Inspection on 01/08/05 for 87 Hazel Avenue

This inspection was carried out on 1st August 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

87 Hazel Avenue 27/11/08

87 Hazel Avenue 07/06/06

87 Hazel Avenue 15/02/06

87 Hazel Avenue 29/11/04

87 Hazel Avenue 28/06/04

87 Hazel Avenue 09/02/04

Similar services:

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

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

CARE HOME ADULTS 18-65 87 Hazel Avenue Farnborough Hampshire GU14 0DW Lead Inspector Peter J McNeillie Unannounced 1 August 2005 st 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 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 Stationary 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. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 87 Hazel Avenue Address Farnborough Hampshire GU14 0DW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01252 371 730 01252 371 730 New Support Options Lynda Young CRH 5 Category(ies) of LD Learning disability - 5 registration, with number PD Physical disability - 3 of places 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29.11.2004 Brief Description of the Service: First registered in May 1994, 87 Hazel Avenue is a care home offering accommodation for up to 5 persons with a learning disability/physical disability.The purpose built bungalow which is situated within 1.5 miles of Farnborough town centre is managed by New Support Options Ltd who are also responsible for a number of similar facilities across the south of England. All service users are accommodated in their own single bedrooms. Shared /communal space includes a lounge, kitchen/diner,bathromm fitted with a special bath and garden. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two annual inspections for 2005/2006. During this inspection which took place between 845am and 12:00pm the inspector who was assisted by the shift leader spoke with all of the residents (although communication was difficult)and all staff on duty. Evidence was also gathered from a tour of the building, reading records, care plans, previous reports comments by staff and observations. What the service does well: What has improved since the last inspection? What they could do better: The management of the home needs to ensure that all assessments of need/risk and care plans included confirmation that residents or residents representatives were involved in and consulted about them. The manager or a 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 6 representative of the provider must take action to comply with a requirement originally made in June 2004 relating to repairs in the bathroom. 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. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 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 standard(s) 2 The home has a well developed system of assessing and identifying residents needs which ensures residents safety and assessed needs can be met. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 9 EVIDENCE: All new admissions are conducted in accordance with a corporate admissions policy and procedure which involves undertaking a full assessment of needs and risk of all potential service users by the manager or another member of senior staff. Assessments are initially undertaken in the potential residents place of abode and later within the home during a visit or an overnight stay by the manager or another member of senior staff. A trial period of residence would then be agreed during which more detailed assessments would be carried out followed by a full review of the placement prior to a permanent bed being agreed. There have been no admissions since the last inspection. Records viewed confirmed assessments of need and risk for all current residents are reviewed on a regular basis in consultation with a number of other external health care professionals including doctors, continence advisors, physiotherapists, occupational therapists the community learning disability team, day services but did not include an acknowledgement that the resident or their representatives had been consulted and were involved in the assessment. The inspector was shown evidence that a resident focussed method of care planning that involves the resident more in the assessment process and takes into account not only needs but gives more weight to individual aspirations, wishes and choices. Progress will be reviewed at a future visit to the home. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 10 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 standard(s) 6,7 and 9 There is a clear and consistent care planning system in place which ensures residents needs are met within a risk management policy that involves residents in making decisions that affect their day to day lives. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 11 EVIDENCE: Care plans based on multidisciplinary assessments of need and risk produced in a dual format (written and pictorial) and in one example video were available for all service users. As commented earlier in this report the information on which plans are produced has been reviewed and currently the home is in the process of implementing a new system of care planning to ensure resident’s views, aspirations, wishes and choices are given fuller consideration . At the time of the inspection all residents care plans were being reviewed to ensure they meet new corporate guidelines relating to the more personal centred approach to the care planning process. Existing care plans viewed did not include an acknowledgement that residents or their representatives had been consulted and participated in the production of the plan. Apart from day to day issues, all plans viewed highlight areas of special need, any additional help and aids required including on how best communicate with individual residents using instructions/guidance which includes a written/pictorial dictionary of noises, signs and behaviours detailing their meanings in