Inspection on 23/03/07 for 130 Long Lane

This inspection was carried out on 23rd March 2007.

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 20/02/06

130 Long Lane 15/08/05

130 Long Lane 22/02/05

130 Long Lane 14/12/04

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Coopers Mill Ltd

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Newton Court (1-2)

Kings Lane (32)

Pemdale

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 Diane Roberts Unannounced Inspection 23rd March 2007 11:30 Long Lane (130) DS0000018060.V332610.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 Long Lane (130) DS0000018060.V332610.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. Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 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.V332610.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2006 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.V332610.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 and half hours and was carried out as part of the annual inspection programme for this home. The responsible individual, registered manager and deputy manager were available throughout the inspection. The home is currently full. The inspection focused upon all of the key standards. A partial tour of the premises was undertaken. Evidence was also taken from the Pre Inspection Questionnaire completed by the home and submitted to the CSCI. It was possible to meet and speak to both of the residents living at the home on the day of the inspection. 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 Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Long Lane (130) DS0000018060.V332610.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 Long Lane (130) DS0000018060.V332610.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that new residents would be fully assessed prior to admission. EVIDENCE: Both the residents have lived in the home for ten years. It is not therefore possible to review the assessment procedure. However, as with other homes run by SESNA assessment procedures are in place and would cover all the required areas. Prospective residents would be encouraged to visit the home and stay prior to confirmation of admission. The home has a service user guide and these are pictorial and were seen in residents’ rooms. Long Lane (130) DS0000018060.V332610.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system reflects residents needs and show that they are encouraged to make choices and be independent. EVIDENCE: Residents at the home have detailed care plans in place that are kept under review. These identify resident choice and preferences with regard to aspects of their daily life and long term goals. These are supported by appropriate risk assessments. Placement reviews are also in place and have involved key individuals in the residents’ life. Results were positive and showed that both the residents and their families were happy with the care and services offered at the home. Where appropriate pictorial systems were in place for example, with residents’ daily routines. The staff team at the home could develop person centred care planning further in order to evidence resident input. Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 Page 10 Long Lane (130) DS0000018060.V332610.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to undertake a range of activities linked to their own personal objectives. EVIDENCE: Residents are able to enjoy a wide range of activities on both an individual and group basis. Records show that where needed more staff attend to facilitate specific events. Records show that residents attend local colleges to take part in various courses and certificates of achievement have been awarded. Subjects include needlecraft, numeracy, I.T, badminton/short tennis and crafts. Residents’ work is displayed around the home. Residents spoke positively about the social side of life in the home. They enjoyed trips out to shows and are soon to go out with staff, to a race night. Skills are encouraged with regard to daily living tasks and time is allocated with the residents’ individual daily routine to take these into account. Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 Page 12 Records show that residents’ choice is being taken into account with regard to where they develop skills, as on occasions they prefer to learn cooking within the home environment rather than at a day centre. Records show that residents have long term objectives in place and residents confirmed that they follow their own routines. Residents are part of the local community and help out at the local church that they attend. One resident has been able to have paid employment in the past but this has ceased due to local funding arrangements. Records show that staff helped the resident to protect her rights with regard to work contract in place at that time. Residents have access to advocacy services and have used them in the recent past. Both residents have links into the local Mencap advocacy service. Mealtimes are flexible and residents have an active input with regard to what they would be eating. Residents are encouraged to take part in food shopping and cooking activities. Menus submitted to the CSCI show a varied diet with healthy options available. Residents also have the opportunity to eat out and have takeaway meals. Long Lane (130) DS0000018060.V332610.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ healthcare needs are monitored and met. Medication management at the home is satisfactory. EVIDENCE: Residents care plans evidence that their healthcare needs are met. Health promotion is evident with the care planning and input and advice from GP’s and other health professionals is recorded and taken on board. Any health concerns are dealt with proactively and residents are able to access dental and optician services locally. Records are detailed and any issues are clear in the notes. Residents weights are monitored and diets adjusted accordingly. Medication systems were checked and found to be in good order. Residents are on minimal medication and reviews are evident. Long Lane (130) DS0000018060.V332610.