Inspection on 01/08/05 for Dimensions 2 Lindsay Drive

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 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 but made no statutory requirements on the home.

Other inspections for this house

Dimensions 2 Lindsay Drive 03/04/07

Dimensions 2 Lindsay Drive 09/02/06

Dimensions 2 Lindsay Drive 16/02/05

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 2 Lindsay Drive 2 Lindsay Drive Kenton Middlesex HA3 0TB Lead Inspector Sue Mitchell Unannounced 01 August 2005 15:00 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. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 2 Lindsay Drive Address 2 Lindsay Drive Kenton Middlesex HA3 0TB 020 8905 0645 020 8903 7607 cfrederick@pentahact.org.uk PentaHact 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) Gill Temkin CRH - Care Home PC - Personal Care 5 Category(ies) of LD - Learning Disability 18 to 65 - 3 registration, with number LD(E) Learning Disability Elderly over 65 - 2 of places 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Providing accommodation and care for two people over the ageof 65 Date of last inspection 16.2.05 Brief Description of the Service: Lindsay Drive is one of number of homes for people with learning disabilies owned by Pentahact in the Harrow and Brent area. It provides care and accomodation for five people with learning disabilities and some phyical disability, two of whom are over 65. Accommodation is provided on two floors. There are three bedrooms on the ground floor and two on the first floor. There a designated day care room with keep fit equipment for the residnts use There is a spacious lounge and large kitchen dining room on the ground. The property is on the corner of a quiet road in Kenton and a busy main road. It is approximately 10 minutes walk to the nearest tube (Kingsbury) and main bus routes are close by. There are shops and restaurants close by as well as as a range of leisure facilities in Harrow town centre. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out during the afternoon and early evening when the residents had arrived home from their day centre. There were four residents at home with one person out on a day trip to the seaside with her day centre. Three of the residents were able to have a chat with the inspector and the fourth person used some words, signs and gestures to talk with the inspector. Four of the residents had been in holiday recently and showed the inspector photographs of their holidays. Two had been to Corfu with staff for two weeks and one had been to New York for two weeks. One person had been with the Gateway Club on a week’s holiday. They were keen to tell the inspector about what they had seen and done on their holidays. One of the other residents told the inspector that she didn’t want to go away but had had some nice shopping trips up to London. The inspector spent time with the residents and spoke to the manager, deputy and staff on duty. The inspection focussed on following up the requirements from the last inspection, care plans, medication, staff training and health and safety matters. What the service does well: What has improved since the last inspection? The home had met all but one of the requirements from the last inspection. The staff have installed keep fit equipment in the day care room, which is used on a daily basis by the staff and residents. Staff continue to receive regular training, including access to NVQs, from the organisation. Residents care plans continue to be regularly updated. Person centred planning is due to be implemented in the near future. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 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. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.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 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.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) 1,2, New residents and their families are provided with a colourful service users guide and statement of purpose to assist in their choice of home. New residents are fully assessed and introduced to the home in an appropriate manner EVIDENCE: The home had been required to amend its statement of purpose to reflect the new structure and organisational changes. This had partially been achieved. The manager was advised to refer to Schedule 1 of the Care Homes Regulations 2001 for the information required to be in the Statement of Purpose. The service users guide had been completed in an easy to read format using symbols and plain language. A new service user had been admitted in April following a short introduction due to the imminent closure of his previous home. The manager stated that she had carried out an assessment of the new person and had been supplied with information on his support needs from staff working with him in his other home. The new person had made visits to Lindsay Drive with his relative and had also had a weekend stay. The manager stated that he had settled in well and it had helped that he knew one of the other residents as they attended at the same day centre. The manager stated that two staff from the other home had supported the new person during the transfer process, which was helpful for both staff and enabled the resident to settle in. A six week review with the social worker had taken place, which confirmed the placement. The care plan 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 Page 9 was in the process of being written by the key worker. The new resident spoke to the inspector and said that he liked living at Lindsay Drive and that he had had a lovely holiday in Corfu. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.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 Residents have their care needs regularly updated through the home’s reviewing process. They are supported to make decisions and everyday choices through the key working system and during residents meetings EVIDENCE: One care plan was sampled on this occasion. It was detailed and covered all aspects of daily living that this person required assistance with. The key worker writes monthly summaries, which updates the care plan as necessary and monitors the resident’s health, behaviour, social and leisure needs. The manager stated that staff have now completed training in Person Centred Planning (PCP) and that work has begun on putting together three residents’ PCPs. Progress on the PCPs will be assessed at the next inspection. Person centres planning focuses on the individual’s views and wishes regarding their care and needs. There was evidence through records and residents meetings that staff endeavour to involve the residents in decisions affecting their daily living. The minutes of the residents meetings reflected their choices of activities and holidays. One person spoken to discussed his hopes to move on to more independent living, which is what he said he wished to do with a friend. The manager stated that work was ongoing to ensure this person’s wishes were 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 Page 11 listened to and actioned. Staff were also observed to take time to discuss the residents day at the day centre and their activities as well as the plans for the next house event, which was a barbecue 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.