respect of needs and the moods/feelings. New Support Options, (the registered provider) organises service user conferences, that provides residents with a forum where they can be directly involved in the decision making process about the home and issues that affect their day to day lives. Residents also serve on the companies board and are involved in the staff selection process. The inspector viewed a regional plan developed at a recent forum that sets out corporate goals for the future. Using this document as a basis for consultation with residents a similar in house exercise was carried out and resulting in a house plan involving common issues which was further distilled to the level of individual residents where views etc are reflected in individuals care plans. Communication with individual residents was very difficult. Staff spoken to confirmed residents rights to take risks was fundamental, however it was clear from records, observations and talking to residents the majority of them may have difficulty in totally understanding the concept of risk and consequently were unable to fully exercise unrestricted choice and make valid safe decisions. Where any restriction was placed on a resident following a risk assessment, this was reflected in the care plan. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 12 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 standard(s) 12,13,15,16 and 17 The communication, social activities,family contacts and the provision of varied and nutritious meals were well managed and reflected residents choices. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 13 EVIDENCE: Records seen and comments made by staff confirmed residents are given the opportunity to develop their skills and participate in a range of activities provided by individual external support workers day centres and staff in the home. All activities and programmes which are designed to meet individual needs are detailed in residents personal plan and displayed in a written and pictorial format. Four of the service users receive additional one to one support which involves accessing the community, where their social and community skills can be developed. Activities currently available include, bowling, ice skating, music, cooking, cleaning, washing art and gardening. Within individual activity programmes, a great deal of emphasis is given to accessing the community and community based facilities such as swimming pools, shops, cafes ,pubs and libraries etc. The home makes use of its own transport, buses and trains when taking service users out to local events, places of interests shopping and leisure facilities. Recent trips out have included, the seaside, a butterfly farm, and birdworld. All service users are registered to vote but have yet to exercise this right.. All residents have regular contact with family and external friends who are encouraged to participate in the service users review if agreed by the service user. Should transportation be required to assist contact with family and friends, the inspector was informed this would be provided by the home. Where family contact is difficult contact is maintained by letter and or telephone call( by staff if required) photographs ,birthday cards etc. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 14 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 standard(s) 18,19 and 20 Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. EVIDENCE: Care staff confirmed any personal care or health care examinations are carried out in the privacy of the residents own room or a bathroom. In the case of an examination with an external health care professional care staff would only be present if the resident requested it. Residents are free to exercise total choice (subject to a risk assessment) in all aspects of their lives, bed, meal and bath times, food, what clothes they wear gender of staff that give intimate care etc. All residents have all been assessed and if appropriate provided with personal mobility/technical aids following consultation external health care specialists. Currently wheelchairs, beds, shoes ,walking frames as well as environmental communal aids have been provided. Residents are free to choose their own doctor or source of other personal services such as dentists chiropodists, optician etc. Any restriction on choice in respect of a doctor was outside the control of the resident or the homes management. Records seen confirmed residents had access to a wide range of health care professionals including doctors, district nurses, speech and language 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 15 therapists, psychiatrists, psychologists, disability community team, continence advisers. Specialist hospital consultants would also be consulted if required. All drugs which are securely stored, administered disposed of in accordance with an in house and corporate medication policy and procedure. Records of administration and disposal of unwanted drugs and medicines viewed were complete and accurate. A pharmacist via a monitored dosage system dispenses all drugs administered in the home. No service users are self-medicating Risk assessment and evidence to confirm consultations as who assumed responsibility for service users drugs and medication was seen. Records seen confirmed all staff administering drugs and medicines had received training. The dispensing pharmacist also visits the home to offer advice and ensure all medication is being handled safely and correctly. