Inspection on 14/11/05 for Tova

This inspection was carried out on 14th November 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

Tova 07/09/06

Tova 07/02/05

Tova 14/03/04

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 08/07/2008.

CARE HOME ADULTS 18-65 Ezra Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ Lead Inspector Katy Brown Unannounced Inspection 14th November 2005 13:10 DS0000033977.V264041.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 DS0000033977.V264041.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. DS0000033977.V264041.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ezra Address Ravenswood Village Nine Mile Ride Crowthorne Berkshire RG45 6BQ 0181 954 455 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 Mr Martin Rowe Care Home 8 Category(ies) of Learning disability (8) registration, with number of places DS0000033977.V264041.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th May 2005 Brief Description of the Service: Ezra cares for eight adults with learning and associated physical disabilities. It is set in Ravenswood Village, which is a Jewish community. Ezra’s 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 there is a variety of aids and adaptations around the building to allow residents to move about more independently. All of the bedrooms are single and none of them have ensuite facilities. There are two communal toilets and two communal bathrooms. DS0000033977.V264041.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 three hours and forty 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. The residents’ at the home have complex needs and two residents took part in discussions during the inspection, by using yes and no cards. Two senior members of staff that were on duty were also spoken to. What the service does well: What has improved since the last inspection? What they could do better: This inspection did not raise any concerns and no requirements or recommendations have been made. DS0000033977.V264041.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. DS0000033977.V264041.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 DS0000033977.V264041.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. Residents are provided with the information that they need prior to moving into the home. EVIDENCE: The statement of purpose and the service user guide include the information specified in the Care Homes Regulations. Both documents have recently been reviewed and updated to give an accurate reflection of the situation at the home. DS0000033977.V264041.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): 8. Residents are consulted on how the home is run and their views are taken into consideration. EVIDENCE: The staff have weekly meetings at the home, which the residents are able to attend if they choose to. One resident regularly attends these meetings and although she does not take an active part in them, staff say that she enjoys being in their company and drinking coffee. There are also regular meetings held within 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. There is a key worker system in place, where workers are provided with an opportunity to discuss important issues individually with residents. DS0000033977.V264041.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 do 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 and take part in a variety of events. Two residents that are not of the Jewish faith visit the local Catholic and Church of England services each month. One resident said that she enjoys going to the church and that it was her choice. 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 and the residents were relaxed and comfortable with them and frequently approached them. The residents said that they liked the staff and staff that were spoken to were very clear about individual residents’ likes and dislikes. DS0000033977.V264041.R01.S.doc Version 5.0 Page 11 DS0000033977.V264041.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. DS0000033977.V264041.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 are protected from abuse. EVIDENCE: The home has a satisfactory policy for abuse and has adopted the Berkshire Inter-Agency Procedures. The senior staff confirmed that staff have received training in the protection of vulnerable adults. The senior staff that were spoken to were very clear that the protection of the residents was paramount and advised that any suspicion of abuse would be immediately reported to the manager or senior representatives. The staff were also aware of the lead role of the local social services department with regard to an investigation of abuse and the contact details for the vulnerable adults co-ordinator were available. Two residents that were spoken to said that they feel safe at the home. DS0000033977.V264041.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): 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 television has been purchased for the wall in the lounge and an aquarium is also now in place. The lounge area is more homely in appearance and photographs of the residents are now placed around the room. One of the residents’ relatives has donated two of her paintings to the home and they have been placed on the walls in the lounge. Previously there were three bathrooms at the home; however, one of the residents was unable to attend to her personal care needs safely, due to her changing needs and the small size of the rooms. Two of the three bathrooms have now been combined and the appropriate equipment is in place to ensure that the residents’ needs are now being met. The staff and the manager have recently taken part in a fundraising event to raise capital to re-design the garden and build an external sunroom. Some of the work in the garden has commenced and it is expected that it will be completed by next year. DS0000033977.V264041.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 & 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 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 are sixteen members of staff that work at the home. Three have NVQ level 3 and five have NVQ level 2. 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 has been one member of staff recruited at the home since the previous inspection. Records indicate that all the required checks for staff have been completed. DS0000033977.V264041.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. The manager is competent and ensures that the home is well run. EVIDENCE: The residents and staff say that the home is well run and the manager is liked and trusted. The manager of the home has completed NVQ level 4 in Management and Care and the Registered Managers Award. He has twenty years experience working in social care and fourteen of these years are working with people with learning disabilities. The manager is registered with the Commission. DS0000033977.V264041.R01.S.doc Version 5.0 Page 17 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 X 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 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 Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000033977.V264041.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations DS0000033977.V264041.R01.S.doc Version 5.0 Page 19 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 DS0000033977.V264041.R01.S.doc Version 5.0 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!