Inspection on 07/11/06 for 2 Windsor Avenue

This is the latest available inspection report for this service, carried out on 7th November 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

2 Windsor Avenue 07/07/05

2 Windsor Avenue 17/09/04

2 Windsor Avenue 16/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 HR Care Homes Ltd (2 Windsor Avenue) 2 Windsor Avenue Desborough Kettering Nothamptonshire NN14 2SS Lead Inspector Mrs Linda Preen Unannounced Inspection 7th November 2006 10:00 HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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 HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service HR Care Homes Ltd (2 Windsor Avenue) Address 2 Windsor Avenue Desborough Kettering Nothamptonshire NN14 2SS 01536 763297 01536 764157 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) HR Care Homes Limited Mrs Susan Jane Grant Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within the category of a Physical Disability (PD) may be admitted to HR Care Homes Ltd. (2 Windsor Avenue) unless that person also falls within the category of Learning Disability (LD) i.e. dual disability 8th December 2005 Date of last inspection Brief Description of the Service: 2 Windsor Avenue is one of two care homes situated in the small town of Desborough, which are owned and operated by Richard and Heather Mullin under the umbrella name of HR Care. The home accommodates five young people with learning disability as their primary diagnosis and all the young people are additionally wheelchair users. The home offers personal care but does not provide nursing care and will not accommodate young people who are known to be physically aggressive to other service users or staff. The home is a converted dormer bungalow on the outskirts of the town, which has been extensively and tastefully adapted to fully meet the needs of the client group. A wide range of moving and handling aids, including hoist tracking systems in bedrooms and bathrooms, and specialist bathing and showering, have been installed. The home also has an attractive, enclosed garden, which is fully accessible to all the young people accommodated at the home and has a lawn and large pond. The staff at the home facilitate access to a good range of education, leisure and entertainment opportunities for young people and the home has its own adapted mini bus to provide appropriate transport. All bedrooms at the home are large and have en suite facilities (one facility is shared by two young people) and shared areas consist of a large lounge, dining area and conservatory. The home is exceptionally clean and well appointed and provides a comfortable, homely environment for the young people. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two hours were spent prior to the inspection reviewing previous requirements and recommendations and collating information provided by the service. The Commission sent comment cards out to a random selection of residents and to General Practices providing a service to the home but no responses had been received to these. The inspection took place over a period of two and a half hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be assessed. The method used was “Case Tracking”. This involved looking at their records, talking to them and observing the care received. In addition to this staff rotas and medication records were seen. Information was available from a questionnaire completed by the providers of the service. Fees range from £1.700 to £2000 per week, according to resident’s assessed needs. What the service does well: What has improved since the last inspection? HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 Page 6 Residents have all been offered the use of a lockable box in which to keep personal items, although some have declined this offer. One bathroom and two resident rooms have been redecorated. 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. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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 HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Thorough assessments ensure that residents are confident that their needs may be met in the home. EVIDENCE: Comprehensive assessments of care needs were seen in the resident files sampled, and plans of care formulated to enable staff to meet assessed needs. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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, 8 and 9 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Good systems are in place to ensure that all aspects of resident need are identified and documented for staff guidance, to ensure that these needs may be met in the home. Individual choices are respected and residents are assisted to lead as independent life as possible within the confines of their disabilities. EVIDENCE: Two residents were chosen in order that their experience in the home could be assessed. This involved looking at their records, talking to them and observing staff interaction as well as looking at the environment. Residents had detailed assessments in place and care plans had been formulated to guide staff on how to meet the assessed needs. These care plans were detailed and specific, regularly reviewed and made reference to individual choices concerning lifestyle, hobbies and interests. Monthly meetings are held with the resident and their key worker where plans may be discussed and problems highlighted. Residents spoken to expressed their satisfaction at the care and attention received, confirmed that they had choice concerning daily life and that they liked living in the home. Residents were well groomed and appeared well cared for and were dressed in clothing appropriate to their age group. One resident HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 Page 10 spoken to stated that she had been on holiday away from the home but that she was pleased to come home as she missed her key workers. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Social Activities and meals are both well managed, creative and provide daily interest and variation for people living in the home. EVIDENCE: All residents attend day care facilities, either provided by the company or other organisations, where they may be involved in various activities. Both residents spoken to confirmed that they enjoyed this and were looking forward to attending on the day of the inspection. Two of the residents are currently attending a local college once a week, where they are involved in an Arts and Crafts course. Records demonstrate that activities such as sailing, bowling, shopping and visits to the cinema are organised. One resident spoken to stated that she was going to a “Westlife” concert at the National Exhibition Centre. All of the residents had been away on holiday this year. Some to Hunstanton with staff from the home, to a new disabled facility there and others to holidays arranged by other organisations. Visitors are welcome in the home and records of visits by family and friends were seen in the case notes chosen. One of these residents has regular home visits where he stays for a few days. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 Page 12 Residents spoken to confirmed that they were given choices in their daily routine and could get up and go to bed when they wished. They also confirmed that they were given a choice of food and that the standard of food was good. One resident stated that he particularly likes cheese. Menus provided as part of the pre- inspection questionnaire completed by the providers, demonstrated that a varied, nutritious diet is offered. Suitable aids and adaptations are available to assist residents at meal times. One resident who was having a late breakfast was observed to be assisted in a sensitive manner. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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 and 20 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Resident’s physical and emotional needs are met in the way they prefer. There is a safe system in place for administration of medication. EVIDENCE: Care plans demonstrated clear individualised guidance for staff in meeting resident’s needs. None of the residents currently attend a place of worship, but this is from choice. One of the residents used to attend church and a minister from the local church has made contact to offer her services where required. Evidence of visits from health care professional and appointments with hospital specialists was seen in the files examined. None of the residents is able to administer their own medication owing to their disabilities, but systems for the ordering, storage, administration and disposal of medication in the home were seen and found to be satisfactory. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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): 22 and 23 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The company takes all complaints seriously and acts upon them. Residents are protected from abuse. EVIDENCE: There have been no complaints received by the Commission for Social Care Inspection since the last inspection and none recorded in the home. A complaints procedure is available in the home and residents are offered the chance to raise any concerns at their monthly review meetings. Staff training records demonstrate that they have received training in the protection of vulnerable adults from abuse. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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, 25, 26, 27, 28, 29 and 30 Quality in this outcome group is excellent. This judgement has been made using available evidence, including a visit to the service. A safe, clean, well-maintained environment is provided for the residents. Specialist equipment is provided to meet their needs. EVIDENCE: A limited tour of the environment was undertaken. This demonstrated that the home is decorated and furnished to a high standard, creating a homely environment in which to live. Accommodation provided makes provision for the physical disability of the residents, with specialist beds, hoists and bathing facilities being provided. Resident rooms showed evidence of personalisation, with personal pictures, posters and electrical equipment on display. A communal lounge and dining area is provided as well as a conservatory and pleasant garden. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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): 32, 34 and 35 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Procedures for the recruitment of staff provide safeguards necessary to offer protection to the people living in the home. Staff are provided with training and in sufficient numbers to meet the needs of the residents. EVIDENCE: A selection of staff files and training records were seen. These demonstrated that recruitment procedures are in place to protect residents from potential harm. This includes Criminal Records Bureau checks as well as taking up two references for each staff member. The staff training records demonstrated that 10 out of the 17 care staff employed hold a National Vocational Qualification in care, which gives them a basic understanding of care needs, and a further three are working towards this qualification. This exceeds the required minimum of 50 of staff with this qualification. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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, 38, 39 and 42 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The Registered Manager ensures that the home is run efficiently, in a way that serves the best interests of the residents. EVIDENCE: The Registered Manager has several years experience of caring for this client group and holds the Registered Manager’s Award, which gives an understanding of management issues in the care setting. In order to monitor standards within the home, she carries out monthly audits of all systems within the home and works on the floor on alternate weekends in order to maintain contact with the residents and staff. Monthly meetings are held with individual residents and their key worker to ensure their views are taken into consideration. Records of the testing of fire alarms, emergency lighting and fire drills were seen and found to be satisfactory. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 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 3 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 4 25 4 26 4 27 4 28 4 29 4 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 Page 19 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 HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V315272.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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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