Inspection on 28/10/05 for The Clockhouse

This inspection was carried out on 28th 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

The Clockhouse 04/12/08

The Clockhouse 19/04/07

The Clockhouse 17/05/05

The Clockhouse 01/11/04

The Clockhouse 23/09/04

Similar services:

Insight - Eastchurch

Southfields

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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 Announced Inspection 21st October 2005 10:00 Shrewsbury Road (12) DS0000052005.V263164.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 Shrewsbury Road (12) DS0000052005.V263164.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. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 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 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) RNIB Ms Julie Ann Tugwell Care Home 6 Category(ies) of Learning disability (6), Physical disability (3), registration, with number Sensory impairment (6) of places Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: 12 Shrewsbury Road is a Residential Home that is served by The Royal 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 the bedrooms are en-suite. Two of the bedrooms are situated on the ground floor level and are fully adapted for service users who have a physical disability. There is a large kitchen, utility room, and a living room. All these rooms are adapted to meet the needs of the service users. To the rear of the home is a small patio sensory garden that is accessible by both steps and a ramp. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and the second 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 manager was present throughout the inspection. There were five service users in the home during the inspection as it was half term from College. It was possible to talk with all of the service users. One service user had gone home for the weekend. They were all very complimentary regarding the home and the staff support. They were particularly interested in updating the inspector on their day trip to Ireland two days before as it was the first experience of flying for some service users. A tour of the premised was undertaken, and some service users invited the inspector to view their rooms. Records relating to the care of the service users and the management of the home were examined. There were no relatives or visitors in the home during the inspection but four relative comment cards were received. Six service users comment cards and one GP comment cards were also received. The home is well managed and two staff were supporting service users to prepare for a trip to Redhill to do personal shopping and personal banking. The inspector would like to thank the service users, manager and staff for their time, assistance, and hospitality during the inspection. What the service does well: The manager and staff team are committed to providing good quality care and support for the service users living in the home. Service users are encouraged to participate in the daily running of the home and their views sought to promote independence. The home provides a good standard of communal and individual accommodation, which is well maintained and homely. Service users have a choice of daily routine and are supported in promoting their educational development. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 6 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. Shrewsbury Road (12) DS0000052005.V263164.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 Shrewsbury Road (12) DS0000052005.V263164.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): These standards were not assessed during this inspection. Please see previous inspection report dated 17th May 2005. EVIDENCE: Shrewsbury Road (12) DS0000052005.V263164.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, 7, 8, 9, and 10 The home encourages and enables service users to live active and full lives with support from staff where required, and as outlined in individual care plans. EVIDENCE: Individual care plans are written with input from the service users in a format that they can understand. For example these can be made into tape or CD format if required. Each service user has a copy of this plan in their room. Care plans are reviewed every month with the service user and home staff. There are also six monthly multidisciplinary reviews. Service users are consulted on, and participate in all aspects of daily life. They choose individual and collective activities. They also have input in their educational activities at college. Regular meetings take place in the home when service users can make decisions regarding the day to day running of the home, for example cooking arrangements, shopping, cleaning rotas, and laundry arrangements. It was pleasing to see some service users preparing for a trip to Redhill to do some personal shopping and personal banking. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 10 All information regarding the service users is handled in confidence and records relating to individual service users are kept secure in the office when not in use. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 11 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): 11,12,13,14,15,16, and 17. Plans are in place to develop personal goals and development. There is a full and varied selection of activities available and service users are supported to access local community facilities and maintain family links. The catering arrangements suit the service users needs and lifestyle. EVIDENCE: The service users explained that they attend The RNIB College in Redhill every day where they maintain their educational development. Part of this programme is a musical production in the local Harlequin Theatre at the end of the educational year. Two inspectors had the opportunity to attend the last production, which was excellent. Leisure activities are based on individual choice and service users are supported to maintain hobbies. Trips out include, shopping, visits to the pub, cinema, leisure centre, and restaurants. Three service users were going to see Southampton play football the following day and three were going to see Crystal Palace play the following Wednesday. One service user was going to Manchester on work experience with Touch Down dance Company the week following the inspection. