Inspection on 28/02/06 for 6 Honister Gardens

This inspection was carried out on 28th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

6 Honister Gardens 04/11/09

6 Honister Gardens 14/10/08

6 Honister Gardens 14/08/07

6 Honister Gardens 23/05/06

6 Honister Gardens 04/11/05

6 Honister Gardens 17/03/05

6 Honister Gardens 07/09/04

6 Honister Gardens 26/02/04

6 Honister Gardens 06/01/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 6 Honister Gardens 6 Honister Gardens Stanmore Middlesex HA7 2EH Lead Inspector Dia Balraj Unannounced Inspection 28th February 2006 09:00 6 Honister Gardens DS0000017582.V283690.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 6 Honister Gardens DS0000017582.V283690.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. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 6 Honister Gardens Address 6 Honister Gardens Stanmore Middlesex HA7 2EH 020 8907 0709 020 8907 0709 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) Striving For Independence Group Homes Mrs Deborah Whittick Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th November 2005 Brief Description of the Service: 6 Honister Gardens is a care home providing personal care and accommodation for up to five people who have a learning disability. There was one vacancy in the home at the time of the inspection. The home is owned and run by the Striving For Independence organisation, a local private and independent care service provider. The home has 24-hour staffing, including one waking-night staff and a sleepover staff. The home is located within a residential area on the edge of both Stanmore and Belmont, in the borough of Harrow. It is a few minutes from bus links, and around ten minutes’ walk from local shops. Parking restrictions do not apply on the road outside the home. The drive has space for two cars. The premises are a two-storey building in keeping with other homes in the street. All bedrooms are single rooms, fully furnished, and with built-in sinks, both upstairs and downstairs. One has an en-suite toilet. The home has one bathroom with adapted shower facility upstairs, and a shower room downstairs. The home has a kitchen, a lounge leading into a dining area, a spacious activities room, and a garden. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started in the early part of the morning on the 28th February 2006. The inspector was able to meet and speak to three residents, the night staff, the day staff and the Deputy Manager. The two comment cards received from residents’ relatives were positive. The manager of the home telephoned and spoke to the Inspector and stated that the Deputy manager, Ms Anne Hession would be providing the information necessary for this inspection. Ms Anne Hession started employment at the home on the 20th February 2006 and stated that she had had a meeting with the care manager to discuss the requirements of the last inspection. A manager from another home Mr Otis Pinnock also assisted the inspection process. The inspector viewed care plans, risk assessments and other records made available to her. The inspector would like to take the opportunity thanking everybody who was helpful during this inspection. What the service does well: What has improved since the last inspection? The home met a number of requirements made during the previous inspection. All requirements relating to the physical environment including repairs and replacements had been implemented. A number of requirements relating to Staff checks had been completed. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 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. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 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 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 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): This standard was not inspected. EVIDENCE: There is an outstanding requirement relating to standard 3 for which there was no evidence. ( see requirements list) 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 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 and 9 Residents are able to exercise a degree of choice in the activities they undertake and chose their menus. EVIDENCE: The inspector viewed the care plans folders of two residents and judged these appropriate. These indicated that residents were able to exercise choices in the activities of daily living. On the day of inspection two residents told the inspector what they had chosen to do on the day, one resident was going out and another was attending college. During the early part of the inspection residents were engaged in various activities of their choice: reading the newspaper, watching TV, walking in the garden. One resident accesses the community independently and told the inspector that he liked going out and was happy with this arrangement. Residents informed the inspector of being happy with the food at the home. They stated that can chose what food they want to eat. There was no evidence of a risk assessment having been carried out in respect of in respect of whether or not each service user is considered capable of holding house and bedroom keys, and in terms of any service users locking themselves in any rooms. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 10 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 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 Residents access community facilities and have contact with their families. Service users are treated with respect and were able to exercise a degree of choice in the activities available. EVIDENCE: Each resident has a daily programme of indoor and outdoor activities These include attending day clubs such as: Gateway, Mencap, Shopping, swimming, cinema,walks to the park and day outings. The inspector received confirmation from residents and staff that some of these activities were taking place. l The manager informed the inspector that residents go to a day centre run by the organisation. During the inspection process residents were taken to Pettsgrove Day centre by car. In addition to this one resident accesses the community independently and informed the inspector, that he was going to Harlesden. It was noted that a resident was given time to settle before being taken to Pettsgrove Day centre. Staff stated that staff would be available at this Home if a resident chose not to attend the day centre at Pettsgrove. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 12 The registered manager must ensure that day service participation at Pettsgrove Day centre is recorded for all residents. Residents have contact with relatives. The two comment cards received from relatives suggested a good rapport between the home and the relatives. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 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): 18, 19, 20 Staff provide sensitive personal support allowing residents to exercise independence in their lives. Staff have procedures in place to ensure that the health care needs of residents as identified in their care plans are addressed. Not all staff had received training in the safe handling of medication. EVIDENCE: The type of personal support required by each resident was identified in the care plan. On the inspection visit it was noted that staff were sensitive in providing personal support. Residents were enabled to exercise choice in their daily activities and in the menus provided. Each resident has a daily programme of activities and one resident decides on a daily basis what he wants to do and travels independently. The examination of care plans informed that residents were supported to access healthcare facilities including the GP, dentist, optician and community nurse. The registered person had implemented a requirement of the last inspection and had a procedure for accepting medication for respite service users and a list of initials and signatures of staff trained in the safe handling of medication. The inspector noted that a member of staff on duty had not followed the medication training course although she was administering medication. This has implications for the safe handling of medication. It is required that the home liaises with a dietician to draw up a menu that takes into account residents’ dietary needs(diabetic) and their choices. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 14 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 15 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): This standard was not inspected. EVIDENCE: 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 16 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 fire alarm system was faulty although steps had been taken to rectify the system. The home had a homely environment and a good standard of hygiene. EVIDENCE: The registered person had implemented a number of the last inspection’s requirements relating to the physical environment of the home. The home had a comfortable environment and a good standard of cleanliness. During the inspection process the fire alarm was ringing sporadically. The deputy manager stated that the engineer had been contacted and would be rectified immediately. There was no evidence of fire alarm tests having been carried out. The electrical wiring system check had expired in January 2006. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 17 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): This standard was not inspected. EVIDENCE: 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 18 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 home did not meet Health and Safety standards. EVIDENCE: During the inspection process the fire alarm was ringing sporadically. The deputy manager stated that the engineer had been contacted and would be rectified immediately. There was no evidence of fire alarm tests having been carried out. The electrical wiring system check had expired in January 2006. Although some financial records of residents were available The Inspector was unable to check that the financial records tallied due to unavailability of relevant information. The inspector was informed that staff had undertaken various training courses but the training profile of staff was not available. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 2 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 X ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 X X X X X 2 1 X 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 20 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. 1. Standard YA3 Regulation 18(1)(c) Requirement The manager must ensure that staff is provided with appropriate dementia awareness training to complement the skills needed to support one service user’s needs. (Expired 31/08/05) The registered manager must ensure that all staff receives physical intervention training and only one agreed technique must be used. (expired 31/12/05) It is required that the home liaises with a dietician to draw up a menu that takes into account residents’ dietary needs (diabetic) and their choices. The manager must add to the service user risk assessments in respect of whether or not each service user is considered capable of holding house DS0000017582.V283690.R01.S.doc Timescale for action 31/03/06 2. YA6 18(1)(c)(i)13(7) 31/03/06 3. YA19 13(i)b 31/03/06 4 YA9 12(4) 13(4) 31/03/06 6 Honister Gardens Version 5.1 Page 21 and bedroom keys, and in terms of any service users locking themselves in any rooms. (Expired 01/08/05) 5. YA12 12(1)(b)15(1) The registered manager must ensure that records regarding day service participation at Pettsgrove Day Centre is available for all residents. The home must ensure that only staff trained in the safe handling of medication, administer medication to residents. The registered manager must ensure that service users’ financial records are audited regularly. Expired 30/11/05 The registered person must ensure that the faulty fire alarm system is rectified to ensure the safety of residents. The registered person must ensure that the electrical installation check is carried out. The home must undertake and record weekly fire point tests. 31/03/06 6. YA20 13(2) 15/03/06 7. YA41 16(2)(l) 31/03/06 8. YA24 YA42 13(4)(a) 15/03/06 9. YA24 YA42 13(4)(a) 15/03/06 10. YA24 YA42 23(4)(a) 15/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 22 6 Honister Gardens DS0000017582.V283690.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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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