Inspection on 10/05/05 for 1 & 2 Hunts Lane

This inspection was carried out on 10th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

1 & 2 Hunts Lane 13/10/08

1 & 2 Hunts Lane 29/10/07

1 & 2 Hunts Lane 16/01/07

1 & 2 Hunts Lane 13/12/05

1 & 2 Hunts Lane 16/12/04

1 & 2 Hunts Lane 03/08/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 1 & 2 Hunts Lane Wellington Hill Horfield Bristol BS7 8UW Lead Inspector Savio Toson Announced 10 May 2005 09:30 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. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 1 & 2 Hunts Lane Address Wellington Hill, Horfield, Bristol BS7 8UW 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) 0117 934 4310 0117 969 9000 The Brandon Trust Mrs Dolores May Smart Care Home with Nursing 9 Category(ies) of Learning Disability (9) registration, with number of places 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Staffing Notice dated 17/03/1999 applies. 2. Manager must be an RN on Parts 5 or 14 of the NMC Register. Date Implemented: 1 April 2002 3. May accommodate up to 9 persons, aged 35 years or over, requiring personal care. Date Implemented: 7 November 2002 4. May accommdoate one named person aged 65 years and over. Date Implemented: 20 Decemebr 2002 Date of last inspection 16/12/2004 Brief Description of the Service: Hunts Lane is arranged in two separate bungalows accommodating nine adults with learning and physical disability. A small tarmac area separates the two homes. The homes have aids and adaptations to assist in the provision of personal and nursing care.The home is owned by Western Challenge and leased to the Brandon Trust who is responsible for the management of the care delivery.Set off the road and surrounded by garden, the home is near to local amenities and on the main bus routes into the city centre and is within walking distance of pubs, churches, shops and open parkland. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector assessed information contained in the previous report, read two comment cards from visitors to the home, reviewed monthly management reports, spoke with staff and introduced himself to three service users. The inspector was surprised that the Organisation had applied for a building extension without making plans available form staff to view or a copy sent to the Commission for comment. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 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 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 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) 1,2,5. Potential residents to the home are assisted in making an informed choice about moving into the home because of the information available to them. EVIDENCE: 1.INFORMATION. The home had (apart from the need to make a minor change) an up to date Statement of Purpose which detailed the service provided by the home and a user friendly Service User Guide. 2.ASSESSMENT. the home carried out assessments of residents well being and was transferring over to a new paperwork for recording this information. 3.CONTRACT and TENANCY AGREEMENT. The clinical documentation viewed by the inspector had terms and conditions and terms of residency. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 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) 6,7,8,9,10. Resident’s receive a care service from staff which respects the resident’s individuality. Confidential information is appropriately handled. EVIDENCE: 6.CARE DOCUMENTATION the care documentation viewed contained information on how the staff need to work with the resident to in a respectful way, treat them as individuals and have help make the best of their lives. It was noted that care professional from outside the home were involved in contributing towards the resident’s care. 7. DECISION MAKING. The descriptions in the care documentation prompted staff to encourage the resident to make choices on how they wish to plan their day. staff were able to describe some of they actions they took to ensure resident’s choice was assessed, respected and acted upon. 8. CONSULTATION Due to their physical dependency, the residents in this home would have difficulty in being involved in the running of the home by attending house meetings. The staff are aware of the need to pick up on the residents non 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 9 verbal as well as their verbal communication. Staff are in regular contact with some of the resident’s relatives to help ensure the service being provided suits the resident. 9. TAKING RISKS The care documentation showed that residents were working on maintaining their independence and developing themselves and the staff had considered the potential risks. The risk assessments were detailed and reviewed. 10. CONFIDENTIALITY The need for staff to respect residents confidentiality was taught as part of induction for new staff and the home had its policy on confidentiality. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 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 standard(s) 12,13,14,15,16,17. Residents receive meaningful occupation, recreation and have their rights respected. Residents benefit from family involvement in their care and receive nourishing balanced meals. EVIDENCE: 12.ACTIVITIES. Several residents regularly go to day centres providing a range of services which vary to meet the residents needs. Some of the residents were out on the day of inspection and their timetable was on display in the office. The home has its own transport and the vehicle was in use on the day of inspection. 13.COMMUNITY INVOLVEMENT. One of the residents occasionally goes to the local church. The residents go out to local pubs, use the shops on the main road and the local open land. 14.LESIURE ACTIVITIES. whilst at home residents relax watching TV, listening to music; some read whilst others draw. All the residents have been on holiday at different times 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 11 and to different places with staff. Two residents had recently been to Paris with staff. 15. FAMILY RELATIONS. Relatives are encouraged to visit and supported by staff. one relative is regularly transported in the home’s minibus to ensure links are maintained with the resident. 16.RIGHTS. From reading the induction package and care plans the inspector noted that the information contained regular references to respecting the resident’s rights. 17. MEALS. The menus supplied by the home offered a range of meals which appeared nutritious and healthy. The home manager said that dieticians were regularly involved in assessing the nutritional value of the meals served. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 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 standard(s) 18,19,20. Resident’s benefit from receiving the appropriate care and the safe administration of medicines. EVIDENCE: 18&19. SUPPORT AND HAVING NEEDS MEET. The care plans show that staff are guided in how to work with residents in a sensitive supportive way. The care records demonstrated that that residents physical needs are met. References are made to involving physiotherapists, speech and language therapists, doctors, wheelchairs are adjusted to fit the individual. 20. MEDICINE PROCEDURE. The home had a medicines procedure, the medicine cupboard was in good order, the medicine administration records were in good order, the medicines returned book met the requirements. by talking through the medicine procedure with a member of staff the inspector noted that the medicines returned were not being checked against the medicines ordered. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 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 standard(s) 22,23. Residents can feel they are heard and protected from abuse. EVIDENCE: 22.COMPLAINTS. The home had the complaints procedure on display in the home and copies in each individual care file. There had not been any complaints since the last inspection. 23.ABUSE. Staff had attended protection of vulnerable adults training and the home manager believed her staff would not tolerate any incident of abuse and would report it. On of the residents had described an negative experience which did not appear to involve any member of staff in the home but an investigation was started. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 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 standard(s) 24-29. Residents live in individualised bedrooms but some of the environment needs improving. EVIDENCE: The bedrooms reflected the resident’s individual tastes and contained a range of equipment to help residents maintain their maximum physical independence. Most of the décor in the houses was acceptable but some doors, door frames and skirting were scratched, down to bare wood and in need of repainting. The house1 lounge walls were marked and wall paper missing. The two house are surrounded by garden and separated by a drive, stairs and ramp. The hand rails on the external steps and ramp were rusting, paint flaking and mouldy.(this was pointed out at the last inspection and because of the lack of action an Immediate requirement notice was issued on the day by the inspector). There had been some minor thefts from the home and the inspector noticed a fence missing and easy access from one of the neighbours garden. This gave concern for the resident’s security from intruders. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 15 Although the patio areas had been tided up to look more appealing to residents and visitors the inspector noted wardrobes dumped next to the garage and a broken wooden palette left in the garden. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,35,36. Residents benefit from staff who are trained, keep up to date and supervised in their work. EVIDENCE: 31. ROLES AND RESPONSIBILITES. The inspector viewed several job descriptions which set out the staff’s roles and responsibilities. 32. COMPETENT STAFF. The home had a range of staff who were attending a range of courses. 35. TRAINING. Nearly all the staff were on nationally recognised training course, some were on their National Vocational Qualification in Healthcare, some were going for the next level up and others had completed the course. The registered nurses training records demonstrated they were attending courses which reflected they were updating the skills needed to meet the residents needs. COMMENDATION. The high number of staff in training, the well kept training records, the staff going on courses relevant to the residents needs was commendable. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 17 36. SUPERVISION. The supervision structure was clear, supervision of staff was regularly taking place and the documentation for recording supervision was good. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 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 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) 37,39,40,42. The residents could feel they were living in a safe, organised, well run home. EVIDENCE: 37. WELL RUN HOME. The home manager and staff have a range of experience and the home manager is coming to the end of her Registered Managers Award. 39. QUALITY MONITORING. The home uses the Organisation’s quality monitoring system and could demonstrate that monitoring was in progress. 40.POLICIES & PROCEDURES. The home had two policies and procedures folders; one of which contained thiose more frequently used by the home. The policies which the inspector randomly selected were contained in the folders. The information contained in the selected policies was clear and easy to use. 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 19 42. HEALTH & SAFETY. The home carried out regular Health and Safety checks and audits. The home had a folder containing data information sheets on hazardous substances used around the home(COSHH). The kitchen was found to be in good order, fridge and freezer temperatures were being recorded daily, but in both houses the inspector found food which had been opened but not labelled or dated. The fire prevention information was up to date. Electrical equipment had been tested. The home had its electrical installation check on the 12/07/04, the boilers, sluices and the hoists had been serviced within the last twelve months. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 1 & 2 Hunts Lane Score 2 3 Standard No 24 25 26 27 28 29 Score 2 3 3 3 x 3 Version 1.20 Page 20 D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc 8 9 10 LIFESTYLES 3 3 3 Score 30 STAFFING 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x x 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 3 x 2 x 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 21 yes 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 24 Regulation 23(2)(b) Requirement 1.the residents doors and coridor skirtings to have the sraches and bare wood redecroated. 2. the garden handrails to be repainted.(as required from the last inspection) 3. the wardrobes and wood to be removed from the garden 4. the fence panel to be replaced to improve the gardens security. Timescale for action 13 June 05 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 20 42 Good Practice Recommendations medicines received are to be checked off against medicines ordered. opened food stored in the fridge needs to be labelled and dated 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 22 Commission for Social Care Inspection 300 Aztec West Almondsbury South Gloucestershire BS32 4RG 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 1 & 2 Hunts Lane D56_D05_S20340_HuntsLane_V218607_100505_Stage4.doc Version 1.20 Page 23 - 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. 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