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 16 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 standard(s) 22and 23 The home has clear policies and procedures in place which ensures residents are protected from abuse and enable them to complain. EVIDENCE: A written personalised pictorial/symbol complaints procedure that includes details on how to contact The Commission for social Care Inspection (CSCI) was available and forms part of the service users guide. A record of complaints indicated no complaints had been received since the last inspection. The homes corporate adult protection policy and procedure which operates in tandem with The Hampshire County Council policy and procedure was available. Records confirming all staff had received training in the procedures to follow should they suspect abuse has occurred were seen. Staff spoken with confirmed they were fully aware of the procedure to follow should they witness or suspect the abuse of any resident. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 17 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 standard(s) 24 27 and 30 A safe, well maintained, clean and suitably furnished home and accessible garden is provided for service users which meets their needs. EVIDENCE: A tour of the purpose built indicated that the building was mainly fit for its stated purpose, accessible, safe, well maintained and meeting service users individual and collective needs. Furniture was comfortable and homely and in keeping with the décor. At previous inspections the subsequent report indicated whilst most the interior of the building was maintained to a high standard parts of the garden could not be accessed by residents. Since the last inspection the garden has been transformed, vegetation has been removed, paths created raised beds built and the construction of a sensory garden started. Following the inspection of 28/06/04 a requirement was made relating to the bathroom where a radiator was rusting and holed , covering on the floor was lifting, tiles had come off the wall and the design of the shower was causing problems when used by some service users in that the shower could not be operated (due to the position of the seat and the height of service users) without the door being left open causing the floor to flood. At the last 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 18 inspection it was reported work was in hand to comply with the requirement. In the light this comment no requirement was made at that time. Inspection of the bathroom during this visit showed the position to be unchanged. An immediate requirement was made. Since the inspection the inspector has been informed by a senior external manager steps are being taken to ensure compliance. The fully decorated building in which all bedrooms have been redecorated in the past year (four since the last inspection) was clean and free from adverse odours. An infection control policy and procedure was in place. A washing machine fitted with a high temperature programme and a sluicing mode was available in each house as were hand towels and soap by all wash hand basins. Currently a sluice is available in the bathroom referred to above. As the washing machine is also fitted with a sluice programme, the inspector in response to a question confirmed To make extra room the inspector has no objection if the current fitted sluice is removed. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Residents needs are met by well trained staff. EVIDENCE: Records indicated that indicated all new staff are involved in an initial corporate in house five-day induction programme followed by The Learning Disability Awareness Framework (L.D.A.F.) accredited training (induction and foundation) prior to being involved in a National Vocational Qualification (NVQ) training programme. Core training such as fire safety, food hygiene, first aid moving and handling etc is mandatory for all staff. All training needs are reviewed on a regular basis through supervision. A corporate training calendar is available to ensure that any additional identified training needs can be met. 35 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The management of the home seeks the views and opinions of residents residents representatives, visiting health care professionals and safeguards the health and safety of staff and residents through the implementation of safe working practices. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 21 EVIDENCE: Records confirmed a quality monitoring system that seeks the views of service users or their representatives has been implemented. Results from previous surveys had been sent to C.S.C.I . Views expressed in these surveys are taken into consideration when regional and in house plans referred to earlier in this report are drawn up. Monthly visits by a representative of the organisation/provider as required by regulation 26 and the forwarding of the subsequent reports to C.S.C.I. are taking place. A corporate health and safety policy was in place as were records of weekly health and safety checks undertaken. These records confirmed all staff had received training in the techniques of moving and handling, first aid, health and safety, the procedures to follow in the event of fire (including evacuation) and accidents. All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade an. All radiators and hot pipes were covered. The records of servicing equipment used within the home were available. 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 22 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 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 2 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 87 Hazel Avenue Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 23 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 YA 27 Regulation 23 2(a,b) Requirement The registered person must ensure repairs to the tiling,floor, radiator cover (in the bathroom) are carried out and ensure the existing shower is suitable and able to meet all residents needs. Timescale for action 01/08/05 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 Good Practice Recommendations 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 24 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 87 Hazel Avenue H54 S12086 87 Hazel Avenue V240671 010805.doc Version 1.40 Page 25 - 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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