Inspection on 08/06/05 for Taunton House

This inspection was carried out on 8th 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 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 04/10/05

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 8 June 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. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Taunton House Address 26 Marlborough Road, Ryde, Isle of Wight, PO33 1AB 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) 01983 611250 01983 611250 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 H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered to provide care for one resident over the age of 65 years. This condition is for one named resident and will not apply when that resident is no longer accommodated in the home. Date of last inspection 7 December 2004 Brief Description of the Service: Taunton House is an attractive period building situated on the edge of Ryde in a pleasant residential area and with access to pubic transport, shops and other amenities. The home is registered for five adults who have mental health difficulties and residents in the home are supported to be as active and independent as possible. The owners live on the premises in separate accommodation and there is a large garden to the rear of the property. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place in the afternoon/early evening. The inspector spoke to all of the residents who expressed their satisfaction with the accommodation provided. The premises were inspected during a tour of the building and a number of the home’s records were looked at with the registered manager. Information leaflets about the Commission were left with the residents, also inspection comment cards to complete if they wished to. Some residents expressed a preference for inspections of the home to be announced and the inspector discussed this at the time of the inspection. A national survey of people who use care services have expressed the view that inspections of care services should be unannounced wherever possible but the Commission respects the right of any service user not to take part in an inspection of a care home if they choose. As a small home, there are no full-time staff employed, however, the home has an arrangement through the Isle of Wight College to offer work placements to Japanese students and also employs two people on a part-time basis to cover those periods when the registered manager is away. All part-time staff and the students have been checked as required by the Care Homes Regulations and receive an induction-training programme. The home is well maintained and decorated and comfortably furnished. Residents have their own door key and can come and go as they please although residents are encouraged to let the manager know if they are going to be out. Residents have their own kitchen to make breakfast, snacks, drinks etc., the main meal of the day is cooked by the manager in the main kitchen. All of the residents have their own bedroom and there is a sitting/dining room for residents’ use. Four of the bedrooms have at least an en-suite toilet and washbasin and in addition there is a bathroom and toilet on the first floor, and a shower and toilet on the ground floor. Some of the rooms also have an ensuite shower or bath. What the service does well: The home provides practical, social and emotional support and care to five residents, enabling them to be as independent as possible. All of the residents are mobile and have weekly routines of activities and have lived in the home for some time. The routines in the home are informal and flexible but there is always someone in the home if the residents need help with anything. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 6 Residents can use the garden as they wish and some do spend time working in the garden and growing vegetables and flowers. The manager/owners provide a homely and caring environment where the residents are encouraged to contribute and take part in the day-to-day running of the home. There are occasional resident meetings to discuss any day-today issues that may arise. 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. Taunton House H55_H04_S12544_Taunton House_V218467_070605_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 Taunton House H55_H04_S12544_Taunton House_V218467_070605_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) These standards were not assessed on this occasion as the residents have lived in the home for some time and no new residents have moved into the home. EVIDENCE: Taunton House H55_H04_S12544_Taunton House_V218467_070605_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 - 10 Residents’ individual care needs are recorded and files kept in a secure place. There is evidence that residents are supported to take risks as part of an independent lifestyle. EVIDENCE: Care plans were inspected and are reviewed six monthly. Where residents are subject to the Care Programme Approach, care plans are also reviewed annually with the relevant Health and Social Care Professionals and agreed and signed by the resident. Records show that when the resident wishes, the manager will support the resident with decisions about their lives, or how they access health care, or how they take their medication. Whilst it is evident that the management of any risks are reviewed on a daily basis, the record of risk assessment must be kept up to date in the file and this has been agreed as a recommendation of good practice. The manager does not act as appointee for any of the residents and where an appointee has been agreed this has been arranged independently. The manager looks after the daily allowance for some residents and records were correct and up to date. Taunton House H55_H04_S12544_Taunton House_V218467_070605_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) 11 - 17 Residents have the opportunity to take part in the social, leisure and occupational activities of their choice. Residents are offered varied and wholesome meals. EVIDENCE: Residents expressed their satisfaction with the meals provided. The main meal of the day is in the evening and is usually decided on the day depending on the residents’ preferences and choice. Residents can make themselves breakfast, drinks and snacks in the residents’ kitchen that is kept stocked with basics. All of the residents have a routine of work and leisure activities and the manager is available to assist with exploring any new opportunities with the help of community services, such as voluntary or sheltered employment, personal development courses or social activities. Residents told the inspector that the atmosphere in the home is good and “everyone gets on with each other”. