Inspection on 01/12/05 for The Walled Garden

This inspection was carried out on 1st December 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 Walled Garden 09/10/08

The Walled Garden 31/10/06

The Walled Garden 09/05/05

The Walled Garden 06/12/04

The Walled Garden 15/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 The Walled Garden Calcot Grange, Mill Lane Reading Berkshire RG31 7RS Lead Inspector Katy Brown Unannounced Inspection 1st December 2005 13:55 DS0000011145.V264051.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 DS0000011145.V264051.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. DS0000011145.V264051.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Walled Garden Address Calcot Grange, Mill Lane Reading Berkshire RG31 7RS 0118 945 1712 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) walledgarden@btconnect.com Residential Community Care Limited Mrs Cate Lovelock Care Home 10 Category(ies) of Learning disability (10) registration, with number of places DS0000011145.V264051.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2005 Brief Description of the Service: The Walled Garden is a residential care home offering twenty-four hour personal care to ten adults of both sexes who have learning and associated behavioural difficulties. The home is a two-storey building and is not able to provide a service to people with severe physical disabilities, as there is no lift access to the first floor. The home has eight single and one double bedroom but the double bedroom is used as a single and will be for the foreseeable future. The bedrooms have wash hand basins but do not have en-suite facilities. The home is situated in a quiet residential area approximately five miles form Reading Town Centre. There are local facilities within walking distance of the home. The home has its own vehicle and service users are able to access public transport, as appropriate. DS0000011145.V264051.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours and forty-five minutes. There have been no additional visits made since the last unannounced inspection. A tour of the premises took place and residents’ care records and some of the homes’ records were inspected. Two residents and one advocate were spoken to during the visit and two members of staff, the deputy manager and the manager were also spoken to. What the service does well: What has improved since the last inspection? A resident has made a number of changes to her life and has been able to achieve this, with support from the staff and the manager. The manager has received training to update her knowledge and maintain her professional development. DS0000011145.V264051.R01.S.doc Version 5.0 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. DS0000011145.V264051.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 DS0000011145.V264051.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): 1 & 2. Residents are provided with the information that they need prior to moving into the home and all receive care needs assessments. EVIDENCE: The statement of purpose and the service user guide include the information specified in the Care Homes Regulations. Both documents are currently being reviewed and updated. All the residents that live at the home had received care needs assessments prior to their admission. DS0000011145.V264051.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. All residents have completed plans of care in place that identifies their needs and goals. EVIDENCE: Individual plans of care are available for all the residents living at the home. The plans of care that were seen were detailed and contained information about their healthcare needs, dietary requirements, personal care needs, likes and dislikes and hobbies and interests. Residents and an advocate confirmed that they were involved in the development of the care plan and that reviews are held regularly. Changes of need that have been identified for the residents, are reflected in the care plans. DS0000011145.V264051.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 16. Residents are provided with opportunities to take part in and explore local community events and the staff ensure that the residents are always treated with respect. EVIDENCE: The residents say that they enjoy bowling and swimming and one resident is able to continue his favourite pastime, which is fishing. The home is fairly close to Reading town centre and one resident said that she had been Christmas shopping that day. She also spoke about her enjoyment at working at a local garden centre. The residents do access the main community and an advocacy service is available. A resident confirmed that she has voted in the general elections. The staff interact well with the residents and have a very clear understanding of their needs and their preferred methods of communication. The staff were observed treating the residents kindly and maintaining their dignity. The residents were relaxed and comfortable and frequently approached them. The residents do have sanctions in place and were aware of the reasons why and DS0000011145.V264051.R01.S.doc Version 5.0 Page 11 had consented to them. They said that they liked the staff and staff that were spoken to, were very clear about individual residents’ likes and dislikes. DS0000011145.V264051.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. The residents’ are protected by the homes’ policies and procedures for the administration and management of medication. EVIDENCE: The home has satisfactory policies and procedures in place, to enable staff to administer medication safely to the residents. Medication is always administered with two members of staff present and all staff that administers medication have received the appropriate training. The pharmacist visits the home regularly and the reports that were seen for the last three visits, did not indicate any concerns and no recommendations had been made. DS0000011145.V264051.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23. Residents feel safe and are protected from abuse. However, staff should have access to the contact details for the Vulnerable Adults Co-ordinator. EVIDENCE: The home has a policy for abuse and has adopted the Berkshire Inter-Agency Procedures. However, the homes policy is not concise and does not give clear instruction to staff, which processes to follow when an allegation or incident of abuse has occurred. The manager and staff confirmed that staff have received training in the protection of vulnerable adults and refresher training is provided. Staff that were spoken to, were very clear that the protection of the residents was paramount and confirmed that any suspicion of abuse would be immediately reported to the manager. Not all staff however, were aware of the Berkshire Inter Agency Procedures and had not seen a copy of this document. Neither were staff aware of the lead role of the local social services department with regard to an investigation of abuse and did not know that there is a Vulnerable Adults Co-ordinator, to whom they are able to report their concerns. The residents that were spoken to, say that they feel safe at the home and that they trust the staff and the manager. DS0000011145.V264051.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30. The home is clean and hygienic. EVIDENCE: The home has satisfactory policies in place for the control of infection and staff confirmed that they receive appropriate training. There are separate laundry facilities within the home and soiled articles are transported and cleaned within relevant guidelines. The residents say that their home is clean and that there are no offensive odours throughout the building. Staff work well with residents that have incontinence difficulties and appropriate systems are in place to meet their needs. DS0000011145.V264051.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32. The residents are supported by competent staff. EVIDENCE: The residents and an advocate confirmed that staff at the home are able to meet the residents needs and that they are always willing to help and offer advice when required. The home has a staff compliment that is a rich mixture of experience and skills and knowledge. Currently there is one member of staff that has NVQ level 3 and five have NVQ level 2. Most of the remainder of staff have already commenced the qualification. DS0000011145.V264051.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42. The manager is qualified and competent and ensures that the residents’ safety and welfare is met through the health and safety policies and procedures and care practices at the home. EVIDENCE: The manager has worked with adults with learning disabilities for eighteen years. She has an NVQ level 4 in management and has completed the Registered Managers Award. She has been employed at the home for six years and has continued to update her training and skills to meet the changing needs of the residents and staff. The home has satisfactory health and safety policies and procedures in place and staff confirmed that they complete training in health and safety. Records that were seen, confirmed that regular maintenance checks are completed for equipment used at the home. Regular fire checks and drills are carried out at the home. DS0000011145.V264051.R01.S.doc Version 5.0 Page 17 DS0000011145.V264051.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000011145.V264051.R01.S.doc Version 5.0 Page 19 N/A 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 YA23 Good Practice Recommendations The registered person should ensure that the homes policy for abuse is reviewed and amended to give staff an accurate process to follow when an allegation or incident of abuse has occurred. The registered person should ensure that staff are familiar with the Berkshire Protection Of Vulnerable Adults procedures and are provided with the contact details for the Vulnerable Adults Co-ordinator. 2 YA23 DS0000011145.V264051.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 DS0000011145.V264051.R01.S.doc Version 5.0 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. 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