Inspection on 05/01/06 for Tregona

This inspection was carried out on 5th January 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

Tregona 10/11/08

Tregona 09/11/06

Tregona 06/06/05

Tregona 09/12/04

Tregona 08/06/04

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 Tregona 3 Edith Road Maidenhead Berkshire SL6 5DY Lead Inspector Katy Brown Unannounced Inspection 5th January 2006 12:30 DS0000011271.V270800.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 DS0000011271.V270800.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. DS0000011271.V270800.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tregona Address 3 Edith Road Maidenhead Berkshire SL6 5DY 01628 789433 / 62616 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) londonroad@tiscali.co.uk Milbury Care Services Limited Ms Annie McDermott Care Home 3 Category(ies) of Learning disability (3) registration, with number of places DS0000011271.V270800.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2005 Brief Description of the Service: Edith Road cares for three adults with learning disabilities and associated physical disabilities. It is set in a residential area close to local amenities and the town centre. The home is a bungalow and there are 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 en-suite facilities. There are two communal toilets and one communal bathroom, which has both bathing and showering facilities. DS0000011271.V270800.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 during the 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. One resident, three relatives and four members of staff that were on duty throughout the day, were spoken to during the visit. What the service does well: What has improved since the last inspection? What they could do better: There were no concerns raised during this inspection. DS0000011271.V270800.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. DS0000011271.V270800.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 DS0000011271.V270800.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): 2. All residents receive satisfactory care needs assessments prior to moving into the home. EVIDENCE: Two of the residents have lived at the home for a number of years and received care needs assessments prior to their admission. Relatives that were spoken to confirmed that the resident that was most recently admitted to the home received a care needs assessment and that they were involved in the process. The assessment document that was seen was detailed and informative and contained information that was specific to the residents need. Likes, dislikes and hobbies and interests had all been addressed. DS0000011271.V270800.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 and their representatives are consulted on how the home is run and their views are taken into consideration. EVIDENCE: Due to their complex needs, residents do not attend house meetings at Edith Road. The staff are however, able to understand the residents needs through the use of facial expressions, sounds and body language. Recently a new resident has been admitted to the home and both the resident and the relatives confirmed that their views are listened to. There is a key worker system in place where workers are provided with an opportunity to explore important issues individually with the residents and/or relatives. DS0000011271.V270800.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 & 17. The residents take part in a variety of activities and are provided with opportunities to take part in and explore local community events. Residents are provided with balanced and nutritious meals. EVIDENCE: The residents do not attend college, although they do attend a variety of educational and leisure pursuits. Staff encourage the residents to take part in a variety of community activities including, trips out for meals, the leisure centre and bowling. The residents are planning to join the local library to enable them to access the numerous resources available. A resident spoke about a Christmas pantomime that he recently attended and staff confirmed that he would also be attending a musical concert with songs from his favourite artist. The meals that are provided at the home are varied, balanced and nutritious and reflect the individual preferences of the residents. The staff are aware of the residents dietary requirements and provide the individual level of support that is required for each resident. The food and drink preferences and dislikes DS0000011271.V270800.R01.S.doc Version 5.0 Page 11 of the residents are recorded clearly on the kitchen notice board, to assist staff when they are preparing meals. DS0000011271.V270800.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): 18 & 20. The residents’ are provided with a good and flexible standard of care that reflects their wishes and meets their health and social needs. EVIDENCE: Relatives and a resident that were spoken to said that the staff were very clear about individual residents’ likes and dislikes and had a good understanding of their needs. Staff were seen treating the residents with kindness, respect and dignity and in a way that made them happy. The staff work within the routines, guidelines and risk assessments that have been determined for each resident. The home has satisfactory policies and procedures in place to enable staff to administer medication to the residents. All staff that provide support with medication have received the appropriate training. There are no residents at the home that self-medicate. DS0000011271.V270800.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 resident that was spoken to said that he felt safe at the home and that staff cared for him well. The relatives confirmed that they had no concerns regarding the care practices of staff and were satisfied with the way in which the home was managed. The home has a satisfactory policy for abuse and has adopted the Berkshire Inter-Agency Procedures. The staff confirmed that they have received training in the protection of vulnerable adults and some staff received refresher training during the previous year. Staff 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 a senior representative. Staff were familiar with the local procedures for incidents of abuse. DS0000011271.V270800.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, 27 & 30. The residents live in a safe environment that is able to meet their needs and the home is clean and hygienic. EVIDENCE: A tour of the premises identified that the home is well decorated and the furniture looks nice. All residents have their own bedroom. There are separate facilities for the lounge and dining room areas and there is also a conservatory in place. Relatives said that the home presents as warm and homely and were impressed with the spacious garden. There are two toilets, one of which is combined with a bath and shower. There are aids and adaptations in place, to enable the residents to be as independent as possible and the previously rusted toilet frame has now been replaced. 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 home is clean and hygienic. DS0000011271.V270800.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 & 35. Competent staff that have been recruited in accordance with satisfactory procedures support the residents. Staff receive an induction to the home and a variety of training that enables them to provide a good service to the residents that live there. EVIDENCE: Relatives and a resident said that the staff at the home are able to meet the residents needs and they are always willing to help and offer support when required. The home has a staff compliment that is a rich mixture of experience and skills and knowledge. Currently there are three members of staff that have achieved NVQ level 2 or above. Other members of the team have either already commenced the qualification or are scheduled to commence the course at a later date. Staff confirmed that the home had recently been involved in a recruitment drive and a number of applicants were received. The home has a satisfactory policy/procedure for recruitment and the staff member most recently employed at the home confirmed that the checks required by regulation had been completed. DS0000011271.V270800.R01.S.doc Version 5.0 Page 16 Staff that were spoken to, confirmed that they receive training that helps them meet the needs of the residents and said that they are scheduled to attend specialist training to meet the needs of all the residents. They also receive an induction when starting work at the home; to enable them to become familiar with residents and their needs and also the homes policies and procedures. DS0000011271.V270800.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, 39 & 42. The manager and staff at the home seek the residents views and opinions and ensure that they are reflected in the way that the home is run. The welfare of the residents is met through the policies and care practices at the home. EVIDENCE: Relatives, a resident and staff say that the home is well run and the manager is liked and trusted. The manager of the home is a Registered General Nurse; she has a Certificate in Social Sciences and has completed her Assessors Award 2-3. She has 32 years experience working with people with learning disabilities and has commenced her NVQ level 4 in management. The manager has sent questionnaires to relatives, representatives and other people involved in residents lives, to seek their views and opinions about the services provided at the home. Staff confirmed that changes would be made if any concerns were identified. The home has satisfactory health and safety policies and procedures in place and staff confirmed that they complete training in health and safety. Regular DS0000011271.V270800.R01.S.doc Version 5.0 Page 18 maintenance checks are completed for equipment used at the home and a visit by the fire fighting equipment and fire alarm specialists earlier in the year raised no concerns. Regular fire checks and drills are carried out at the home. DS0000011271.V270800.R01.S.doc Version 5.0 Page 19 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 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X 3 3 X DS0000011271.V270800.R01.S.doc Version 5.0 Page 20 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. Refer to Standard Good Practice Recommendations DS0000011271.V270800.R01.S.doc Version 5.0 Page 21 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. 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