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 11 It is evident that residents are expected to follow some basic guidelines about smoking and alcohol and information for residents is set out in the house book, kept in the sitting room, along with a record of resident meetings, and useful information and phone numbers that residents may need from time to time. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 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 standard(s) 18-21 The physical and emotional healthcare needs of the residents are met. There are policies and procedures in place for the safe administration and dispensing of any medications. EVIDENCE: The residents are able to make decisions about the way that they receive care and support from the manager and other staff and it is evident that support is offered in a way that maintains personal privacy and independence. Health care needs are monitored on a day-to-day basis and the manager will support the residents with any appointments or visits that are necessary. The residents are mobile and independent in personal care and the manager is available to provide prompting and support as appropriate to individual need and choice. The manager dispenses any medication and will liaise with the resident and the relevant health care services to monitor any changes in medication. Medication is dispensed using the NOMAD system and records were checked and up to date. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 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 standard(s) 22 There is a complaints procedure and records are kept of any complaints and the outcomes. EVIDENCE: Records show that one complaint has been received and was dealt with appropriately and the complaint was not substantiated. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 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 standard(s) 24 - 30 The home is well maintained, comfortable and homely in a way that appears to meet the needs of the residents. EVIDENCE: Residents have their own sitting/dining room and a separate kitchen/diner for their own use. The home is bright, clean, tidy and decorated and carpeted to a good standard. Four of the five bedrooms have en-suite facilities and in addition there is a bathroom and toilet on the first floor and a toilet and shower on the ground floor. The laundry facilities are separate to the kitchen. Residents are expected to keep their own room tidy but major cleaning is done by the manager or staff in the home. Although the bedrooms vary in size, residents are able to furnish their rooms as they wish and they all reflected personal preference and choice. Although some of the residents expressed a wish to have a larger bedroom, the facilities provided meet the current National Minimum Standards for existing care homes and where residents wish to have a greater choice of room size or other facilities, then this is an issue to be discussed with individual key workers or care managers. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 15 Residents have access to all parts of the home except the owners’ separate accommodation and have full access to the large garden at the rear of the building. The front garden is given up to parking space and there is also space to park on the street if needed. Taunton House H55_H04_S12544_Taunton House_V218467_070605_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) 31 - 36 Some 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. The part-time staff who are employed are trained and supervised by the registered manager. EVIDENCE: The part-time staff have an approved induction programme and have a copy of the General Social Care Council Code of Practice. The manager has been able to obtain the Code of Practice in the appropriate language for the work placement students who are in the home on a regular basis. All part-time staff have references and a current Criminal Record Bureau check and records confirmed this. Supervision is informal and ongoing as it is a small home. Taunton House H55_H04_S12544_Taunton House_V218467_070605_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) 37-43 The home is efficiently run for the residents’ best interests and there are opportunities for the residents to express their preference and choice in the day-to-day running of the home. EVIDENCE: The manager is experienced and qualified and already has an NVQ level 4 in care and is currently enrolled to achieve the NVQ level 4 Registered Manager Award and when this is confirmed, the National Minimum Standard will be fully met. The manager also regularly updates her professional training and in April did a short course in General Medicines Management and plans to do a short course in ‘Challenging Behaviour’ shortly. It is evident that the management approach of the home is open and positive and the manager has an open and friendly relationship with the residents. There are occasional resident meetings and these are recorded and kept in the ‘House Book’ in the residents’ sitting room. Records show that these meetings Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 18 discuss any day-to-day issues in the home as well as general issues of interest or advice for the residents. Records in the home are maintained and kept in the office and fire equipment and fire alarms are regularly checked and evidence provided. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 19 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 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 3 4 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 4 Standard No 31 32 33 34 35 36 Score N/A N/A N/A 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Taunton House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 4 3 x 3 3 x H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 20 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 7 Good Practice Recommendations Written individual risk assessments should be regularly updated and changes recorded. Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, 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. Extracts may not be used or reproduced without the express permission of CSCI Taunton House H55_H04_S12544_Taunton House_V218467_070605_Stage 4.doc Version 1.30 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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