Inspection on 20/02/06 for Upaya Ananda

This inspection was carried out on 20th February 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

Upaya Ananda 23/01/08

Upaya Ananda 20/03/07

Upaya Ananda 22/11/05

Upaya Ananda 23/03/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Newton Court (1-2)

Kings Lane (32)

Pemdale

Beau Sejour

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

CARE HOME ADULTS 18-65 Upaya Ananda 9 Station Road Hadleigh Suffolk IP7 5JF Lead Inspector Joe Staines Unannounced Inspection 20th February 2006 10:00 Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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 Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Upaya Ananda Address 9 Station Road Hadleigh Suffolk IP7 5JF 01473 822110 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) FUN Ms D Margerison Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Upaya Ananda is a large modern detached house, with garden and grounds, situated near the centre of Hadleigh. Ananda is the Sanskrit word for joy, and the project is operated by a charity called FUN. The statement of aims states that the home aims to provide short fun breaks to young adults with learning difficulties. Ananda provides a service to young adults, and some children between the ages of 16-18. The ratio of service users under the age of eighteen is less than is required for registration as a Children’s Home; therefore the registration category of Care Home is sufficient. Three single bedrooms provide accommodation; one of the bedrooms and one of the bathrooms is wheelchair accessible. Wheelchair accessible transport is provided by the home. The brochure states clearly that the home is not equipped to meet the needs of people with a history of violence, and does not provide nursing care. All placements are planned. Staffing is arranged by the manager on the basis of bookings for the month. Once the bookings are made, the manager identifies the most suitable staffing arrangements on the basis of the needs and preferences of service users. The home has a comprehensive set of policies and procedures, focused on ensuring the care provided is delivered in a way which promotes the ethos of the home, described in the policies manual as ….the rights of each guest to dignity, respect, self-determination and individuality. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the evening, at a time when this respite home was likely to be accommodating guests. Two guests were present, along with a carer who was on duty. Both guests were interviewed by the inspector, as was the member of staff. Documents relating to the standards assessed were examined, and issues arising from the inspection were clarified with the registered manager by phone and post. This was the second inspection undertaken during the year ending 31st March 2006. The service was also inspected on 22nd November 2005, and the report of that inspection, combined with this report provide an overall assessment of the home’s compliance, in relation to the key National Minimum Standards for Care Home’s for Younger Adults, aged 18-65. What the service does well: What has improved since the last inspection? Staff training is ongoing and has been added to by child protection training, ensuring that the levels of protection offered to all who use the service is sufficient. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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 Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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 Prospective guests and their representatives can be confident that the home will undertake a detailed assessment of individuals’ aspirations and needs, prior to them staying at the home. EVIDENCE: The inspector examined 3 files, and found evidence of thorough pre admission assessments. These assessments included assessments by referring social care organisations, the provider’s own assessments. Taken in combination, these documents provided a thorough picture of the needs and preferences of the individuals involved. Independence levels were ascertained, demonstrating the home’s commitment to ensuring the maximum level of choice for those who were staying at the home. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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): 7&9 Prospective guests and their representatives can be confident that the home will enable those who use the service to make their own decisions, and to take risks within a managed framework. EVIDENCE: The guests who spoke to the inspector stated clearly that they were able to make choices around their activities, and they were both keen on the dancing classes they were attending that evening. Care plans contained detailed information on the specific needs of individual guests. The plans included sections on the needs and preferences of guests in relation to all aspects of daily routines from first thing in the morning to last thing at night, medical needs, emotional and behavioural support, health surveillance and contact arrangements. The daily log and observations by the inspector confirmed that guests were consulted about their choice of meal, preferred bedroom, and what to do whilst at the home. The pre admission assessments and independence criteria forms identified areas where risks may be posed, and risk management strategies to minimise any risks identified. The home had a handbook, containing information on a Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 Page 10 wide range of resources and support groups available to service users, including advocacy and befriending schemes should these be required. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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): 16 & 17 Prospective guests and their representatives can be confident that the home will promote the rights of individuals who use the service. They can also be confident that the home will provide a healthy and balanced diet, based on the preferences of individuals. EVIDENCE: The independence criteria forms used by the home promoted the independence of service users in all areas practically possible. The home had been designed with its current use in mind, and was laid out to maximise service users access to all parts of the building. Corridors were wide enough to allow wheelchair mobility; all entrances were accessible by ramps. Toilet and bathroom facilities were suitable for service users with long handled taps and grab rails where needed. Subsequent to the inspection, the registered manager informed the inspector that the home planned to enhance the independence levels further by adding bidets in all the guests’ toilets. The guests who spoke to the inspector both stated that they liked the meals prepared for them, and that these reflected their own choices. Both of the guests told the inspector of their favourite meal, and these were identified as Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 Page 12 having been provided in the past. The meal prepared on the evening of the inspection included salad, and both guests were consulted about their preferences beforehand. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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): 18 & 20 Prospective guests and their representatives can be confident that the home will ensure personal care is provided according to guest’s individual needs and preferences. They can also be confident that the procedures for the administration of medication protect guests. EVIDENCE: The guests who spoke to the inspector stated that the way staff look after them was “kind”. Staff reported that system the home continued to organise staff after confirming who was staying at the home; this allowed the home to respond to the expressed preferences and needs of service users in the provision of named staff, and staff whose gender was suited to the preferences of service users. Staff training in 1st Aid and the administration of medicines was evidence in the training records. The records of medication administration were examined and found to be well maintained, with clear entries and no gaps. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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): 23 Prospective guests and their representatives can be confident that the home will protect guests from abuse, neglect and self harm. EVIDENCE: Records showed that adult protection training had been provided to care staff, and appropriate policies were in place at the home, including referral forms if needed. The home’s induction folder included information about the home’s policy in relation to vulnerable adults. In response to the last inspection report, the manager and project manager had also undertaken child protection training, and were cascading this to care staff, to provide the same level of protection to children who stayed at the home, as to those who were over 18 years of age. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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 & 27 Guests and their representatives can be confident that the environment provided, both private and communal, is of the highest quality, suitable for it’s stated purpose, and maintained to a high standard of cleanliness and hygiene, with the interests of those using the service in mind. EVIDENCE: The guests who spoke to the inspector both stated that they like their rooms and were glad they had the same one every time they stayed. The home was situated close to Hadleigh town centre. Access was available by the home’s own mini bus if needed. All of the rooms were spacious, and well furnished with modern equipment and domestic style furniture, carpets and curtains. All guest’s bedrooms have en-suite facilities. One bedroom with its own hoist and an adapted en-suite shower room and toilet for wheelchair users. There is one communal bathroom, and separate staff facilities. As stated earlier in this report, the registered manager informed the inspector that the home planned to enhance the environment further by adding bidets in the guests’ toilets. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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): None of the above standards were assessed at this inspection. The key standards identified above were all assessed as fully met at the announced inspection in November 2005. EVIDENCE: Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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): 38 Prospective guests and their representatives can be confident that the home’s management approach and ethos of the home benefit those who use the service. EVIDENCE: The member of staff who was on duty described the philosophy and ethos of the home as one of the best things about the home. They also commented positively on the availability and level of supported provided by the senior management team of registered manager, project manager and registered provider. An example of the support provided was given as the quality and frequency of staff meetings, and the support offered to care staff who experienced difficult personal circumstances. Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 4 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X X 3 X X X X X Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No 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 Upaya Ananda DS0000061223.V286510.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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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