Inspection on 02/01/06 for 3 Hainault Avenue

This inspection was carried out on 2nd January 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3 Hainault Avenue 30/05/07

3 Hainault Avenue 09/09/05

3 Hainault Avenue 06/03/05

3 Hainault Avenue 24/08/04

3 Hainault Avenue 23/03/04

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

CARE HOME ADULTS 18-65 Hainault Avenue (3) 3 Hainault Avenue Rochford Essex SS4 1UH Lead Inspector Ms Valerie Buckle Unannounced Inspection 2 January 2006 6:00 nd Hainault Avenue (3) DS0000018076.V274605.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 Hainault Avenue (3) DS0000018076.V274605.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. Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hainault Avenue (3) Address 3 Hainault Avenue Rochford Essex SS4 1UH 01702 545753 01702 545753 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) Estuary Housing Association Limited Mr John Long Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th September 2005 Brief Description of the Service: 3 Hainault Ave is a two-bedroom bungalow situated in a quiet residential area. Hainault Avenue provides one-to-one care for a service user who has a learning disability. The second bedroom is used as an office/ sleeping in room. The property is owned and managed by Estuary Housing Association. Shops and local amenities are within walking distance of the premises. The home has its own vehicle available to provide transport for accessing day centres and other leisure activities. The bungalow was furnished and decorated in a homely style. There is a large lounge and dining area. The conservatory leads out into the enclosed garden and was being used as a run for the rabbit. Parking is available to the front of the property. Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over two hours, a sample of policies, procedures and records were seen. The registered manager assisted in the process of the inspection and one member of staff was spoken to. All the requirements and good practice recommendations from the last inspection had been met, there were no requirements arising from this inspection. At the time of the inspection, the resident was observed to be busy preparing for bed and planning his evening’s work. 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. Hainault Avenue (3) DS0000018076.V274605.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 Hainault Avenue (3) DS0000018076.V274605.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): These standards were not assessed at this inspection. EVIDENCE: These standards were fully met at the last inspection. Hainault Avenue (3) DS0000018076.V274605.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): 6,7,8,9 The residents care plan was well organised, and provided staff with appropriate information to meet the resident’s needs and wishes. EVIDENCE: The care plan was detailed and provided clear information on how to meet the resident’s needs. Care notes were written regularly both day and night and supported the care plan; there was evidence of monthly reviews with the resident and staff. Reviews which involve the Social Worker take place six monthly. Staff meet with the resident and discuss the outcome and involve the resident in any changes that take place. The care plan was supported by a range of risk assessments that considered the residents rights and abilities, and enabled the resident to be involved in all aspects of daily living. A recent change has taken place with the resident’s employment. The day centre which he attended for Arts and Crafts has closed down; Staff have introduced the resident to other employments. Currently the resident is working voluntarily at Southend United Football ground, another introduction is being planned at Sutton Bridge Farm, where the resident could be involved in some voluntary agricultural work. Staff spoken to demonstrated care and respect for the residents rights and confidences. Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 Page 9 An issue raised at the last inspection concerning the residents management and time plan had been discussed in a meeting with the resident, staff and his social worker. It was agreed that during the evening at a certain time, the resident’s work, which includes sewing and writing, would be put away so that the resident would sleep throughout the night. This action was seen included in the residents care plan where it was recorded as a health issue. This action was also written into the infringement of rights book on the 2nd November 2005. Hainault Avenue (3) DS0000018076.V274605.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): 16 The home provides the resident with good support to access a range of activities both at home and in the community. EVIDENCE: Records evidenced that there is a detailed plan of activities on a daily basis. Discussions take place daily with the resident and staff; the ethos of the home is person-centred involvement with the resident. Staff assists the resident to visit his family on a regular basis, the resident is very friendly with his neighbours and they assist him with gardening. Records evidenced that the resident was encouraged and supported to build friendships. Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 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): 20,21 The resident’s health and personal care needs are appropriately met. Policies, procedures and records are in place, which ensure the safe use of medication. EVIDENCE: The resident living at the home does not need help with personal care, but is assisted in choosing daily clothing. The resident does not self medicate. Medication records were appropriately recorded and seen to be up to date. The resident’s last wishes are included in his file. Staff commented that if the resident became ill, the practice of the home would be to care and support the resident within his own home for as long as possible. Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 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): 2,3 The resident is protected from abuse, neglect and self-harm. EVIDENCE: The complaints procedure was displayed in the office and a copy was included on the residents file. This was in a pictorial format so that it could be easier understood by the resident. There was evidence that staff had completed training on the Protection of Vulnerable Adults, and two staff had recently completed training on personal responses to challenging behaviour. Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 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): These standards were not inspected at this inspection. EVIDENCE: These standards were fully met at the last inspection. It was noted that the home has recently bought a new suite of furniture for the lounge. Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 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): 31, 34, 35 The staff are trained and experienced to meet the individual needs of the resident. Staff are supported and employed in sufficient numbers to provide 24-hour care for the resident. EVIDENCE: Three permanent staff have worked at the home for some time and know the resident well and are able to meet his individual daily needs. The home also employs regular agency staff to cover the rota. The registered manager has completed NVQ Level 4 training and two staff members have completed NVQ Level 3. Staff have completed training on personal responses to challenging behaviour and mandatory training. Staff profiles were seen for three agency staff, which included information on CRB checks. All new staff, including agency staff carry out an induction and are familiarised with the policies and procedures of the home. A record was seen of next of kin and contact numbers of staff. Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 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): 39,41,42 Hainault Avenue is well organised and managed effectively. Policies and procedures are in place to protect the residents. EVIDENCE: The registered manager has worked at the home for several years and is appropriately trained and experienced. Regular meetings take place with the resident and staff and issues about daily living are discussed. Regular person in control visits take place at the home and a thorough quality audit is carried out, copies of these reports were seen, last visit 12/05. Copies of these reports should be forwarded to the C.S.C.I. Appropriate records were kept of resident’s finances. It was noted that an issue raised at the last inspection which ??? the resident being charged for a take away meal was being dealt with, the manager said the resident is to be reimbursed this amount through Estuary Housings Finance Department. This action is to be checked at the next inspection. Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 Page 16 It was seen that a record of the resident’s personal belongings was included on his files. A sample of policies and records were seen, records were well recorded and up to date. Systems are in place to ensure the water temperatures are controlled and records are kept. Hainault Avenue (3) DS0000018076.V274605.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 X 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 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 X 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 3 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 3 X X 3 X 3 3 X Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 Page 18 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 YA6 Regulation 15(2) Requirement The service users plan must be kept reviewed and updated as changes occur. A record must be kept of any limitations agreed with the service user as to their freedom of choice and power to make decisions. A record must be kept in the care home of all people employed and to include the detail required by the schedule. The person registered must undertake monthly monitoring visits to the home and the copies of the report to the commission for social care inspection as required by this regulation. A record must be kept of the resident’s possessions and valuables that the home assisted to look after. This refers to the camcorder and any other such DS0000018076.V274605.R01.S.doc Timescale for action 01/10/05 2. YA9 Schedule 3 (3)q 01/10/05 3. YA35 Schedule 4(6) 01/10/05 4. YA41 26 01/10/05 5. YA41 Schedule 4 01/10/05 Hainault Avenue (3) Version 5.1 Page 19 item 6. YA42 13(4) The person registered must 01/10/05 ensure the safety of service uses at all times and ensure that water temperatures are tested regularly in accordance with their risk assessment relating to legionella 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 YA21 Good Practice Recommendations The registered manager should include information in the client care file if information is known regarding his wishes for the end of life It is recommended that the whistle blowing procedure be developed to include a more user-friendly format It is recommended that a risk assessment be undertaken to ascertain whether all staff need to have training in the management of behaviour that challenges 2. 3. YA23 YA23 Hainault Avenue (3) DS0000018076.V274605.R01.S.doc Version 5.1 Page 20 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. 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