Inspection on 17/05/05 for The Clockhouse

This inspection was carried out on 17th May 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

The Clockhouse 04/12/08

The Clockhouse 19/04/07

The Clockhouse 28/10/05

The Clockhouse 01/11/04

The Clockhouse 23/09/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Sutton Lodge Nursing Home

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Shrewsbury Road (12) The Clockhouse 12 Shrewsbury Road Redhill Surrey RH1 6BH Lead Inspector Mary Williamson Unannounced 17 May 2005 10:00 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. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Shrewsbury Road (12) Address The Clockhouse 12 Shrewsbury Road Redhill Surrey RH1 6BH 01737 773851 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) RNIB Ms Julie Ann Tugwell Care Home 6 Category(ies) of LD Learning Disability (6) registration, with number PD Physical Disability (3) of places SI Sensory Impairment (6) Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The requirements made at the Fire Officers visit on 9 February will be actioned within the agreed timescales. 2. Any recommendations required in the Planning Officers report will be actioned within the agreed timescales. 3. The requirements made after the Pharmacy Inspectors report will be actioned within the agreed timescales. Date of last inspection 1 November 2004 Brief Description of the Service: 12 Shrewsbury Road is a Residential Home that is served by The Royal National Institute for the Blind, and caters for the individual needs of six service users with sensory impairment, physical disability, and learning disability. The Home is a detached, three story building situated within the community of Redhill. The unit offers accommodation for up to six service users. All bedrooms are en-suite. Two of the bedrooms are situated on the ground floor level and are fully adapted for use by service users who have a physical disability. There is a large kitchen, utility room, and living room. All these rooms are adapted to meet the needs of the service users. To the rear of the home there is a small patio sensory garden that is accessible by both staps and a ramp. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and the first in The Commission for Social Care Inspection programme year 2005/2006. Mary Williamson the lead inspector for the service undertook the inspection. Julie Tugwell the registered home manager was present throughout the inspection. It was possible to speak with all six service users throughout the visit. Several members of staff were spoken to. There were no relatives visiting on the day of the inspection. A tour of the premises was undertaken and records relating to the care of the service users and the management of the home were examined. The home was functioning well and all service users were engaged in daily living skills and busy preparing for their next activity. There was a homely and relaxed atmosphere observed. The inspector would like to thank the service users and staff for their time, hospitality, and their positive contribution to the inspection process. What the service does well: The home provides good quality care for the six service users living there. Everyone is treated as an individual and this is reflected in the interaction between service users and staff and the mutual respect shown to one another. The home provides a good standard of individual and communal accommodation, which is well maintained and safe. Service users bedrooms are personalised to reflect interests and hobbies for example music centres, exercise bicycles, football posters and videos. Individual plans of care support service users to maintain their independence. Sensitive support is provided by staff in daily living skills, which is reinforced in the college. Family links are encouraged and parents are involved in the care planning process. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 6 Service users have a varied and active lifestyle, which they are encouraged to follow with the support of their key workers. What has improved since the last inspection? What they could do better: This was a positive inspection with evidence of good work being done to meet The National Minimum Standards. The home benefits from good leadership skills and a committed staff team. There is currently one staff vacancy, which has been identified by the manager and currently being acted upon. The standard of accommodation is good. The lounge carpet is showing signs of were and tear and needs to be replaced which also has been identified by the manager and is currently being acted upon. Please contact the provider for advice of actions taken in response to this Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 8 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 Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 9 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) 1,2,4, and 5 Prospective service users have the information they require to make an informed choice about where to live. The home has good assessment and admission policies and procedures in place. Written contracts are in place. EVIDENCE: The home has a comprehensive statement of purpose and service user guide in place. The statement of purpose and service user guide is also available on tape, CD, pictorial format, large print, Braille, and audiotape. The home manager undertakes the pre admission needs assessment. These assessments may also be supported by information from the college and other professional bodies. The staff team will consider the suitability of the placement and the compatibility with the other service users. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 10 The admission process is staggered and includes a series of short visits and sleepovers. Written contracts are in place between the service user and funding authorities. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 11 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 10 Service users can be assured that their assessed care needs are reflected in care plans. Service users are supported to make decisions about their daily lives and participate in all aspects of the home. Service users information is handled appropriately and kept secure. EVIDENCE: Individual comprehensive care plans are in place. These are written with input from the service users and their families. The manager and staff, review the care plans monthly. There are also six monthly reviews by the multidisciplinary team. Service users are supported to make decisions on all aspects of their daily lives. They can choose when they go out and who with. They also have input in their educational activities in the college. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 12 Monthly meetings take place where the service users can make decisions regarding the day to day running of the home, for example cooking arrangements, shopping, cleaning rotas, and outings. This also provides staff to communicate information the service users on matters for example staff changes and planned visits such as inspections. All information regarding the service users is handled in confidence and all staff have training in this during their induction period. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 13 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) 11,12,14,15, and 17 The service users have the opportunity for personal development. Service users have the opportunity to take part in appropriate activities and are supported to have hobbies and use community facilities. Family links are maintained. Service users are supported to prepare and cook meals. EVIDENCE: The service users attend 15 hours of RNIB College each week, where they are supported to increase their living skills which are reinforced in the home. There is access to Redhill town and surrounding facilities for example the leisure centre, pub, theatre, local shops and local churches. The service users are currently preparing for a concert and show in the local Harlequin Theatre where they all have an input. All six service users and staff are going to Cornwall in June for a holiday and were all looking forward to this. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 14 One service user stated that he was supported by his key worker to attend the Manchester United v Southampton Football match on the Saturday prior to the inspection. Family links are maintained and service users regularly go home for weekends. Parents are also encouraged to participate in care planning. Service users have access to a telephone to contact family at any time. All six-service users have individual menus and all have individual compartments in the fridge for their food. They all plan their own menus and shop accordingly. Individual meals are cooked with the support of staff. On a Sunday they all prepare and cook a roast dinner, which they share together. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 15 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, and 19 Service users individual emotional and health needs are met in their preferred way. EVIDENCE: The manager stated that sensitive support is offered to service user without being intrusive or demeaning, as described in individual care plans. The service users also supported this statement. All service users are registered with a local GP. There is also support form the medical unit in the college campus if required. There have been no admissions to the Accident and Emergency department since the last inspection. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 16 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 and 23 Service users are aware of how to make a complaint. The abuse procedures protect service users form abuse. EVIDENCE: The home has a complaints procedure in place, which has been updated since the last inspection. This is also available in CD, tape, Braille, large print, and pictorial format. The service users informed the inspector that they were familiar with the complaints process. The home has an abuse awareness policy in place and also has an updated version of Surreys Multi Agencies Protection of Vulnerable Adults Policies and Procedures in place. The senior staff team have all attended training in these policies and procedures. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 17 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) 24,26,27, 28,29 and 30 Service users live in a comfortable environment, which is well maintained and adapted to meet individual needs. There is adequate communal space with sufficient bathrooms and toilets situated throughout the home. The home is clean and decorated to a good standard. EVIDENCE: The home is comfortable well maintained and odour free. It is accessible to all service users who can move freely throughout. Bedrooms are single and en-suite. These are furnished to a good standard have been personalised to reflect individual personalities. Most service users have their own television sets and music centre. The home also has a large kitchen diner, which is well equipped and a favourite meeting place. The lounge is also well equipped and also home to two guinea pigs, which all the service users take a turn to feed. The lounge Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 18 carpet needs replacing, which had been identified by the home manager and is on order. The home has many adaptations to enable service users to maintain their independence. These include a talking microwave, talking scales, a toaster that bleeps, and a talking alarm clock. There are handrails, and Braille notices among other equipment. There is a high standard of cleanliness throughout and all service users are supported to take an active in achieving this. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 19 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) 31,33,34,and 36 Service users are supported by clarity of staff roles and responsibilities. Staff are competent to support service users. The recruitment process is satisfactory. Staff are well supervised. EVIDENCE: Service users are supported by a staff team who all have a good understanding of the assessed needs of the service users. All staff have received job descriptions and have a good knowledge of their roles and responsibilities. The duty rota was seen and the home provides a good skill mix of staff to meet the service users needs. There is currently one staff full time vacancy. This has been identified by the home manager and is being addressed. Occasional agency staff are used and the home has its regular supply of bank staff. The recruitment procedure is robust and protects the welfare of the staff in the home. Two staff employment files were sampled and all the required information required was in place. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 20 The six service users spoken to all felt well supported by the staff team and said they had the confidence to approach any member of staff with a problem. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 21 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) 37,38,41, and42. The home is well managed with an open and inclusive atmosphere noted. The policies and procedures in place safeguard the service users in the home. EVIDENCE: The registered manager creates an open and inclusive style of management within the home. She has a good understanding of individual needs and this was reflected in her individual approach to service users and staff throughout the inspection. The standard of record keeping is good. Some records sampled included care plans, risk assessments, duty rotas, accident records and fire records which are all well maintained and safeguard the service users living in the home. There is good recognition given to the health and safety with COSHH chemicals also identified in Braille. Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 22 Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 23 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 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 2 3 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 x 2 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shrewsbury Road (12) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 24 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 28 Regulation 23(2d) Requirement The registered person must ensure the all parts of the care home are kept reasonably decorated to include replacing the lounge carpet. The registered person must ensure thet sufficient staff are emploted at the home to meet the assessed needs of the service users. Timescale for action 01/07/05 2. 33 18(1a) 01/07/05 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 Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Shrewsbury Road (12) v227007 h09-h58 s52005 12 shrewsbury road v227007 170505 stage 4.doc Version 1.30 Page 26 - 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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