Inspection on 20/07/05 for White Barn

This inspection was carried out on 20th July 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

White Barn 20/05/08

White Barn 24/05/07

White Barn 08/12/05

White Barn 15/12/04

White Barn 09/08/04

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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 WHITE BARN 45 Cressingham Road Reading Berks RG2 7RU Lead Inspector Kerry Kingston Unannounced 20 July 2005, 11:00 am 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 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 Stationary 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. WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service White Barn Address 45 Cressingham Road, Reading, Berks, RG2 7RU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0118 9873190 The Kingwood Trust Miss Paula Marie Cox Care Home (CRH) 5 Category(ies) of Learning disability (LD) registration, with number of places WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15 December 2005 Brief Description of the Service: Whitebarn provides twenty-four hour residential care to five service users, of both sexes, who have learning and associated behavioural difficulties. The home is a large two storied building with all the individual accomodation on the first floor. The building is owned and the care is provided by the Kingswood Trust, a charitable organisation. Whitebarn is situated a few miles from Reading Town Centre and there are local facilities within walking distance. The home has its own vehicle and it is on a main public transport route. WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place between the hours of 11am and 3.15 pm on the 20th July 2005. The inspector met all five residents, spent some time with the manager and spoke with some staff. Some records were looked at and parts of residents’ files were seen. What the service does well: 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. WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 7 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 standard(s) None of the above standards were assessed at this inspection. EVIDENCE: WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 8 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 standard(s) None of the above standards were assessed at this inspection. EVIDENCE: WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 9 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 standard(s) 12,13,15 and 17 Service users are given opportunities to participate in appropriate activities and are very involved in the local community. Service users are respected and their relationships are seen as an important part of their well being. Service users are, generally, offered a nutritious and varied diet. EVIDENCE: Service users have an individual activity plan, which considers their preferences, likes and dislikes and ability levels. Individuals will sometimes choose not to participate in activities that are offered and staff work hard to offer alternatives. The home records all activities and notes if they do not take place and why. A learning log is also completed (for new activities) to inform staff if service users enjoyed the activity and what they may have gained from it, this is helpful to those service users who may not be able to clearly communicate their feelings. Service users make good use of the community and one service user described her outing to the local pub, another his trips to the local shopping area. Two service users confirmed that they liked their activities although were worried that the homes’ vehicle was being serviced and not available to them for a few hours. WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 10 A parent was visiting, on my arrival, and was being made welcome and given time, by the manager to discuss her family member. The home has very good relationships with families and encourage and support service users to keep good contacts. The inspector saw several thank you cards from families thanking the staff for the care they offer the service users. Family contact and long-term friendships form part of the ‘Essential Life Plan’ (care plan). One service user told me about his visits and holidays with his family and about a special family occasion, that he is to be involved in. The inspector observed very positive interactions between staff and service users; individuals were treated sensitively and respectfully and were seen making their own choices about day-to-day issues. The menu was varied and healthy and there was evidence that service users make some of their own choices and participate in the buying and preparing of meals. The staff could perhaps be encouraging healthier eating for those with dietary issues but staff make every effort to strike a reasonable balance between choice and nutrition. Service users said ‘we like our food’ and one said ‘mmmm’ in agreement. WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 11 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 standard(s) None of the above standards were assessed at this inspection. EVIDENCE: WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 12 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 standard(s) Neither of the above standards were assessed at this inspection. EVIDENCE: WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 13 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 standard(s) None of the above standards were assessed at this inspection. EVIDENCE: WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33 and 35 The staff team are effective and competent and are offered appropriate training opportunities. EVIDENCE: The staff team has been stable for a year, with no leavers, the manager said that this had increased the consistency and positive teamwork and consequently enhanced the care being offered to the service users. Staff were observed interacting very positively with service users, and service users were seen to be very comfortable and confident in approaching all the staff members. There are a minimum of four staff on duty during daytime hours if all service users are in residence. The manager constantly reviews the needs of the service users and the ratios of staff. Five of the twelve fulltime staff have N.V.Q.2 or above and a further three are registered to begin their training. There are also opportunities for staff to attend short training courses for specific care issues, relating to their service user group. WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39 and 42 The home is very well managed and service users views form part of the quality assurance systems. Service users Health, Safety and welfare is dealt with as a priority in this home. EVIDENCE: The manager has worked at the home for a number of years; she is now registered as the manager and is completing her Registered Managers’ Award. The staff felt that they were well supported and that it was a good management team. The home does not have an up-to-date annual development plan and there is no ‘formal’ system of collecting service users view to inform this. However there are several methods used by the home to ensure that they are aware of the views of families and service users. Families receive an annual questionnaire and service users reviews and evaluations are also used, regulation 26 visits are carried out regularly. The homes Health and Safety maintenance checks are all up-to-date, the manager said she was about to ask for a main wiring check and all staff Health WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 16 and Safety Training is up-to-date. The home has good safe working practice risk assessments and all the first floor windows have been individually risk assessed. All the radiators in the house have now been covered to ensure they are safe. WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 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 x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 4 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 WHITE BARN Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 3 2 x x 3 x H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 18 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. 1. 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. 2. Refer to Standard 17 39 Good Practice Recommendations To look at ways of encouraging service users to consider healthy eating alternatives. To consider formalising the system of collecting quality assurance information to inform an annual development plan. WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 WHITE BARN H51-H01-S11070-White Barn-V235135-200705Stage 4.doc Version 1.40 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. 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