Inspection on 03/08/06 for 23 Hathaway Road

This inspection was carried out on 3rd August 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

23 Hathaway Road 31/07/07

23 Hathaway Road 23/03/06

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 Sarah Axam Unannounced Inspection 3 August 2006 13:00 rd Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 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.V293540.R01.S.doc Version 5.1 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.V293540.R01.S.doc Version 5.1 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.V293540.R01.S.doc Version 5.1 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. 23rd March 2006 Date of last inspection Brief Description of the Service: 23-25 Hathaway Road provides a short break service for young adult men and women, 18-65, with a learning disability and operates from a five-bedroom house. Thurrock Council owns the house. Referrals are usually based from a community care assessment made by individuals Social Worker. 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, although the home does have visitors permits which can be used up to 5 hours and after 6pm – until 9.00am parking is permitted. The Home has a ramp leading to the side door and two good-sized rear gardens. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took 5 and a half hours to complete. All key standards were looked at during this time. The manager and admin assistant were present through the inspection. A tour of the premises took place. Services users and staff were spoken with as part of this process. 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 contacting your local CSCI office. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 6 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.V293540.R01.S.doc Version 5.1 Page 7 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 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. Hathaway Road demonstrated that it has procedures and meets the needs of individuals prior to admission. EVIDENCE: Referrals are usually based from a community care assessment made by individuals Social Worker. The service users and main carer can make a number of visits to the home and are given a service users guide and statement of purpose. The manager holds a number of consultation meetings with the main carer and individual service user to draw up an action plan that reflects aspirations prior to any admission. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 8 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 This Judgement has been made using available evidence including a visit to this service. Adequate based on the home demonstrating that a new care plan process for all service users will be in place and that a good system of risk assessing is in place. However care plans need to be completed for all service users. There still needs to be development in involving residents in information sharing by use of their choice of communication means. EVIDENCE: Alongside using the social workers initial assessment the home manager also gather’s information from the main carer and service user to access the individuals needs, wishes and goals further. This information is put into an action plan prior to any admission. Once a service user is using the respite service, the manager and support staff will hold a number of 1-1 meetings, using observations and monitoring to establish if this action plan is working or if the service users needs are changing. This is process is continuously monitored and reviewed. In individual files evidenced on the day of inspection, service users daily notes/observation were signed as being read and agreed by them. Monitoring sheets had been ticked and signed and appropriate uses of communication, pictures, were used in cases where individuals could not read. Risk assessments were in place and staff spoken to give a good understanding of different type of risks and also how important it may be for individuals to Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 9 also be able to take some minimal risks to enable independence and exercise choice. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 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): 12,13,15,16 & 17 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. The home involves service users within the community and the new care plans allow greater involvement of service users and families involvement. Relationships with resident’s families in general are good. Overall interaction and involvement in the service users lives is good. A nutritional menu is in place for individuals. EVIDENCE: All service users who use the respite service continue to part take in their usual activities during the days and evenings. During the summer holidays staff organise a number of activities and the service users use the local community on a regular basis. Within the individual care plans hobbies, likes and dislikes are recorded. Communication books are used between the staff and main carer as a means of sharing relevant information. Relatives and the main carer’s are very much involved and there is a carers SW who holds monthly meetings outside of the service to get any feedback from them. This post has recently become vacant but hopes to be filled soon so this can continue. The homes manager sends out Surveys on how individuals found their stay at the respite service and to relatives. Alongside all this the manager Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 11 is in consultation with day services which has developed communication plans and guides for services users, the manager hopes to put these communication guides into place within the home and this will also develop care plans and the ability to work in partnership more effectively with individuals. During the inspection the two service users in the service went out during the day, one to regular day services and one to a visit to Lakeside shopping centre, also both service users went out for an evening meal. Once a service user is admitted the staff and individual plan out meals for the week and then do the shopping together for that food. The staff also encourages individuals to cook and have a balanced diet alongside any take always or fast food preferred. This allows choice but also gives balance to a nutritional diet. Most service users prepare or cook part of the meal. