Inspection on 28/02/06 for The Ley Community

This inspection was carried out on 28th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Ley Community 12/12/06

The Ley Community 11/10/05

The Ley Community 14/03/05

The Ley Community 25/02/05

The Ley Community 26/03/04

Similar services:

Flint House

Yeldall Manor

Cherwood House Care Centre

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

CARE HOME ADULTS 18-65 The Ley Community Sandy Croft Sandy Lane Yarnton Oxfordshire OX5 1PB Lead Inspector Nancy Gates Unannounced Inspection 28th February 2006 10:30 The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Ley Community Address Sandy Croft Sandy Lane Yarnton Oxfordshire OX5 1PB 01865 378600 01865 842238 enq@tey.co.uk 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) The Ley Community Mr Paul Goodman Care Home 58 Category(ies) of Past or present alcohol dependence (58), Past or registration, with number present drug dependence (58) of places The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 58 11th October 2005 Date of last inspection Brief Description of the Service: The Ley Community is a ‘therapeutic community’ situated within a village on the outskirts of Oxford, accommodating up to 58 people. The Community provides a structured and specialist programme for individuals to overcome drug and alcohol problems. This includes opportunities for change, re-building self-esteem and subsequently to move on to independent employment and accommodation. The accommodation comprises of three large residential units with a further smaller house for re-settlement, set within large and exceptionally wellmaintained grounds. An outdoor swimming pool and multi purpose sports pitch are available for recreational activities structured within the programme. Staffing is provided within guidance from the CSCI and uses peer support to manage the day to day running of each building. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector was in the home from 10.30am until 2.45pm on a weekday. The majority of residents were in the home at the time of inspection. There were appropriate levels of staff members on duty including management and administration staff. All residents and the majority of staff were welcoming and friendly. What the service does well: What has improved since the last inspection? There were no areas for improvement identified from the standards assessed at the previous inspection. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 6 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. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 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 The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 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): 2 Clear assessment and admission documentation allows for an excellent admission process. EVIDENCE: Full time admissions staff (admissions team) support potential residents throughout the admissions process including the initial stages of the programme. The admission team take considerable responsibility in obtaining and chasing information to ensure that all relevant information is gathered to make an informed judgement as to whether a resident will be suitable for admission. Residents confirmed that self-referral starts the process; self-assessments, an interview and observational assessments are undertaken before and throughout the admission process to ensure that commitment to the programme is apparent. Funding confirmation in addition to admission documentation has to be in place before an admission decision can be made. Decisions for admission are made within a management meeting, an opportunity for presentation of assessment information including legal, funding and detoxification issues, demonstrating clear reflective practice. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 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 Residents’ individual plans reflect who they are, their needs and are of a good standard. EVIDENCE: Residents’ plans detail the structure and key stages of the programme at The Community. Residents are expected to complete the plans within the ‘key stages’, describing achievement and further areas for development. Beliefs, attitudes and behaviours are clearly recorded to assist the assessment of where people are in the programme. Plans are presented within a ‘person centred’ approach adopted at The Community and the responsibilities undertaken and expected from residents. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 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): 13 A good and consistent relationship has been established with the wider community. EVIDENCE: Stage four of the programme continues to provide a remit for residents to access the local community. Accessing the wider community at weekends is restricted although there are no ‘locked gates’ that prevent individuals from leaving. The inspector acknowledges and commends that the nature of the programme continues to rely on the structured peer support and responsibility to ‘look out for each other’. Maintaining good relationships with the wider community continues to be facilitated within ‘open days’ and through the ‘liaison officer’. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standards in this section were assessed at the previous inspection. Judgements regarding standards 18, 19 and 20 have been included within the inspection report of the 11th October 2005. EVIDENCE: The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standards in this section were assessed at the previous inspection. Judgements regarding standards 22 and 23 have been included within the inspection report of the 11th October 2005. EVIDENCE: The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 A good standard of accommodation is provided for residents. The cleanliness of the accommodation is of an excellent standard. EVIDENCE: Accommodation provided is of a very high standard, although one building is not as aesthetically pleasing as the others due to its age. Residents expressed extremely positive views of the accommodation offered, taking pride in their environment, detailing involvement in various ‘crews’ to ensure the accommodation is maintained and cleaned to a high standard. Female residents ‘share’ rooms, privacy continues to be respected. Residents maintain kitchen and storage areas. They again expressed pride at keeping high standards. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 14 Tours of the premises with residents demonstrated their commitment to cleaning the environment to a high standard, clearly demonstrating the requirements of participation. ‘Inspection teams’ check quality on a daily basis. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 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): 32 & 35 Staff are competent in supporting the needs of residents. Skills are supported by comprehensive training opportunities. EVIDENCE: Discussion with a number of staff members suggested that recruitment selection relates to skills and abilities. Staff members demonstrated motivation and interest whilst being relatively open and respectful. Residents expressed confidence in the competency of the staff team as a whole. Staff members confirmed that comprehensive and accessible training relating to the needs of residents is available. Core training including fire safety, health and safety, first aid, food hygiene, risk assessment and care planning and co-ordination for people with drug and alcohol problems is undertaken on a regular basis. Specialised training and qualification are offered to all staff members clearly recognising the ongoing needs of residents. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 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, 39 & 42 The management structure allows for aims and objectives to be achieved by all community members whilst ensuring health and safety responsibilities are upheld. The quality of support offered to residents is monitored effectively. EVIDENCE: The management structure at The Community, led by the Chief Executive and the Programme Director, allows for The Community to operate with transparency and integrity. An annual report is produced at The Ley Community detailing the achievement of aims and objectives and the plans for the forthcoming year. Residents’ involvement has been noted within the quality reviews by funding providers, resulting in reports commending The Ley Community and the programme it provides. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 17 A trustee of The Community visits on a monthly basis completing a report, which assesses the support and services provided. A copy of the report should be sent to the CSCI when completed. The community employs a site manager, undertaking designated responsibility for health and safety checks to be conducted. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 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 Standard No 1 2 3 4 5 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 4 X X X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 4 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 4 X 2 X X 3 X The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 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. 1 Refer to Standard YA39 Good Practice Recommendations Records of the monthly visits by a Trustee should be sent to the CSCI. The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South, Cowley Oxford OX4 2SU 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 The Ley Community DS0000013104.V279324.R01.S.doc Version 5.1 Page 21 - 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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