Inspection on 10/11/06 for 19-21 Haymill Close.

This inspection was carried out on 10th 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

19-21 Haymill Close. 10/01/06

19-21 Haymill Close. 31/08/05

19-21 Haymill Close. 12/08/04

19-21 Haymill Close. 28/01/04

19-21 Haymill Close. 25/09/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 19-21 Haymill Close 19-21 Haymill Close Greenford Middlesex UB6 8HL Lead Inspector Emma Dove Key Unannounced Inspection 10th November 2006 1:45 19-21 Haymill Close DS0000027739.V310939.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 19-21 Haymill Close DS0000027739.V310939.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. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 19-21 Haymill Close Address 19-21 Haymill Close Greenford Middlesex UB6 8HL 0208 566 7060 0208 810 9531 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) Ealing Consortium Limited Mr Stuart McQueen Care Home 9 Category(ies) of Learning disability (9) registration, with number of places 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users to include MD and LD with Physical Disabilities up to 9 in total 10th January 2006 Date of last inspection Brief Description of the Service: 19/21 Haymill Close is a care home for nine adults with learning disabilities. Eight people are currently living at the home. The service offers twenty-four hour care and support for residents. The service is managed by Ealing Consortium, who manage a number of similar services in the local area and the building is owned by a housing association. The home is two houses joined in the middle by a small office. The bedrooms are single and there is a large communal garden to the rear of the property, with parking to the front. The whole service is managed by one Registered Manager with one senior member of staff in number 19 and one in number 21, other staff members are support workers who work in either number 19 or 21. The home is situated off a main road on a residential estate. The main road has public transport links to Ealing Broadway for shops and local leisure facilities. Information about the CSCI is included in the Statement of Purpose and Service Users Guide. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over four and three-quarter hours on the afternoon of the 10th November 2006 by one regulation inspector. The inspection included speaking with residents and staff, the inspection of communal areas, three bedrooms and examining records. Fourteen questionnaires were sent to residents, relatives, professionals and staff at the home. Three questionnaires have been received by the CSCI and comments from these are included in the relevant section. What the service does well: What has improved since the last inspection? What they could do better: Care plans or case notes must include individual’s requirements regarding terminal illness and death, so these needs can be met by staff. The extractor fan in the laundry room in number 19 needs repairing and consideration should be given to the provision of a shower upstairs to provide residents with a choice. The quality assurance system should be developed to include seeking views and opinions about the services provided from residents, relatives and professionals involved in the home. Staff meetings should be held more frequently to ensure staff are kept up to date with residents needs and any changes. The fire alarm must be tested weekly and regular fire drills must be carried out for health and safety reasons. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 6 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. 19-21 Haymill Close DS0000027739.V310939.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 19-21 Haymill Close DS0000027739.V310939.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&4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed assessments are completed prior to and on admission to the home. Prospective residents are invited to visit the home before they move in. EVIDENCE: Detailed assessments are completed prior to and on admission to the home with visits arranged by staff to see prospective residents in their own environment. This is followed by a visit to the home and to meet current residents and staff. Staff were completing the assessment process for a prospective resident, which was comprehensive and taking into account the individuals needs and the potential effect on current residents. This should ensure that the placement is appropriate for the individual. Staff reported that visits to the home would be arranged and a slow introduction would be agreed with the prospective resident and their representatives. One questionnaire indicated that the individual had been given the choice about moving into the home and had received enough information to make the choice. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 9 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 10 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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Case files contain detailed information of resident’s background and current needs, ensuring staff have access to this information. EVIDENCE: Case files contain details of the individual’s personal history, current needs, a communication profile, monthly reports, records of medical appointments and review notes. A service user profile, which notes the individuals likes and dislikes, activities and support they need is also included. One questionnaire noted that the resident usually makes decisions regarding their life and staff confirmed that they are aware of residents needs and support them as needed with making decisions. Risk assessments are in place to ensure residents health and safety is maintained. 19-21 Haymill Close DS0000027739.V310939.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): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a variety of social and leisure activities in the home and local community, to meet their needs. Contact with family members and friends is supported. Residents have a choice of meals. EVIDENCE: Residents have access to various activities during the day and evenings to meet their individual needs. Daily records indicate that individuals attend regular sessions for massage, reflexology and drama with other outings arranged for example to the circus. Residents and staff have access to a large room in a neighbouring home (also managed by the organisation) where activities are arranged and entertainers are hired. Resident’s religious needs are recorded and staff reported that residents are supported to attend churches of their choice on a regular basis. One questionnaire noted that resident’s cultural needs are met by staff at the home with the meals served and the church services attended. One questionnaire 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 12 noted that resident’s specific communication needs are met by the development of the picture menu and other pictorial communication systems. One questionnaire indicated that resident’s specific needs were not met, although no evidence was available to confirm this. Staff reported that residents go on holiday every year to places of their choice and to meet their individual needs. Some preparations were in place for Christmas, which one resident was very pleased about. Questionnaires indicated that residents do what they want during the day, evening and weekend and that residents have good access to community facilities. Staff reported that they support residents to maintain contact with family members and friends. The inspector saw an evening meal prepared by staff, which looked to be in sufficient quantity for residents and smelt lovely. Staff reported that residents are involved in the meal preparation to their ability and two residents were seen to be happy to sit in the kitchen with staff and watch the process. The menu is displayed in the kitchens for number 19 and 21, with pictures of the meals to support resident’s communication needs. Daily records detail the food and drink individuals have eaten. Staff reported that the menus take into account individual residents health and religious dietary requirements. 19-21 Haymill Close DS0000027739.V310939.