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 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): 18, 19 & 20 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. Service users personal and healthcare support is well managed and written information was evidenced. Paperwork within the home is being maintained to a good standard. Medication systems are in place. EVIDENCE: Service users preferences for personal care is included in part of their care plans. Consultation around this has gone ahead prior to any admission and is monitored through out stays. Care plans are reviewed in the year but also are changed when needed. Specialist equipment is obtained and provided if individuals need this and determined by a professional assessment. Whilst in placement at Hathaway if any medical needs arise whilst individuals are staying then their own GP, or health services are used. The home also has emergency access to a local GP and dentist if need be. The care staff carries out any appointments made prior to admission. All medical appointments, follow-ups or observations are recorded in individual’s personal folders. Staff that has had training administers medication. Medication is stored in a lockable cabinet alongside MAR sheets. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 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 & 23 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. The manager of the home is working closely with families and service users on a one to one consultation basis. Staff are having regular supervision and regular staff meetings. EVIDENCE: The complaints procedure is included in the statement of purpose and the service user guide. The complaints procedure in the service user guide is in a format, which is easily understood. Alongside the complaints procedure the manager has regular contact with relative’s carers and service users to give feedback on the service, this feedback has been complimentary. The home has had no complaints since the last inspection in March 2006 and that there be no serious incidents or accidents in the past year. Staff spoken to on the day of inspection evidenced that they knew clearly about the protection of vulnerable adults and what to do and who to report to if they needed to report an occurrence. Staff were also aware of ‘no secrets’ and the whistle blowing’ policy. Service users are encouraged to keep monies in a locked cabinet within their own room and staff actively encourage those individuals to pay and take responsibility for monies used. Receipts and a balance sheet are accounted for. Some service users cannot look after their own monies and staff record an infringement sheets and account for their monies whilst using the service. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 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 & 30 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. The home is clean and hygienic with no apparent odours. Service users bedrooms provided a good amount of space and individuals had specialised equipment if needed. There is a hoist, which needs general maintenance. EVIDENCE: The home is clean, comfortable, homely and free from any odours. The premises is maintained to a good standard and offers service users a home from home service. The property is two houses converted into one but still offers two separate lounges with TV, videos and stereo’s so people can enjoy space away from each other and have a choice what to watch or listen to. There is also two gardens which again if activities or quite time is needed can cater for both these needs. The premises can offer access to service users with some limited mobility, but there is only one ground floor bedroom and door sizes would be limit adequate access to all areas if a wheelchair was used at all times. The hoist on the ground floor relies on battery back up power, this needs to be repaired and maintained so that a proper power supply can be used. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 15 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 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. Staff spoken with felt supported through the management structure and support from supervision and staff meetings. Training opportunities are good. EVIDENCE: The staff at Hathaway is a well-established team, who collectively have a wealth of experience within the care sector. 80 of Hathaway staff is NVQ trained and the manager has recently obtained the NVQ4 and RMA in care. Recruitment throughout the home is thorough and all staff are CRB checked, have references in place and all other required paperwork within their folders. Staff also have a training programme and plan to work towards. All mandatory training is regular and consistent. Staff spoken with on the day of inspection evidenced that supervision, handovers and meetings are regular and that support from the manager of Hathaway Road is good. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 16 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 area is good. This Judgement has been made using available evidence including a visit to this service. The manager has made effective changes and has good leadership skills. The registered manager is qualified, competent and has 18 years of experience within the care sector. The home is well run and organised. The home is very service users led and focused. EVIDENCE: The manager and the team evidenced good philosophy of care and ethics. The service users observed seemed relaxed, happy, were listened to and appropriate interaction between staff and client was appropriate. The paper work looked at during inspection evidenced that services users underpin the future development of the service. The manager leads by example as evidenced on the day of inspection and communicates a clear, supportive sense of direction and leadership. All certificates and compliance to relevant legislation was evidence as in place on the day of the inspection and ensured the health and safety of all staff and service users. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 17 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 3 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 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO 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 YA6 Regulation 15 (2)(a) Requirement The registered manager must ensure that all service users have a care plan developed which includes their choice of communication and evidences consultation has gone ahead. A person must ensure that quality assurance must include views of other professionals involved within the service and that the outcomes and action planned is forwarded to CSCI. Timescale for action 31/08/06 2 YA39 24 (2) 30/09/06 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. Refer to Standard YA29 Good Practice Recommendations The registered person should ensure that all ‘specialist’ equipment is maintained. This refers to the hoist power base being upgraded and maintained. Hathaway Road (23) DS0000036448.V293540.R01.S.doc Version 5.1 Page 19 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.V293540.R01.S.doc Version 5.1 Page 20 - 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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