Inspection on 27/02/06 for Wessex Autistic - 13-15 Barnes Lane

This inspection was carried out on 27th 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

Wessex Autistic - 13-15 Barnes... 27/07/07

Wessex Autistic - 13-15 Barnes... 11/10/06

Wessex Autistic - 13-15 Barnes... 21/12/05

Wessex Autistic - 13-15 Barnes... 03/03/05

Wessex Autistic - 13-15 Barnes... 28/09/04

Wessex Autistic - 13-15 Barnes... 25/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Wessex Autistic - 13-15 Barnes Lane 13-15 Barnes Lane Beaminster Dorset DT8 3LS Lead Inspector Marion Hurley Unannounced Inspection 27th February 2006 13:30 DS0000026741.V283696.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 DS0000026741.V283696.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. DS0000026741.V283696.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wessex Autistic - 13-15 Barnes Lane Address 13-15 Barnes Lane Beaminster Dorset DT8 3LS 01460 77033 01460 75003 as@twas.org.uk www.twas.org.uk Wessex Autistic Society 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) Ms Michelle Louise Maglo Care Home 6 Category(ies) of Learning disability (6) registration, with number of places DS0000026741.V283696.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st December 2005 Brief Description of the Service: The Wessex Autistic Society is a regional charitable organisation, which operates a number of residential, day and support services. 13-15 Barnes Lane is a long-term care home for up to 6 adults who have an autistic spectrum disorder. It comprises of three inter-linked terraced houses, each accommodating 2 service users. It is situated relatively close to the centre of Beaminster, which is a small town that has facilities, including shops, post office, GP surgery and pubs. Barnes Lane is owned by the New Era Housing Association and is managed by the Wessex Autistic Society under a licence agreement. It is staffed on a 24 -hour basis, with one waking and one sleep-in member of staff throughout the night. The home provides close support to the service users who live there. The organisation aims to enable service users to live as independently as possible in the community. DS0000026741.V283696.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Barnes Lane was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of ten hours, five of which were spent at the home. The inspector visited the day services in Crewkerne and observed some of the residents who reside at Barnes Lane in addition to meeting them again once they got home at the end of their day. During the inspection records related to the specific standards assessed were checked. The preparation and openness of the Registered Manager and staff assisted the inspection process and the inspector was grateful for their time and commitment to the inspection. The people living at Barnes Lane prefer the term service users and this has been used throughout the report. What the service does well: The home undertakes full assessments, which address and identify each service user’s need and abilities. This information is then used to develop the service user’s Individual Support Plan. Comprehensive risk assessments and management guidelines form an integral part of the plans. Individual needs and preferences are well documented and responded to appropriately resulting in service users making choices and enjoying positive lifestyles. The home continues to provide a high quality service to the service users. The staff team and manager are clearly committed to the service users and have developed positive relationships and mutual respect for all the service users. Wessex Autistic Society has comprehensive policies and procedures and those relating to the standards assessed at this inspection were being implemented by the manager and staff within the home. DS0000026741.V283696.R01.S.doc Version 5.1 Page 6 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. DS0000026741.V283696.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 DS0000026741.V283696.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): N/A None of the above standards were applicable at the time of this inspection visit. This group of six service users have lived together for over two years and there is no anticipated change to the group. The last service user moved into the home in 2004 and it was interesting to discuss with the Manager who believes it has probably taken almost the two years to really understand the service user’s complex and challenging behaviour and to now work positively with it to create more opportunities. This illustrates the time and care taken by the staff team to understand the needs and abilities of service users and to work according to the pace and needs of the individual. EVIDENCE: DS0000026741.V283696.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): 6, 7, & 9 • The home’s records reflected the service users assessed and changing needs, ensuring a good and consistent quality of care at all times. EVIDENCE: Comprehensive Individual Support Plans have been developed for, and with the service users. Four were read and all had been regularly updated and reviewed and reflected individual changing needs. There was evidence of the home liaising and working closely with other agencies and specialist services ensuring individual needs were appropriately responded to. Communication needs were well documented and helped identify known gestures and behaviours including a description of what the behaviour might mean based on previous experience of the service user. Contained in the support plans were records of significant incidents and all activities undertaken by the individual. This reflected that services users were leading a full and activity lifestyle and their needs and preferences were being respected. Risk assessments were detailed and ensured adequate control measures and safeguards were in place, to support people to lead as DS0000026741.V283696.R01.S.doc Version 5.1 Page 10 independent life as possible within the safe framework of their comprehensive risk management. Four ISP’s were read and the information and preferred routines of each person were carefully described with clear guidelines for all staff to follow e.g. “I like to have my bath every other day, & I will spend a long time in the bath”. Each service user has a skill/training plan e.g. “to develop a relaxed routine” within this were identified problems experienced by the service user in the particular skill area, the motivation factors, together with clear guidance for managing and working with the service user within their preferred ways. Both the records and discussions with the Manager and staff evidenced the working knowledge and understanding shared in the process of supporting the service user’s who have complex and at times challenging behaviours. DS0000026741.V283696.