Inspection on 29/11/05 for The White House

This inspection was carried out on 29th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The White House 28/12/06

The White House 14/12/04

The White House 22/11/04

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 White House 334 Horton Road Datchet Nr Slough Berkshire SL3 9HY Lead Inspector Susan Cledwyn-Davies Unannounced Inspection 29th November 2005 9:45 The White House DS0000011298.V253635.R02.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 The White House DS0000011298.V253635.R02.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. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The White House Address 334 Horton Road Datchet Nr Slough Berkshire SL3 9HY 01753 541595 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) Choice Limited Mr Martin Prescott Care Home 7 Category(ies) of Learning disability (7) registration, with number of places The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2005 Brief Description of the Service: The White House provides residential care for seven service users with severe learning and behavioural difficulties. There is a mix of younger men and women. Day services are provided as part of the care package. The White House is a large two-stories house with accomodation on both floors. There are extensive grounds and outbuildings which are used for day services. A swimming pool is also provided. the house is situated approximately 2 miles from Slough and Windsor Town centres near the village of Datchet. The home has two house vehicles and other means of transport are sought as necessary. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place between 9.45am and 2.30pm. Included in the inspection was a discussion with the manager and staff, observation and some conversation with service users, examination of records observation of lunch. There are seven residents in the home. Following discussion with the manager it was agreed that the service users in the home would be referred to as residents within this report. What the service does well: 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. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 6 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 White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 7 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): The standard, when inspected previously, was satisfactory and there were no outstanding requirements or recommendations. EVIDENCE: The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 8 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): 7 Service users are assisted to make decisions about their lives. EVIDENCE: Service users are encouraged and supported to make decisions about their own day. Behaviour guidelines and risk assessments are in place to support staff and enable choice. Service users were observed to make decisions during the visit. Staff work hard to achieve a balance of enabling service users plus ensuring that activities and trips away take place. Relatives confirmed that the home provides good quality care and that residents are supported. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 9 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): 12, 13, 15 and 16. Residents have a varied life. Different activities are arranged and residents’ preferences are considered. Relatives confirmed good contact with the home. Residents’ rights are respected and responsibilities encouraged. EVIDENCE: There are separate activity timetables for each person. These timetables have recently been reviewed and some of the activities changed. The activities arranged include leaving the site for day centres and shopping etc plus activities in the house, garden and activity centre. The house and varied other buildings provide space and choice for residents. One relative present confirmed satisfaction with the service for her son. Residents are encouraged to speak to relatives on the telephone and/or to visit to them with support from home staff if necessary. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 10 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 Medication administration and storage is safe and well ordered. EVIDENCE: Two staff, one administering and a second witnessing complete medication administration. Staff training is given prior to taking part and each staff member administering medication is rechecked every six months. Medication storage was ordered and administration records well maintained. Medication practice is responsibly managed. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 11 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): 22 and 23 Complaints are taken seriously and investigated thoroughly. Residents are protected from abuse. EVIDENCE: There is a proactive approach to complaints. All complaints are investigated thoroughly. Recent investigations involving adult protection concerns have been responsibly and thoroughly investigated. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 12 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 The house is comfortably furnished and decorated. There is a need to improve the aroma in the lounge. EVIDENCE: The house is comfortably decorated and furnished. The front entrance of the home is affected by an unpleasant smell from the lounge. This carpet has been cleaned in the past. There is a need to investigate for the source of the smell and remove it. There was a previous requirement to remove the limescale for better cleaning in bathrooms. This has been done. Work is being planned to improve the plumbing of the house. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 13 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): 33 and 36 A cohesive staff team supports residents. The staff team is well supported and supervised. EVIDENCE: There has recently been staff recruited from Poland to complete the staff team. Staff on induction are given training and supervised until confident. A new member of staff confirmed this. Staff members spoke of the team working well together. The inspector saw staff supporting each other to care for service users. Levels of staff supervision are much improved. Staff are now receiving individual supervision on a regular basis. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 14 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): 39 Residents’ views are obtained with key worker and relative support. More effort is needed to ensure that all of these are put into practice. EVIDENCE: Quality assurance is considered important. It is difficult to obtain the residents views because of the communication difficulty; therefore involving the views of relatives, professionals and care staff is also seen as important. A development plan was prepared for last year but not for this year. This plan needs to be reviewed and updated. The results of the residents questionnaires completed with key worker assistance were not available. As discussed with the manager it is important that once a process is started then records should demonstrate any required action, when taken and the end result. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 15 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 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The White House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 2 X X X X DS0000011298.V253635.R02.S.doc Version 5.0 Page 16 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 YA24 Regulation 23 Requirement It is required that the odour in the lounge be investigated and removed. Timescale for action 01/01/06 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 That the quality assurance be developed to ensure review. The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 17 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 The White House DS0000011298.V253635.R02.S.doc Version 5.0 Page 18 - 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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