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 12 All had been to Cornwall this summer on holidays and two service users were going to Cadburys World for a weekend. The inspection took place during half term week and the service users had spent a busy and active week. They all told the inspector they went to Shannon in Ireland on the Wednesday for the day. They got a budget flight with Easy Jet and for some this was their first experience of flying. Family links are maintained and service users go home some weekends and for some of the college holidays. Parents are encouraged into the home and service users may contact their parents by phone at any time. The catering arrangements are managed to allow each service user to plan their evening meal on a weekly basis and shop for this accordingly. Individual meals are prepared and cooked with staff support. The service users explained that on Sunday they have being cooking collectively and call this “Cuisine from around the World”. Each service user in turn will pick a country on the world map. They then plan and cook a dish connected to that country. They also stated how much they enjoy this. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 13 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, and 20. The home provides appropriate support to service users to ensure that all their health and personal care needs are met. EVIDENCE: The manager stated that support is offered to service users in a sensitive manner as outlined in individual care plans. All the service users are registered with a local GP Practice. They all have a yearly check up and can be seen more frequently when required. There was a GP comment card received by the inspector with very favourable comments regarding the care provided in the home. Medication records were in place and found to be well documented. There is a policy in place for the administration of medication. Records were available that showed all staff who administer medication had undertaken up- to- date training. Five service users take medication and none of them self medicate. Moss the Chemist in Redhill supplies the medication. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 14 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 during this inspection. Please see the previous inspection report dated 17th May 2005. EVIDENCE: Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 15 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, 25, 28, 29, and 30 The standard of the environment is good providing service users with comfortable, and homely accommodation to live in. EVIDENCE: The home is clean and homely and accessible to all the service users. Service users invited the inspector to view their bedrooms. These are all single en-suite rooms. They are furnished to a good standard and have been personalised to reflect individual personalities and hobbies. The communal areas of the home include a large well- maintained kitchen, which is also the dining room. This is well equipped and homely. The lounge carpet has been replaced since the last inspection, which also extends to the front hallway. Service users were listening to the music channel on the wide screen TV. The front windows are wooden framed and these need repainting and some of them repaired. The paintwork on the main stairs also needs repainting at a time, which is convenient to the service users living in the home. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 16 The home has many adaptations to enable service users maintain their independence. These include talking microwaves, talking scales, a toaster that bleeps, a fluid level indicator, talking alarm clocks, and a call bell system. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 17 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): 31, 32, and 33. Service users are supported by a competent staff team that have a sound understanding of the service users assessed needs. EVIDENCE: The staff duty rota was seen and the home provides a good skill mix of staff to meet the service users needs. There was opportunity to talk with the staff on duty who all had a good understanding of their roles and responsibilities. They also had a good understanding of all the service users needs. A key worker system is also in operation. The manager stated that occasional agency staff may be used and that the home has a regular supply of bank staff. Three relative comment cards received did not favour the use of agency staff. The inspector was informed that four staff will commence their NVQ level 2 on December 4th 2005. The organisation provides all mandatory training and all new staff receive induction training followed by foundation training. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 18 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, and 42. There is good leadership in this home with an open and inclusive atmosphere to ensure quality of care. The health and safety of service users is promoted and protected. EVIDENCE: The home is well run by a registered manager who creates an open and inclusive atmosphere. She is committed to the home and service users, and maintains a stable staff team. During individual conversations with service users it was evident that they are comfortable with the level of support they receive and the staffing structure within the home. Health and safety policies and procedures are in place, which promote good working practice. Risk assessments are also in place for all identified risks. The manager stated that all staff have health and safety training as part of their induction training. All COSHH procedures are followed and chemicals are also identified in Braille. Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 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 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 2 3 X X 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Shrewsbury Road (12) Score 3 4 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 X DS0000052005.V263164.R01.S.doc Version 5.0 Page 20 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 24 Regulation 23(2)(b) Requirement The registered person shall ensure that the premises, is in a good state of repair to include window frames. The registered person shall ensure that all parts of the home are reasonably decorated. Timescale for action 12/12/05 2 24 23(2)(d) 12/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Shrewsbury Road (12) DS0000052005.V263164.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Surrey Area Office 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) DS0000052005.V263164.R01.S.doc Version 5.0 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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