, develops the staff team and promotes health and safety within the home. The home has quality assurance systems in place to gain the views of the service users, service users family and friends and stakeholders within the community, and CSCI receives monthly copies of the homes quality assurance monitoring. Service users care plans promotes service users choice and observations saw service users made clear decisions about their lives. Health and safety monitoring of the home takes place and staff receive mandatory health and safety training. Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 x ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 x STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Staverton DS0000011359.V280341.R01.S.doc Version 5.1 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. 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 YA35 Good Practice Recommendations Management should develop an annual staff training and development programme, and should further develop staffs individual skill profile. Management could seek external help on establishing the training needs of staff and on staff induction programs from Skills for Care (previously TOPSS). The manager should liaise with the fire authority to establish how often staff should attend fire safety training on the homes fire procedure. Management should refer to the Fire Precautions Act 1971 and Fire Precautions (Workplace) Regulations 1997 as amended. 2 YA35 Staverton DS0000011359.V280341.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Staverton DS0000011359.V280341.R01.S.doc Version 5.1 Page 19 - 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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