Inspection on 28/12/05 for Tikvah Tovah

This inspection was carried out on 28th 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

Tikvah Tovah 05/11/08

Tikvah Tovah 08/11/06

Tikvah Tovah 01/06/05

Tikvah Tovah 13/12/04

Tikvah Tovah 05/06/04

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Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Tikvah Tovah Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ Lead Inspector Katy Brown Unannounced Inspection 28th December 2005 13:05 Tikvah Tovah DS0000011371.V264049.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 Tikvah Tovah DS0000011371.V264049.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. Tikvah Tovah DS0000011371.V264049.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tikvah Tovah Address Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ 01344 755529 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) bucketsandspades@norwood.org.uk Norwood Ravenswood T/A Norwood ***Post Vacant*** Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Tikvah Tovah DS0000011371.V264049.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2005 Brief Description of the Service: Tikvah Tova cares for five adults with learning disabilities. It is set in Ravenswood Village, which is a Jewish community. Tikvah Tovas underpinning ethos is derived from the Jewish faith and the beliefs practices and values of Judaism underpin all aspects of residents lives. The home is a bungalow and each resident has their own bedroom, none of them have en-suite facilities. There is a spacious lounge area and a separate dining room. The home has its own vehicle and service users are able to access public transport, as appropriate. Tikvah Tovah DS0000011371.V264049.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 one afternoon. 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. Three residents were spoken to during the visit and two members of staff, the deputy manager and the acting manager were also spoken to. What the service does well: What has improved since the last inspection? What they could do better: The record of complaints does not provide a clear audit trail to track the progress of all complaints that have been made. This is a recommendation that has been made. Tikvah Tovah DS0000011371.V264049.R01.S.doc Version 5.0 Page 6 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. Tikvah Tovah DS0000011371.V264049.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 Tikvah Tovah DS0000011371.V264049.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 they all had received care needs assessments outlining the service that is required. EVIDENCE: The statement of purpose and the service user guide include the information specified in the Care Homes Regulations. The documents are reviewed and updated on an annual basis and enable residents and purchasers of care to have a clear understanding of the services provided. All the residents that live at the home had received care needs assessments prior to their admission. The information was clear and identified the individual need for each person. Tikvah Tovah DS0000011371.V264049.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 & 8. All residents have completed plans of care in place that identifies their needs and goals. Residents are consulted on how the home is run and their views are listened to and taken into consideration. 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. The care plans have recently been reviewed and any changes in need that have been identified for the residents, have been reflected within the review process. The residents attend meetings at the home and evidence was seen that identified that residents discuss a number of things that affect their lives including meals. There are monthly meetings at Ravenswood Village, where residents act as representatives from individual homes, to discuss forthcoming events and policies and share experiences, concerns and any issues that they might have. Tikvah Tovah DS0000011371.V264049.R01.S.doc Version 5.0 Page 10 Tikvah Tovah DS0000011371.V264049.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): 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: There are a variety of activities available in Ravenswood Village and the residents are also able to access the main community to complete domestic tasks such as shopping and also take part in social events. One resident that was spoken to, is of the catholic faith and is encouraged by the staff to continue practicing his faith and cultural traditions. The staff interact well with the residents and have a good understanding of their needs and their preferred methods of communication. The staff were observed treating the residents kindly and are very patient with them. The residents are relaxed and comfortable with the staff and frequently approach them. The residents said that they liked living at the home and the staff that were spoken to, were very clear about individual residents’ likes and dislikes. Tikvah Tovah DS0000011371.V264049.R01.S.doc Version 5.0 Page 12 Tikvah Tovah DS0000011371.V264049.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): 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. Currently there are no residents that self-medicate. A trained member of staff always administers medication and the reports that were seen for the last two visits made by the pharmacist, did not indicate any concerns and no recommendations had been made. . Tikvah Tovah DS0000011371.V264049.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): 22. All complaints are taken seriously and acted upon. EVIDENCE: The residents have been provided with a copy of the complaints procedure and residents are supported by staff to make complaints if they wish to. All complaints are taken seriously and acted on. The manager and staff keep a record of complaints that are made and the record indicates that generally the complaints that had been received were investigated and managed satisfactorily. On occasion, it was however, difficult to fully track the complaint. It was not always clear who had made the complaint or what the actual nature of the complaint was. Neither was it always clear what action had been taken to resolve some concerns. The CSCI has not received any complaints in respect of this service. Tikvah Tovah DS0000011371.V264049.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. The residents live in a safe environment that is able to meet their needs. EVIDENCE: A tour of the premises identified that the home is well decorated and the furniture looks nice. A large dining room table has been donated to the home and the deputy manager advised that the residents have selected a new colour scheme for the dining room when it is decorated later this year. The communal doors within the home are scheduled to be widened and the bathroom is due to be refurbished. This will enable easier access for residents that are dependent on wheelchairs. The lounge area is warm and homely in appearance and a spacious garden is available for the residents. Tikvah Tovah DS0000011371.V264049.R01.S.doc Version 5.0 Page 16 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 & 34. Competent staff support the residents and the recruitment practices at the home are robust and protect the residents. EVIDENCE: The staff at the home are able to meet the residents needs and provide a good standard of support and offer help and advice when required. The home has a staff compliment that is a rich mixture of experience and skills and knowledge. Currently there are fourteen members of staff that work at the home. Five staff have NVQ level 2 or above and most of the remainder of staff have already commenced the qualification or are scheduled to attend. The home has a satisfactory recruitment policy in place. There have been three members of staff recruited since the previous inspection and also a deputy manager. Staff that were spoken to, confirmed that all the required checks for recruitment had been completed. Tikvah Tovah DS0000011371.V264049.R01.S.doc Version 5.0 Page 17 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. The home is managed competently, although the manager has not yet registered with the Commission. EVIDENCE: The manager of the home has been on maternity leave and is due to return in January 2006. During this time, a manager of another home has been responsible for the management and a deputy manager is also in post. The staff say that during the absence of the manager, the home is well run and there have been no problems or areas of concern. It is expected that the manager will apply for registration with the Commission following her return. Tikvah Tovah DS0000011371.V264049.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 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X 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 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Tikvah Tovah Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000011371.V264049.R01.S.doc Version 5.0 Page 19 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 YA22 Good Practice Recommendations The registered person ensures that there is a clear and detailed record kept of the progress of a complaint. Tikvah Tovah DS0000011371.V264049.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 Tikvah Tovah DS0000011371.V264049.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. 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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