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, 20 & 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health care needs are recorded and can be met by staff. EVIDENCE: Case files contain information about residents personal care needs so staff can meet these. Staff demonstrated detailed knowledge and understanding of resident’s needs and how to meet them. Staff were seen to offer appropriate support and assistance to residents during the inspection visit. Two questionnaires indicated that resident’s health needs and met, although one questionnaire noted that it often took a long time to implement some health requirements and this could be improved. Staff reported that they have good links with local health professionals for advice and information when required. Medication is appropriately stored in both number 19 and 21. Medication Administration Record Sheets were up to date and signed by staff. Medication was correctly labelled and staff were aware of the medications residents take. Staff have completed medication training. 19-21 Haymill Close DS0000027739.V310939.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is available to residents and their representatives. Policies and procedures regarding the protection of vulnerable adults are in place and staff have completed appropriate training. EVIDENCE: The organisation has a complaints procedure which is available to residents and their representatives. One questionnaire indicated that the individual is aware of who to speak to with any problems, however they were not aware of how to make a complaint. It may be useful for some residents for the complaints procedure to be made more accessible. No complaints have been received by the CSCI since the last inspection in January 2006. Staff reported that they have completed training in the protection of vulnerable adults. A random check of one residents finances, found the records up to date and the balance correct. Staff reported that resident’s finances are checked and recorded at staff handover. 19-21 Haymill Close DS0000027739.V310939.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, 27, 28 & 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 comfortable environment which is well maintained. Bedrooms are single, sufficient communal areas, bathrooms and toilets are provided although the provision of a shower would offer residents a choice. All areas of the home were clean. EVIDENCE: The home was purpose built to meet residents needs, it is two houses joined together with separate lounge, dining room, kitchen, laundry room, bathroom and toilet facilities, with four single bedrooms in each house with the office linked on the ground floor and one bedroom linked on the first floor. Bedrooms are single and three seen had been personalised to the individuals taste with pictures, photographs and belongings. A toilet is available upstairs, with a bathroom and separate toilet downstairs in both houses. The provision of a shower in one of the upstairs toilets would provide residents with a choice of bathing or showering. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 16 The laundry room is away from the kitchen and dining room and has locked cupboards for cleaning materials and infection control guidelines are displayed. The extractor fan in the laundry room in number 19 needs repairing. All areas of the home were clean. One questionnaire noted that the home is usually clean and fresh. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 17 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, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels were observed to be appropriate during the course of the inspection and the staff team has remained stable. Staff have access to training and development. EVIDENCE: The staff team is separate for the two houses, with a senior member and five and six members of staff who provide care during the day and two dedicated night staff. The published staffing rota identified three members of staff on duty in the morning, with two staff in the afternoon and one member of staff awake and one member of staff asleep but on call at the home at night. These staffing levels were sent to be appropriate to meet residents needs and no issues were raised regarding staff levels. The mix of staff gender and ethnicity is representative of the resident group. Staff reported that they have attended disability awareness training and are aware of the issues residents may face in the community. One questionnaire noted that staff always treat residents well and usually listen and act on what is said. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 18 Three staff files seen contain a recent photograph, a copy of the individuals application form, two written references, confirmation that a Criminal Records Bureau check has been completed and a copy of the contract of employment. Staff have access to appropriate training and development sessions through the organisation. All staff complete the Learning Disability Award framework as a part of their induction and attend core training covering health and safety, first aid, food hygiene, moving and handling, fire safety and specific disability awareness courses to ensure they can meet residents specific needs. Staff reported that they receive regular, approximately monthly supervision which covers training needs, areas to develop, the key work role and general time for discussion. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 19 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, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A manager, who is registered with the CSCI covers both houses. The quality assurance system could be developed further to ascertain residents relatives, representatives and visiting professionals opinions of the services provided. Health and safety policies are in place with records in good order. EVIDENCE: The manager has been at the home for a number of years, has achieved appropriate training and is aware of residents needs and provides support to staff in both houses. Two questionnaires noted that the home operates in the best interests of the residents. The manager described the quality assurance systems in place at the home and through the organisation, with residents completing questionnaires about the services they receive with their key worker. This is a new development and consideration could be given to asking residents relatives, representatives 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 20 and other professionals who visit the service to give their comments on the services provided. Health and safety records were in good order and gas safety, electrical supply, portable electrical appliances, hoists, water temperatures and the fire alarm system have been checked by contractors at the required intervals. One member of staff is responsible for health and safety checks of the two houses and this delegated system was seen to work with the exception of the weekly fire alarm test, which has been completed every two weeks during 2006. Only two fire drills have been carried out in 2006. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 21 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 3 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 3 26 X 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 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 2 3 X 3 X X 2 X 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 22 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. 1. Standard YA21 Regulation 15 (2) c Requirement The registered person must ensure that residents wishes regarding illness and terminal care are recorded. The registered person must ensure the extractor fan in the laundry room is repaired or replaced. The registered person must ensure that the fire alarm is tested weekly. Timescale for action 05/01/07 2. YA27 23 (2) c 05/01/07 3. YA42 23 (4) c 15/12/06 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 YA36 YA39 Good Practice Recommendations The registered person should give consideration to the provision of regular staff meetings. The registered person should give consideration to developing the quality assurance system to ascertain resident relatives, representatives and visiting professionals comments on the services provided. The registered person should give consideation to the access residents have to suitable bathing and showering DS0000027739.V310939.R01.S.doc Version 5.2 Page 23 3. YA27 19-21 Haymill Close facilities. 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West London Area Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 19-21 Haymill Close DS0000027739.V310939.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!