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has systems in place, which would help to ensure that residents concerns would be listened to. EVIDENCE: The home has a satisfactory complaints procedure in place, which is available in different formats appropriate to the resident group. The complaints procedure is in the service users guide. There have been no complaints since the last inspection. The home also has pictorial information on local advocacy services for residents. Residents spoken to were clear who they would raise any concerns with. The home has up to date adult protection procedures in place, which includes local guidance from social services. Training records were not submitted to the CSCI, which would evidence staff training on adult protection, prior to or after the inspection. Long Lane (130) DS0000018060.V332610.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and homely environment, which meets their needs. EVIDENCE: A partial tour of the home was undertaken with a resident. The home was seen to be clean and well maintained, very homely and residents’ bedrooms were very personalised. Residents spoken to were very happy with the standards in the home and with the new bathroom that has recently been fitted. The home has a large garden, which is not very well maintained at the front or the back. This should be addressed to give residents a more pleasant outside environment. Staff report that in the summer months residents do help to maintain planters with them. Fire safety certification was seen to be in order, which included a fire safety risk assessment. Records show that regular fire drills and test take place. Long Lane (130) DS0000018060.V332610.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a stable staff team and good recruitment practices, which benefit residents. The staff training programme is wide ranging and covers subject matters which would improve outcomes for residents. EVIDENCE: The home has a stable staff team and no new staff have been recruited in the past two/three years. Staff files were checked and found to be in good order with all the required checks and documentation in place. Records previously inspected showed that a good staff induction was completed and the manager reports that if new staff are employed then a Skills for Care based induction would be used. Staffing levels at the home are currently meetings the needs of the residents living there. There is usually one person on duty and more if residents need dictate. One member of staff sleeps in at night. As the staffing is consistent, residents have a good relationship with the staff and on discussion, speak positively about them. Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 Page 17 Staff training records submitted to the CSCI show that a wide range of subjects offered to and taken up by care staff, many relating to the specialist needs of residents. Statutory training is also undertaken and includes first aid, food hygiene and manual handling. The team at the home should review the manual handling training with regard to current resident need as records show that none of the staff have up to date training on this subject. Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall the residents benefit from a well run home, where their needs are paramount. EVIDENCE: Both the manager and the deputy manager have worked at the home a long time and both have achieved the NVQ 4 registered managers award. Interaction between the management of the home and the staff team was seen to be relaxed and there was a friendly atmosphere at the home. The organisation operates to ISO 9000, with regard to policies and procedures etc. In addition to this the responsible person visits the home and undertakes Regulation 26 reports. At this time he speaks to residents and Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 Page 19 tries to gauge their feelings about life in the home. As stated before, the home could develop its quality assurance programme by seeking the views of visiting professionals to the home and that have contact with the residents. Minutes of residents meetings show that residents are consulted on aspects of running the home and that their opinions and choices are sort. Minutes also record residents’ satisfaction regarding living at the home and their preferences for future social events. Further records show that these preferences have been taken into account and choices fulfilled. Residents spoken to were very happy living at the home. The home has a health and safety policy in place. Comprehensive risk assessments have been completed on the environment and safe working practices. These are planned to be reviewed every year. Accident records were reviewed and no incidents or accidents have been recorded since 2005. Safety and maintenance certificates for fixtures and equipment in the home were checked at random and found to be in good order. Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 Page 20 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 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 X 3 X LIFESTYLES Standard No Score 11 X 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 3 x 3 X 3 X X 3 X Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 Page 21 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. 1. 2. Refer to Standard YA39 YA7 Good Practice Recommendations Quality assurance mechanisms should seek the views of all stakeholders, and inform an annual development of the home. Person centred care planning should be developed further in the home in order to involve residents more in the care planning process. Long Lane (130) DS0000018060.V332610.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V332610.R01.S.doc Version 5.2 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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