Inspection on 08/12/05 for 2 Windsor Avenue

This inspection was carried out on 8th December 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 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

2 Windsor Avenue 07/07/05

2 Windsor Avenue 17/09/04

2 Windsor Avenue 16/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 HR Care Homes Ltd (2 Windsor Avenue) 2 Windsor Avenue Desborough Kettering Nothamptonshire NN14 2SS Lead Inspector Mrs Bhavna Keane-Rao Unannounced Inspection 8th December 2005 09:45 HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.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 HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.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. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service HR Care Homes Ltd (2 Windsor Avenue) Address 2 Windsor Avenue Desborough Kettering Nothamptonshire NN14 2SS 01536 760418 01536 764157 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) HR Care Homes Limited Mr Richard Charles Heap Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within the category of a Physical Disability (PD) may be admitted to the home unless that person also falls within the category of Learning Disability (LD) ie dual disability 07/07/05 Date of last inspection Brief Description of the Service: Number two Windsor Avenue is one of two care homes situated in the small town of Desborough, which are owned and operated by Richard and Heather Mullin trading as HR Care Homes Limited. The home accommodates five young people with learning disability as their primary diagnosis and all the young people are additionally wheelchair users. The home offers personal care but does not provide nursing care and will not accommodate young people who are known to be physically aggressive to other service users or staff. The home is a converted dormer bungalow on the outskirts of the town, which has been extensively and tastefully adapted to fully meet the needs of the client group. A wide range of moving and handling aids, including hoist tracking systems in bedrooms and bathrooms and specialist bathing and showering, have been installed. The home also has an attractive, enclosed garden with a lawn and large pond, which is fully accessible to all the young people accommodated at the home. The staff at the home facilitate access to a good range of education, leisure and entertainment opportunities for young people and the home has its own adapted mini bus to provide appropriate transport. All bedrooms at the home are large and have en suite facilities (one facility is shared by two young people) and shared areas consist of a large lounge, dining area and conservatory. The home is exceptionally clean and well appointed and provides a comfortable, homely environment for the young people. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during Thursday morning. It took three hours to complete. This home provides care for up to up to five residents with a learning disability and a physical disability ie dual disability. Discussions were held with three residents, but not in great detail due to their care needs. However they were observed in their daily routine, before they went for their day care. The primary method of inspection was speaking to the residents who use the service provided. Majority of the required key standards were inspected during the last visit on 7th July 2005. Therefore only specific standards were inspected this time. All areas of concerns raised at the last inspection have been met. A tour of the premises was undertaken and opportunity was taken to view resident’s daily records, medication sheets, menus of meals, minutes of Residents Meeting and staff training records. At present the home does not have a registered manager. Therefore the acting manager, general manager and the office administrator assisted in this inspection. The acting manager and the general manager spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. What the service does well: The acting manager and the staff at the home are very willing to learn and improve the service provided for the residents. The staff at the home use various communication methods to ensure that residents are consulted on all aspects of care. One resident stated, “ I like the food”. One resident stated, “I love going out”. All the residents attend day care provision every weekday. They also participate in other activities as they wish depending on their interests and hobbies. For example during the previous evening the residents went swimming and also visited another sister home to see the previous manager. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 6 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. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.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 HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.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): None EVIDENCE: All the required standards were inspected at the last inspection. The admission procedures are in place and assessments of individuals are carried out by the registered manager, health and/or social care professionals, as part of the referral process. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.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): None EVIDENCE: All the required standards were inspected at the last inspection. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 10 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): 14 and 17 Residents’ religious, cultural, hobbies and interests are met. Residents’ individual dietary needs are met. EVIDENCE: All the required standards were inspected at the last inspection. There are number of organised structured activities which are provided for the residents. These encourage and enhance the resident’s divers needs. This is always done after consultation with residents. Records indicate that discussions are held to ensure that residents’ social, cultural and religious needs are met. On the day of the inspection all residents were going to go out for their day care. The previous evening the residents went out swimming and then visited a new sister home, recently opened by the same providers. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 11 On the day of the inspection all three residents, who were at the home were having something different for breakfast. While viewing the menu records, it was noted that on some occasions all the residents were having a different meal. Resident’s likes and dislikes are discussed and recorded to ensure that residents are never provided a meal, which they are not happy with. The residents spoken with were happy with the meals provided. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 12 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): 19 and 20 Residents and staff working together to meet the physical, emotional and health care needs of residents. There is a safe system in place for administration of medication. EVIDENCE: The records viewed detailed visits made by and to health care professionals, which includes Community Nurses, Social Workers, Dentists and Opticians. Medication is stored in a locked cupboard and administered by staff who are trained. Administration of medication and recording was seen and is considered to be safe. There is a system in place where all areas of concerns are highlighted and dealt with promptly. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 13 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 and 23 Residents are safe and protected from abuse. EVIDENCE: The home’s complaints procedure is displayed. Residents spoken with were aware of whom to contact and speak with should they have any concerns. The Commission for Social Care Inspection has not received any complaints since the last Inspection. One resident spoken with stated that she felt very ‘safe’ at this home. Discussion was held with the acting manager about staff training and Whistle blowing procedure. Records viewed demonstrated that staff are aware of types of abuse and how to safe guard the rights of residents. There is a procedure in place to ensure that residents are protected from any form of abuse. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 14 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 and 30 A comfortable, safe and clean standard of accommodation is provided for the residents. EVIDENCE: All the required standards were inspected at the last inspection. The home is well maintained and suited to residents needs. There is ample natural light throughout the home. The home is decorated and furnished to a high standard that creates a comfortable homely atmosphere. All the bedrooms are totally individualised to reflect the interests and hobbies of the residents. The home was found to be clean and free from malodour. There is a lounge leading to a dining area, a kitchen and garden. Entry into the bungalow and to the garden is wheelchair friendly. The residents who were spoken with expressed their satisfaction with the physical state of the home. One person stated that she ‘loved her room’. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 15 Another resident was seen to go to his room because he ‘liked it there’. The home provides sufficient lavatories and bathing/shower facilities to meet the needs of residents. Residents have access to equipment such as hoists to assist them and staff in the delivery of personal care. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.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): None EVIDENCE: All the required standards were inspected at the last inspection. On the day of this unannounced inspection there were three members of staff on duty to provide care for the residents, including the acting manager. This calculation does not including the general manager or the administration person. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.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): 39 and 42 The acting manager and her staff offer a clear sense of leadership, which reflects on the day-to-day delivery of care of residents and running of the home. The outcomes have been positive. EVIDENCE: At present the home only has an acting manager. The acting manager and the owners are in the process of completing a registered managers application form. There are regular staff meetings, which identified the expectations of the acting manager of her staff. The staff and the residents who were spoken with felt that they could go to any of the seniors at any time with any concern. On the day of the inspection this was observed to be the case, as residents needed reassurance on meeting a stranger ie the inspector, from the staff. This is positive working practice. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 18 There was very positive interaction between all the individuals at this home. The staff who were spoken with have confidence in the management which enables them to have a clear understanding of their working roles. There is a maintenance programme for the home and the equipment. A random sample of records checked was up to date including fire drills. During the tour of the home, fire exits were clearly marked and were not obstructed. HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 19 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 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 x HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 20 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. Refer to Standard Good Practice Recommendations HR Care Homes Ltd (2 Windsor Avenue) DS0000037377.V270920.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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