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): 12, 13, 15, 16 & 17. • Service users are supported in making choices and undertaking activities they enjoy. • Service users are encouraged to contribute to everyday in the home. EVIDENCE: The keyworkers encourage and support the service users to participate in the up-keep of their bedrooms and to contribute to the domestic tasks in the communal parts of the home. Activities for service users are planned and based upon what service users are known to enjoy and benefit from. However if a service user chooses not to undertake a planned activity at the time then that choice is respected. All the service users attend day services 9 days out of 10 and the tenth day is designated as their keyworker day when they are encouraged and supported to pursue activities of their choice. These days often include a trip out accessing local amenities i.e. swimming followed by a meal out. The inspector had the opportunity to visit the day services and observe the service users participating in a range of activities. Activities are pursued on DS0000026741.V283696.R01.S.doc Version 5.1 Page 12 and off site and of those off site include horse riding, swimming, trampoline, walking and two service users have successfully managed local work experience placements one in a local shop and another at a garden nursery. Day services are available 52 weeks of the year and staff from the home take the service users to the centre and then do a formal handover to day service staff and vica versa at the end of the day. This is good practice and ensures continuity of care and alerts staff to any particular incidents or behaviours, which may have occurred at either venue. In addition the service users’ daily notes are written by both groups of staff and travel back and forth with the service user daily. Day service staff contribute their own reports to the service users ISP and are included in the formal reviews Menus are based on a four-week rolling plan and are seasonally changed. Those menus read illustrated that service users receive a well-balanced and nutritional diet. In general the main meal of the day is served in the evening. Service users take a snack lunch to the day services and their preferences were recorded in their notes. All the service users are encouraged to be involved in deciding the menus and staff use recipe books and photographs to help service users identify their favourite meals. The task of recording the temperatures of the kitchen appliances and food temperatures is included in the staff’s shift plan and all had been completed. DS0000026741.V283696.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, 19, & 20 • Individual personal and healthcare needs are responded to appropriately with specialist advice and support provided as needs arise. • Clear records were maintained and reviewed as required. EVIDENCE: Service user’s records of personal and health care needs were well documented with detailed information recorded, relating to both routine and one off appointments and health interventions. i.e. dental, chiropody, opticians. Staff were knowledgeable about individuals needs and preferences and have developed positive and respectful relationships with all the service users. The medication held in the home was checked against the records and found to be up to date and in order. Please note there were two omissions on the MAR charts. It is very important that all staff are vigilant in signing for medication administered. None of the services users are capable of managing their own medication. All the staff in the home have been trained in the administration of medicines. Monthly multi-agency reviews / meetings are held and include the Occupational therapist, Speech & Language Therapist and Community Nurse. Patterns of behaviour and or temperament are discussed and agreed DS0000026741.V283696.R01.S.doc Version 5.1 Page 14 interventions are decided upon to help reduce the stress and unpredictable behaviour for the individual service user. DS0000026741.V283696.R01.S.doc Version 5.1 Page 15 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): N/A The key standards were assessed and met at the previous inspection and were not assessed on this occasion. EVIDENCE: DS0000026741.V283696.R01.S.doc Version 5.1 Page 16 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): N/A The key standards were assessed at the previous inspection and were not assessed on this occasion. Please note the recommendation from the previous report referring to aspects of the home needing refurbishment it is now understood the Registered landlord - Housing Association has agreed for this work to be completed. EVIDENCE: DS0000026741.V283696.R01.S.doc Version 5.1 Page 17 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): 34 • Recruitment policies and procedures are comprehensive and implemented ensuring the safety of the residents. EVIDENCE: All staff files are retained at the Wessex Autistic Society local administrative office at Crewkerne however copies of essential information were available with staff records in each unit. The inspector visited the Administrative offices and checked three staff files, one of a qualified member of staff, one support worker and another of a senior practitioner. The staff had been employed for varying lengths of time however one had recently commenced work for the Wessex Autistic Society. All the files contained the required references and statutory checks. The files were well organised with a detailed index and checklist. DS0000026741.V283696.R01.S.doc Version 5.1 Page 18 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): N/A The key standards were assessed and met at the previous inspection and were not assessed on this occasion. EVIDENCE: DS0000026741.V283696.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 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 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x X X X X X X x DS0000026741.V283696.R01.S.doc Version 5.1 Page 20 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 DS0000026741.V283696.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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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