Inspection on 23/03/06 for 23 Hathaway Road

This inspection was carried out on 23rd March 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

23 Hathaway Road 31/07/07

23 Hathaway Road 03/08/06

23 Hathaway Road 06/09/05

23 Hathaway Road 15/03/05

23 Hathaway Road 14/04/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

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 Hathaway Road (23) 23 Hathaway Road Grays Essex RM17 5LB Lead Inspector Patricia Stanton Announced Inspection 23rd March 2006 13:00p Hathaway Road (23) DS0000036448.V265609.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 Hathaway Road (23) DS0000036448.V265609.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. Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hathaway Road (23) Address 23 Hathaway Road Grays Essex RM17 5LB 01375 383556 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) Thurrock Council Joyce Kathleen Tree Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Personal care to be provided to up to 4 service users with learning disabilities who require a short break service only. Personal care to be provided to up to 4 service users with learning disabilities under the age of 65 years. Number of service users whom personal care is to be provided shall not exceed 4. 6th September 2005 Date of last inspection Brief Description of the Service: 23-25 Hathaway Road provides a short break service for Young Adults with a learning disability. The Home is situated in the centre of Grays and is a short walk to the High Street, bus and train stations. The premises are made up of two joined properties, which are maintained, decorated and furnished to a fair standard, providing four bedrooms. There is no off-street parking outside the home as parking is by permit only. The Home has a ramp leading to the side door and two good sized rear gardens. Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on the 23/3/2006. Records and documents were looked at, including the previous requirements and recommendations. As part of the inspection process questionnaires were sent out to relatives and residents. Twenty-two questionnaires were received back from relatives and guests, all of whom praised the service and details are included in the report. Time was spent in the lounge chatting to the registered manager and one guest-taking note of the guest’s daily routine. The home only accommodated two residents at the time of inspection. The inspector would like to thank guests and registered manager for their time and cooperation during inspection. What the service does well: What has improved since the last inspection? Care planning has improved with the inclusion of guests input with regard to preferred community and social activities. Plans are reviewed regularly to provide better outcomes. The home has introduced an individual support system and improved daily records to evidence guests’ individual needs. Staff have undertaken training to help them understand guest medical needs and food storage has improved. Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 6 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. Hathaway Road (23) DS0000036448.V265609.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 Hathaway Road (23) DS0000036448.V265609.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): Not inspected. EVIDENCE: Hathaway Road (23) DS0000036448.V265609.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 New care plans evidenced changing needs of guests. EVIDENCE: The registered manager has worked hard to improve care plans which now include details of residents preferences, changing needs, daily living skills, risk, communication and mobility assessments. Plans are reviewed each time a guest is admitted for respite care and examined files were signed and dated by guests to evidence inclusion. The registered manager is to extend these plans to all guests who are admitted to the home. Guests accommodated preferred to visit the cinema, going out to the pub and eat and play snooker. Plans evidenced staff had taken the guest out as requested and files recorded the outcomes, of the trips, which had a positive effect on guests. Hathaway Road (23) DS0000036448.V265609.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): Not inspected. EVIDENCE: Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. The homes policies and procedures for administering medication protect residents. EVIDENCE: Medication stocks were found to be stored, administered correctly and all in date. Staff completed MARS sheets appropriately and a record kept of medication not administered or returned to pharmacy. Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Guest are protected from abuse and neglect and feel they have the views considered by the home. EVIDENCE: Staff receive regular training in protection of vulnerable adults training. Guests’ views are sought regarding the service in discharge questionnaires, regular guests/family forums and reviews. One relative stated, “My son is encouraged to make his own choices within his capability. It has been a godsend for us as a family to see him enjoy his stays”. The home had arranged one coffee morning and an independent person to review guest and their significant others views and opinions of the service. Files examined confirmed both guest and families were very happy with care received at Hathaway Road. The home has received no complaints since the last inspection and records confirmed the home had not had any serious incidents or accidents in the past year. Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. The home is clean, hygienic, comfortable, homely and safe. EVIDENCE: The home is decorated to a fair standard and is comfortable, homely and welcoming. One resident stated how he liked his bedroom and appeared to make himself at home in the lounge with his sewing. One relative stated “”The house is bright clean and very comfortable”. Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 14 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, The home employs a suitable staff team who support guests. EVIDENCE: The home has team of staff who have a good knowledge of guests needs and staff turn over is low. No new staff members have been recruited or left since the last inspection and guests’ and their significant others praised the staff team at Hathaway. Comments included “ All the staff are very friendly and helpful”. “The service is very well run by caring staff who we are able to talk to about any problems. Our son is very happy there”.” The staff have been incredibly helpful, nothing is too much for them”. Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42, The home is run well by a suitable qualified and experienced registered manager that seek the views and opinions of residents and her staff. Guests are safeguarded by the home policies and record keeping procedures. EVIDENCE: The registered manager ensures the home is run in the best interest of residents. Communication between the registered manager and one resident appeared mutually positive and respectful. The manager regular seeks the views and opinions of guests, their relatives and the homes staff in meetings to help improve the service and will arrange suitable training for staff to ensure guests are protected. Records examined confirmed the homes policies are updated and regular fire checks/drills completed. Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 16 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 3 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 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hathaway Road (23) Score X X 3 x Standard No 37 38 39 40 41 42 43 Score x 3 3 X 3 3 x DS0000036448.V265609.R01.S.doc Version 5.0 Page 17 yes 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 Refer to Standard YA33 Good Practice Recommendations One staff member who is interested could be selected to coordinate activities for guest in the home and community. Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 18 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 Hathaway Road (23) DS0000036448.V265609.R01.S.doc Version 5.0 Page 19 - 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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