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, The residents are supported to participate in and choose activities both in house and out in the community. EVIDENCE: Three residents attend a local day centre; one person only has three days there. The two older people have structured day care service within the home, which is tailored to their needs and choices. They have both lived in the home for many years and have settled routines. The staff have started to run keep fit sessions each morning with the residents in the day care room. One person said she likes to listen to her radio during the day. The residents also like to watch “ soaps” on TV. One person listed his favourite programmes. The inspector spent some time in the lounge with staff and the residents talking with them about their activities and their recent holidays in Corfu and New York. One person had said to the inspector at her last visit that he wanted to go to New York for a holiday and it was pleasing to see that his wishes had been addressed by the staff. He said he wanted to go to Canada next year. A barbecue was planned for the end of August, which the residents said they were looking forward to. The manager said that she had arranged for the RahRah Theatre Company to come and entertain the residents and their guests 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 Page 13 with a show. The residents also go to a number of clubs for people with learning disabilities as well as going into the community with staff shopping, for meals out and going to the cinema etc. The inspector did not assess the meals on this occasion but all the residents said that they had enjoyed their evening meal of mackerel, potatoes and vegetables. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.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) 19,20 Resident’s health care needs are met by a range of local community services. They are protected from harm by the home’s medication and staff training policies. EVIDENCE: There were detailed records of all health care appointments on the care files sampled. The residents attend the local chiropody, dental and optician clinics with staff support. Two residents have diabetes, which is controlled by diet and medication. There has been input for staff from the diabetes nurse on managing the residents diet. Blood tests are carried out at the GP surgery. Two residents have epilepsy, which is controlled by medication. There is input from the consultant psychiatrist in relation to medication and behaviour issues as required. The medication records were sampled and found to be in order. The home uses a monitored dosage system supplied by the pharmacist who also checks the medication. Staff have recently had medication training. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 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 standard(s) 23 The residents are protected from harm by the homes policies and procedures and by staff who have regular training. EVIDENCE: The homes abuse awareness policy was required to be amended at the last inspection. This has now been achieved. There have been no POVA incidents in the home. The organisation provides regular training for staff on adult protection. The home has a policy on the management of residents’ finances in place. Four of the residents have their finances managed by their relatives The manager and deputy are appointees with Pentahact’s Housing officer for one person. Each resident has their own bank account. The service manager for the home carries out monthly audit on their regulation 26 visits ;copies of these reports are sent to the CSCI office. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 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 standard(s) 24 The residents live in a well furnished and homely environment. EVIDENCE: A surveyor from the housing association responsible for the maintenance the building was carrying out a follow up visit to the home as a result of a premises audit, which was done in July 2005. The surveyor had identified a number of works that needed to be carried out in the home. These were to be addressed by the housing association. Two of the residents showed the inspector their bedrooms, which had been recently decorated. There had been some new shelves put up in the lounge for the residents to put their ornaments on. Holiday photographs were in place as well as pictures of other activities the residents had participated in. The communal areas had a homely atmosphere to them and the residents were relaxing together in the lounge chatting with each other and the staff. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,35 Residents are cared for by a stable, well trained and competent staff team. EVIDENCE: The manager said that the staff had had Maketon training that morning and one of the residents who uses Maketon had joined in with them. Pentahact produces a three monthly corporate training plan; a copy of the most recent plan was shown to the inspector. Staff have undertaken training in: medication, fire and health and safety, abuse awareness and POVA. Three staff are in the process of doing NVQ 2. The deputy is planning to undertake the NVQ 4. Staff spoke positively about the training on offer from Pentahact. The manager stated that there were no staff vacancies but one person was off sick and her post was being covered by a regular bank staff that the residents knew. Staff spoke positively and caringly about the residents and how they were striving to improve their quality of life. They were also very positive about the manager and the support she provides to them and to the residents. They said there had been much improvement in the way the home was managed since she started to work there and that the residents had benefited as well in many ways i.e. holidays of their choice and range of activities as well as having their rooms redecorated. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 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 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) 42 The residents’ health, safety and welfare is protected by the homes robust health and safety practice as well as their policies and procedures. EVIDENCE: All certificates relating to equipment and appliances used in the home were made available for inspection. With the exception of the Employers Public Liability certificate all were noted to be up to date. As stated earlier the housing association had identified a number of maintenance issues within the home, which they were to address. Health and safety checks of the building are carried out weekly with any faults etc being reported to the housing association. There is also a handyperson who comes to the home to carry out minor repairs and maintenance. Fire safety checks are carried out weekly and drills quarterly. Risk assessments of the premises are being carried out. COSHH data sheets are being collated. There was evidence that staff undertake regular health and safety training. 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x 3 x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x x x x Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 Lindsay Drive Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 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 1 Regulation 4, Sch 1 Requirement The manager must ensure that the Statement of Purpose is complated in acordance with Schedule 1 of the CHR 2001 (Previous timescale of 30.4.05 expired) An up to date copy of ther Employers Public Liablity Insureamce must be obtained andbe on display. Timescale for action 30.9.05 2. 42 17 31.8.05 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 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 4th 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. Extracts may not be used or reproduced without the express permission of CSCI 2 Lindsay Drive G62-G11 S62633 Lindsay Drive V240902 040805 Stage 4.doc Version 1.40 Page 22 - 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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