Inspection on 20/02/06 for 130 Long Lane

This inspection was carried out on 20th 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

130 Long Lane 29/01/09

130 Long Lane 23/03/07

130 Long Lane 15/08/05

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 Ms Vicky Dutton Unannounced Inspection 20th February 2006 13:30 Long Lane (130) DS0000018060.V281132.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 Long Lane (130) DS0000018060.V281132.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. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 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) South Essex Special Needs Housing Association Ltd Mrs Joan Sylvia Day Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th August 2005 Brief Description of the Service: 130 Long Lane provides care and accommodation for two adults with a learning disability. The home is owned and managed by South Essex Special Needs Housing Association (SESNHA). The home is a three bedroomed detached house situated in a 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. Both residents attend a variety of day care placements and community activities. SESNHA have another small home nearby which also accommodates two residents. The two homes have the same registered manager, share some staff and maintain close links. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a period of two and a half hours. The inspection considered a number of the National Minimum Standards. The deputy manager was present for the whole time and the registered manager was also present throughout some of the inspection. Most areas of the premises were seen. Care and other records were inspected. One resident was at home during the whole inspection and the other arrived home from a day care placement during the inspection. Time was spent with both residents who expressed that they were happy living at 130 Long Lane. No visitors or visiting professionals were present during the inspection visit. 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) DS0000018060.V281132.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: Both residents have lived at 130 Long Lane many number of years. The standards under this section were not therefore assessed. A service users guide and statement of purpose are available for the service. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 the following 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 by the home, and some updates are now needed as a result of changes in routines. Neither resident has had a formal review of their care conducted by the funding authority for some time. During the visit staff were noted to encourage residents to make personal choices and decisions. One resident has recently started to work with an independent advocate to assist her with some current choices and issues. Residents and staff communicate all the time, but specific residents meetings are also held where they can express their views. Appropriate procedures such as fire instructions and how to make a complaint are displayed in user friendly formats. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 15, 16, 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 encouraged to take up learning courses at a local college. Literacy and numeracy courses were started in September, although this is now under review to reflect individual residents abilities and needs. Anecdotal evidence suggests that both residents at Long Lane are very much part of the local community, and enjoy good relationships with many local people. Residents told the inspector that they like attending church every Sunday, and have many friends there. Staff at the home are resident focused. Resident’s are able to follow their own routines. On the day of inspection residents had decided that they wished to go shopping and were setting off as the inspection ended. Both residents have a bus pass, but generally community access is supported by staff using their cars. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 Page 10 Both residents living at Long Lane attend formal day care placements. A range of indoor and outdoor activities are followed. On the day of inspection one resident returned after enjoying a badminton session and lunch out. One resident had been working for a brief period each week in supported paid employment. This has now ended and staff are trying to explore other opportunities for them. Resident’s maintain family links. One resident enjoyed chatting about their family and recent visits to see them. Mealtimes are flexible according to what the resident’s wish to do. The kitchen at the home is very small, but care plans and risk assessments showed that resident’s 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 resident’s weight is monitored. One resident is currently being supported to loose weight on their doctor’s advice. Fresh fruit was noted to be readily available. The deputy manager is currently trying to increase the range of choices opted for by residents by introducing picture cards of different foods, and step by step recipe plans. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 the following standard(s): 18, 19 Resident’s healthcare needs are assessed and met. EVIDENCE: Residents at Long Lane follow their own preferred daily routines in such areas as bathing, rising and retiring. Both are physically independent and do not require any specialist aids, and only limited assistance. Resident’s go to a hairdresser in the local area, and choose their own styles. Care files and discussion with staff showed that residents have their healthcare needs met. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 The home has a complaints process in place, and residents are encouraged to express any concerns. EVIDENCE: No complaints have been received by the home. One complaint was received by CSCI. This did not relate directly to the home but rather to the actions of the funding authority. The complaint was sent to the funding authority to investigate and make response to the family. Residents at the home are encouraged to raise any concerns. A pictorial complaints procedure is available. The deputy manager confirmed and training records viewed (at Dexter Close) showed that staff have undertaken training in adult protection. In particular the registered manager and deputy manager have both recently undertaken more in depth training, and are specialist practitioners for adult protection in the area. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 the following standard(s): 24 - 30 Residents live in a safe and homely environment that meets their needs. Both have their own rooms and sufficient shared communal space. EVIDENCE: The deputy manager confirmed that no changes had been made to the property since the previous inspection in August 2005. Not all areas of the building were seen during this inspection. 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. These were not viewed at this inspection. Previous inspections have shown that bedrooms had been personalised to residents’ own taste, and reflected their interests. The home has one communal bathroom. Since the previous inspection a new shower his been installed to replace one that was becoming unreliable. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 Page 14 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. At inspection the home was clean and hygienic. The home has no dedicated laundry or utility area. A washing machine is situated in the homes kitchen. Staff are aware of infection control principles and have received training in this area. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 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, 35. Staff at the home receive a good level of induction and training to assist them in caring for residents well and safely. EVIDENCE: No new staff have been recruited by the home since the previous inspection. Two new staff have joined the residential side of SESNHA from another part of the service. Although their records were not viewed specifically the deputy manager said that they were given a refresher of their induction programme to equip them to work in the homes. Staff training records viewed showed that staff had undertaken appropriate core and other training. Although not specifically relevant to Long Lane, staff have undertaken training in working with challenging behaviour. A profile of each staff members training is kept. The registered manager said that training needs are discussed as part of supervision. All new staff undertake training at NVQ level two. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 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, 42 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. 130 Long Lane is a small home providing care to a maximum of two resident’s. The registered manager, staff, and resident’s all appear to communicate and interact closely in an open and friendly environment. Regular resident and staff meetings are held. SESNHA have elements in place that contribute to quality assurance. Monthly visits are undertaken by the registered provider, as required under regulation 26 of the care homes regulations. The organisation operates to ISO (International Standards Organisation) standards and are regularly audited under this scheme, which relates primarily to policies and procedures. However they have yet to actively seek the views of all stakeholders of the service and use this information to inform an annual development plan for the service. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 Page 17 The home is run in a safe and effective manner. All staff have received training in moving and handling and other essential core areas such as food hygiene. Equipment and safety information viewed showed that appropriate servicing and maintenance take place to safeguard residents and staff. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 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 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 3 25 X 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X LIFESTYLES Standard No Score 11 3 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 X X 3 3 3 X X 3 X Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 Page 19 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. 1. Refer to Standard YA39 Good Practice Recommendations Quality assurance mechanisms should seek the views of all stakeholders, and inform an annual development of the home. Long Lane (130) DS0000018060.V281132.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection South Essex Local Office 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) DS0000018060.V281132.R01.S.doc Version 5.1 Page 21 - 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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