Inspection on 30/11/05 for 2 Herondale

This inspection was carried out on 30th November 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 Herondale 28/08/07

2 Herondale 03/08/06

2 Herondale 22/07/05

2 Herondale 21/02/05

2 Herondale 16/08/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOME ADULTS 18-65 Herondale (2) 2 Herondale Basildon Essex SS14 1RR Lead Inspector Mr Trevor Davey Unannounced Inspection Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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 Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Herondale (2) Address 2 Herondale Basildon Essex SS14 1RR 01268 523399 01268 523399 herondale@mcch.org.uk 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) MCCH Society Limited Mrs Diane Patricia Watts Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8) Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22/07/05 Brief Description of the Service: 2 Herondale is registered to provide personal care and accommodation to a maximum of eight adults with a mental disorder. This includes residents aged 18 to 65 years as well as older people over 65 years of age. The registration category does not include people who may have dementia or a learning disability. The home is a modern purpose built premises set in a residential area of Basildon. The accommodation is on two floors with eight single bedrooms some of which, are on the ground floor. Residents have use of the lounge, separate dining room, quiet/smoking room, laundry and kitchen. There is a shaft lift access between the ground and first floors. The home has a garden to the rear and adequate parking to the front. It is also close to local shops and Basildon town centre can be reached on foot or by public transport. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on 30th November 2005 lasting three hours. The inspection progress included discussions with four staff and five residents. The manager was off duty and support workers were covering the shifts for the day. A tour of the premises took place and a sample of policies and records were inspected. Eleven standards were covered and requirements and recommendations are listed at the end of the report. As the majority of residents are currently under 65 years of age, the National Minimum Standards relating to Adults (18 - 65) were used for the purpose of this inspection. What the service does well: What has improved since the last inspection? Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 6 Since the last inspection, considerable work has taken place to bring the fire precautions up to date in accordance with the Fire Officer s requirements and those of the Commission for Social Care Inspection involving the replacement of smoke stop doors . Current gas and electricity safety certificates had also been issued and were available for inspection. Risk assessments and care plans had also been reviewed on a regular basis. These measures which have been implemented, mean that the risk to the health and safety of residents, has been considerably reduced. 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. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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 Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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): x EVIDENCE: Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Residents are involved in the care planning process and their decisions are taken into account by the home in promoting an independent lifestyle, so far as this is possible, with supporting risk assessments. EVIDENCE: A sample check was made of care plans which had been reviewed on a regular basis. These had been updated to take account of residents wishes relating to sensory needs and medication changes authorised by health care professionals, was also documented. In the case of recent admissions, information was available from the occupational therapist which included personal history, sensory, cognitive and psychological needs. Other information was available following short stays in the home which included self-care, productivity leisure and personal interests. Background and current information was being used positively by the staff team to show strengths and needs to enable these to be addressed in accordance with the choices of residents in pursuing their own preferred lifestyle. Residents spoken to were aware of their key workers and from conversation and observationon on the day of inspection , positive working relationships appeared to be in place. Risk assessments had been completed which are regularly reviewed to ensure Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 10 that necessary safeguards are in place to reduce potential risk and harm to residents. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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 Residents are given opportunities to be involved in culturally appropriate activities both in the home and in the local community. The rights and choices of residents are respected and they are supported in pursuing their own preferred lifestyles. EVIDENCE: Some of residents who spoke to the inspector were positive about their involvement in the home and how they were able to complete various household chores including personal laundry as well as assisting with meal preparation. Links with the community are good and residents are able to go to the local shops independently or in small groups supported by staff. Outings to places of interest had taken place and some residents are able to regularly visit members of their family by arrangement. Many of the residents have an awareness of budgeting and have some understanding of payments due for rent as well as having access to their money which they can spend locally . Some residents have contacts with local befriending organisations and this is another step in achieving positive of links with the community. Menus were available for inspection which included residents favourite meals which they help to prepare on specific days. Records of meals had been Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 12 maintained and at the time of inspection, there were no dietary needs or concerns regarding eating patterns. Residents are able to prepare their own individual smacks during the day. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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): x EVIDENCE: Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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): x EVIDENCE: Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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 Overall, the home is comfortable and clean with accommodation which is suitable for residents needs. Fire precautions in the home have been upgraded in accordance with the Fire officers requirements and up-to-date safety certificates were in place for gas and electricity. EVIDENCE: Since the last inspection, fire doors within the home have been upgraded and fitted in accordance with the Fire officerss requirements. This included renewing the door seals and adjusting the self closer devices to ensure the doors are effective in preventing the spread of smoke. The communication maintenance book in the home showed that the Fire Officer, clerk of works and surveyor had inspected the completed work on the 21 November 2005. Further work was carried out on the 25th of November 2005 to adjust the self closes. Current gas and electricity maintenance certificates were also in the home confirming that these services had been checked for safety. Some of the bedrooms within the home needs redecorating and this should be carried out in consultation with the residents concerned to establish preference regarding colour schemes. A brief tour of the building took place and one of the residents said that she was hoping to replace some of the items of furniture within her room including television and table lamp. She also said that she would like her room to be redecorated. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 An effective staff team is in place which is able to support residents and meet identified needs. EVIDENCE: At the time of inspection, the manager was on sick leave and a rota was available showing the working patterns of support workers and senior support workers. The staff team can demonstrate they have the appropriate skills to work with and support residents and this is supplemented by good working relationships with other health care professionals, including doctors and community psychiatric nurses. On the morning of the inspection, there was one support worker in the home looking after six residents and another member of staff was out shopping with two of the other residents. Although members of staff can contact each other by mobile phone, there should be at least two members of staff in the home at all times during the waking day to ensure that residents needs, incidents and emergencies can be adequately covered. There is also an arrangement that on- call managers from other homes can be contacted if required. As the manager was not available, it was not possible to check the staff recruitment records and these will be examined at the next inspection. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 17 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): 42 The health, safety and welfare of residents are promoted and protected to minimise risk. EVIDENCE: Essential measures have been taken since the last inspection (as referred to under NMS 24 of this report), to ensure that fire precautions are maintained to a satisfactory standard and that the gas and electricity services are checked for safety by competent and qualified contractors. This needs to be an ongoing process where premises, services and equipment are regularly serviced and maintained in accordance with health and safety requirements. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x 2 x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Herondale (2) Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x DS0000018053.V270759.R01.S.doc Version 5.0 Page 19 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 YA24 Regulation 23 Requirement Timescale for action 31/03/06 2 YA33 18 The Registered Person shell having regard to the number and needs of the service users ensure that the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally. This includes maintaining equipment in good working order and ensuring that all parts of the home are reasonably decorated. The Registered Person shall 10/01/06 ,having regard to the size of the care home,the Statement of Purpose and the number and needs of service users,ensure that at all times suitably qualified, competent an experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. When residents are in the home, a minimum of two staff should be on duty during the waking day. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 20 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 YA42 Good Practice Recommendations The Registered Person should take appropriate action to ensure a pro-active system is in place for the regular maintenance, repair and servicing of equipment and that the home receives a speedy response when items of this nature are reported. Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 21 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 Herondale (2) DS0000018053.V270759.R01.S.doc Version 5.0 Page 22 - 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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