Inspection on 04/10/05 for Taunton House

This inspection was carried out on 4th October 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

Taunton House 13/11/08

Taunton House 27/02/07

Taunton House 08/06/05

Taunton House 07/12/04

Taunton House 15/06/04

Taunton House 17/02/04

Taunton House 03/06/03

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

CARE HOME ADULTS 18-65 Taunton House 26 Marlborough Road Ryde Isle Of Wight PO33 1AB Lead Inspector Annie Kentfield Unannounced Inspection 4th October 2005 14:30 Taunton House DS0000012544.V250843.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 Taunton House DS0000012544.V250843.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. Taunton House DS0000012544.V250843.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Taunton House Address 26 Marlborough Road Ryde Isle Of Wight PO33 1AB 01983 611250 01983 611250 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) Mr David John Knowles Mrs J Knowles Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Taunton House DS0000012544.V250843.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person who is over 65 years of age may be accommodated in the home in the category (MD/E) 8th June 2005 Date of last inspection Brief Description of the Service: Taunton House is a family run care home registered to provide care and support to five adults who have mental health difficulties. The house is a detached period building in Ryde and has been converted to provide single bedroom accommodation for the residents and separate accommodation for the owners. There is parking space at the front of the building and a large garden to the rear of the property. The home is close to public transport or residents can walk to the nearby shops or town centre. Taunton House DS0000012544.V250843.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second and unannounced inspection of the home and took place in the afternoon. There are currently four residents in the home and the inspector spoke to three of the residents (one resident was out at the time). The owners (one of whom is the registered manager) were at home and the inspection looked at some of the home’s records and included a partial tour of the premises. Inspection comment cards were left for the residents to complete and return if they wish to. What the service does well: What has improved since the last inspection? What they could do better: There were no issues arising from this inspection. Taunton House DS0000012544.V250843.R01.S.doc Version 5.0 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. Taunton House DS0000012544.V250843.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 Taunton House DS0000012544.V250843.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): 5 Each resident has a signed contract or statement of terms and conditions for living in the home. EVIDENCE: There have been no new residents moving into the home since the last inspection. Records show that residents are aware of the terms and conditions of living in the home, before they move in, and sign their agreement on the home’s contract. Taunton House DS0000012544.V250843.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): 6 - 10 Each resident has an individual care plan and there is evidence that residents are supported to take informed risks as part of an independent lifestyle. EVIDENCE: Since the last inspection, care plans and risk assessments have been updated and signed by each resident. The care plans are attached to an individual record book to note any changes or special events. If the manager is not there, the records are easily accessible for the responsible person. Where residents are subject to CPA (care programme approach) individual care plans are reviewed annually with the relevant health and social care professionals. The manager has a good working relationship with the local community mental health services. Some of the residents have an independent advocate or power of attorney and the manager does not act as appointee. Where agreed with residents, the manager looks after the daily allowance for two residents and records are maintained and are correct and up to date. Taunton House DS0000012544.V250843.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 - 17 Residents have the opportunity to take part in the social, leisure and occupational activities of their choice and to contribute to the daily life in the home. EVIDENCE: Two of the residents had just come back from a trip to the bowling alley and they said that this was a regular event. There are a number of organised activities that the residents take part in and generally they are happy with these. The manager is helping some of the residents to find some voluntary work and they are awaiting a meeting with the local volunteer agency. The residents are free to have visitors if they want to and are free to spend time pursuing their own interests. There is a television and DVD player in the sitting room and most of the residents have their own television in their room. The home has a large garden and some of the residents enjoy working here, growing vegetables or flowers or helping with watering in the summer. Taunton House DS0000012544.V250843.R01.S.doc Version 5.0 Page 11 Residents usually get together in the evening for the main meal of the day and the choice of meal is decided daily. The manager aims to provide a balanced and nutritious diet that meets the choices and preferences of the residents. Taunton House DS0000012544.V250843.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): 18, 19 & 21 Residents’ health care needs are monitored and they receive personal care and support as agreed in their care plan. EVIDENCE: The home has four residents and the manager is in daily contact with each of the residents and maintains an overview of the residents’ healthcare needs and will assist with information, advice and practical help whenever required. The residents are all independent in personal care and there have been no changes since the last inspection. The residents are able to make decisions about the way that they receive care and support from the manager and it is evident that support is offered in a way that maintains personal privacy and independence. The manager has known the residents for some time and particular issues around health and care and the ageing and illness of residents are addressed informally as they arise and as the residents wish. Taunton House DS0000012544.V250843.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): These standards were not assessed at this inspection. EVIDENCE: Taunton House DS0000012544.V250843.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 - 30 The home is well maintained, comfortable and homely and appears to meet the needs of the residents. EVIDENCE: All of these standards were assessed at the last inspection and there have been no changes. There is currently one empty bedroom but this was decorated fairly recently and the manager plans to clean the carpet before another resident moves in. Residents have their own sitting/dining room and a separate kitchen/diner for their own use. All of the residents have their own bedroom and although these vary in size, residents are able to personalise their rooms as they wish. All of the bedrooms have en-suite facilities except the bedroom on the ground floor and there is a toilet and shower room close by. In addition there is a bathroom on the first floor. Residents are expected to keep their own rooms tidy with the major household tasks done by the manager or a member of staff. Residents have access to all parts of the house and garden except the owners’ private accommodation. Taunton House DS0000012544.V250843.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): 34 Most of these standards are not applicable as this is a small home managed and run by the owners and does not employ staff on a full-time basis. EVIDENCE: The owners employ some part-time staff to be in the home on those occasions when the manager is not there or when the owners are on holiday. The people employed on a casual and part-time basis are known to the manager and residents and have references and a current Criminal Record Bureau check; they are supervised and have an induction training programme with the manager. The manager also offers work experience placements to Japanese students via a programme co-ordinated by the Isle of Wight College. The students live in and work in the home and have been checked by the programme before they start work. There is currently a Japanese student working at Taunton House. Taunton House DS0000012544.V250843.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): 37,38,39,41,42 The home is efficiently run in the best interests of the residents and there are opportunities for the residents to express their preferences and choices in the day-to-day running of the home. EVIDENCE: The manager hopes to complete the NVQ level 4 Registered Manager Award by the end of this year and has already achieved the NVQ level 4 in care. Whenever opportunities arise, the manager likes to update her professional training and hopes to be able to access some specialist mental health training. The most recent training was a one-day session on managing challenging behaviour. From observation of the interaction between the manager and the residents it is evident that the manager has an open and friendly approach and is accessible for the residents to seek help or advice. There are occasional resident meetings providing an opportunity for the residents to discuss any day-to-day issues as well as general issues of interest Taunton House DS0000012544.V250843.R01.S.doc Version 5.0 Page 17 or advice for the residents. These are recorded and records kept in the residents’ sitting room. Fire safety in the home is constantly reviewed and the fire alarms and equipment are tested regularly with irregular fire drills involving the residents. Any issues of safety or protection are discussed with the residents individually or in the resident meetings. Taunton House DS0000012544.V250843.R01.S.doc Version 5.0 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 x x x 3 Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Taunton House Score 3 3 x 3 Standard No 37 38 39 40 41 42 43 Score 2 4 3 x 3 3 x DS0000012544.V250843.R01.S.doc Version 5.0 Page 19 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 Taunton House DS0000012544.V250843.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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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