Inspection on 15/08/05 for 130 Long Lane

This inspection was carried out on 15th August 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

130 Long Lane 29/01/09

130 Long Lane 23/03/07

130 Long Lane 20/02/06

130 Long Lane 22/02/05

130 Long Lane 14/12/04

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

CARE HOME ADULTS 18-65 Long Lane (130) 130 Long Lane Grays Essex RM16 2PR Lead Inspector Vicky Dutton Unannounced Monday 15 August 2005 th 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. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Long Lane (130) Address 130 Long Lane Grays Essex RM16 2PR 01375 394649 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) South Essex Special Needs Housing Assoication Ltd Mrs Joan Sylia Day CRH Care Home 2 Category(ies) of LD Learning Disablilty (2) registration, with number of places Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22nd February 2005 Brief Description of the Service: 130 Long Lane provides care and accommodation for up to two adults with a learning disability. The home is owned and managed by South Essex Special Needs Housing Association (SESNHA). It is one of two homes close together that are managed by one registered manager. The home is a three bedroomed detatched house situated in residential area of Grays. The house has a large enclosed rear garden. Grays town centre is close by. The home offers 24 hour care and aims to achieve a small family like environment. Residents are assisted to plan holidays and both attend a variety of day care placements and community activities. Residents are encouraged to use public transport. Long Lane also share a people carrier vehicle with another nearby SESNHA home. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and very brief, lasting one and a half hours. Residents arrived home from their day care placements and were then going out for the evening. The registered manager and deputy manager were available during the inspection. The premises were viewed and care and medication records were inspected. The two residents who live at the home were spoken with. 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. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 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 Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 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) EVIDENCE: Both residents have lived at the home for many years. The standards under this section were not therefore considered at this inspection. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 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) 6,7,8 Residents care plans reflect their needs and show that they are encouraged to make choices and decisions in their daily lives. EVIDENCE: The care plans of both residents were viewed. They provided an overview of weekly routines and activities, and a detailed daily breakdown of choices, and preferred routines. Plans provided specific instructions to staff as to how to meet the resident’s needs and maintain their preferred routines. Care plans are kept under review. During the visit staff were noted to encourage residents to make personal choices and decisions. Risk assessments are in place for relevant areas of daily living. Again these are kept under review and residents encouraged to try new things where appropriate within a risk assessment framework. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 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) 11,12,13,14,17 Residents are encouraged to undertake activities that will aid their personal development. Residents attend a range of activities and enjoy being a part of the local community. Residents are able to choose what and when they wish to eat. EVIDENCE: Residents at Long Lane are both are planning to undertake a literacy and numeracy course in September. One resident showed the inspector some Makaton signs she had been learning at a group she attends. Residents told the inspector that they like attending church every Sunday, and have friends there. Both residents living at Long Lane attend formal day care placements. They had just returned home at the time of this visit. A range of indoor and outdoor activities are followed. One service user works for a brief period each week in supported paid employment. Staff are shortly to receive training relating to benefits to increase their understanding of this area. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 4.doc Version 1.40 Page 10 All local community recourses such as shops, pubs and leisure facilities are used as part of daily living. On the day of the inspection the residents were going out for dinner and then on to attend an arts festival. The home shares a vehicle with another home and this is available to assist access to these facilities. Residents are known in the local community and have a good relationship with local people. Recently they attended a neighbour’s birthday party. Both residents are encouraged and supported to pursue their interests and hobbies. One resident is shortly taking up a new activity. Both residents go on regular trips and holidays throughout the year, which they help to plan. During this visit one resident told the inspector of a planned trip to Turkey. Mealtimes are flexible according to what the service users whish to do. Care plans and risk assessments showed that residents are encouraged to participate in the preparation of food. The home has a spacious and pleasant dining room. The home maintains a nutrition record and residents weight is monitored. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 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) 20 Medication at the home is managed safely to protect residents. EVIDENCE: Residents at the home use very little medication. The medication records and system were viewed and no anomalies were noted. Medication is stored safely in a locked area of the staff sleeping in room. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 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) 22,23 The home has a complaints process in place, and residents are encouraged to express any concerns. Staff are aware of adult protection issues. EVIDENCE: No complaints have been received by the home or CSCI. Residents at the home are encouraged to raise any concerns. A pictorial complaints procedure is available. This standard was not examined in detail. Senior and other staff at the home have undertaken training in adult protection. Further training is planned for newer staff in September. Adult protection is also covered as part of the staff induction process. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 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) 24,25,26,27,28, 29, 30 Residents live in a safe and homely environment that meets their needs. Both have their own rooms and sufficient shared communal space. EVIDENCE: No major changes had been made to the property since the previous inspection in February 2005. The inspector saw all areas of the building apart from one service users room during the course of this visit. 130 Long Lane provides a comfortable and homely environment. There is a pleasant lounge a separate dining room and a small kitchen downstairs. Upstairs each resident has their own room, and there is a sleeping in room for staff. The home was well decorated and maintained. Both residents have their own rooms. At this visit the inspector saw one residents bedroom. This had been personalised to their own taste, and reflected their own interests. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 4.doc Version 1.40 Page 14 The home has one communal bathroom. Since the previous inspection this has been improved by the addition of homely touches and a coloured shower curtain and window blind. Both residents now have their own bathroom cabinets. Communal space at the home is more than sufficient and the home has a large garden. A sleeping in room is provided for staff. Neither resident currently requires any environmental adaptations. Minor aids such as stair rails are in place. The home was clean and hygienic. Previous staff training in infection control has taken place and further training is planned in September 2005. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 4.doc Version 1.40 Page 15 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) 34 The homes recruitment procedures protect residents. EVIDENCE: When new staff are recruited they are employed to work in either home, although male staff do not generally work at Long Lane. The files of three recently recruited members of staff were viewed at a recent inspection of Long Lane’s twin home. This showed that appropriate recruitment practices are followed and that residents are looked after by staff who are suitable to do so. Although staff training records were not inspected on this occasion a posted list showed that many training courses are planned over the next few months. The deputy manager confirmed that newly recruited staff have already commenced NVQ training at level 2. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 4.doc Version 1.40 Page 16 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 Resident’s benefit from a well run home that is focused on their needs and views. EVIDENCE: The registered manager and deputy manager are both experienced and hold NVQ level four/Registered managers awards. Long Lane is a small home providing care to a maximum of two residents. The registered manager, staff, and residents all appear to communicate and interact closely in an open and friendly environment. Residents are encouraged to express their views. Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 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 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Long Lane (130) Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x I56 I06 S18060 Long Lane V244712 150805 Stage 4.doc Version 1.40 Page 18 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 39 Regulation 24 Requirement The results of any quality reviews to be sent to the Commission For Social Care Inspection. This standard was not inspected at this inspection. It is therefore carried forward to the next inspection. Timescale for action 01/12/05 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. Refer to Standard Good Practice Recommendations Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend-on-Sea Essex, SS2 6BG 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 Long Lane (130) I56 I06 S18060 Long Lane V244712 150805 Stage 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. 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