Inspection on 08/06/07 for Bear Road (82)

This inspection was carried out on 8th June 2007.

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

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 Bear Road (82) 82 Bear Road Hanworth Middlesex TW13 6RG Lead Inspector Key Unannounced Inspection 7th June 2007 11:00 Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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 Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bear Road (82) Address 82 Bear Road Hanworth Middlesex TW13 6RG 020 8614 6995 0208 614 6996 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) www.gcpcare.com Grove Care Partnership Ltd Josephine Gardner Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection N/A Brief Description of the Service: 82 Bear Road provides a service to people who have a learning disability. The home is owned by Grove Partnership Ltd and is a five bedroomed house in Hanworth. One single bedroom, adjoining ensuite bathroom and one staff sleep-in room are situated on the upper first floor of the building. There are four single bedrooms with ensuite facilities on the first floor and the ground floor consists of a large kitchen/dining area, office, laundry room and two lounges which are appropriate for shared and/or individual activity. A separate activities room is within an outbuilding at the bottom of the rear garden and patio. There is ample parking space at the front of the building and bus links to local shopping centres and Hounslow East underground station are within short walking distance. There are currently two vacancies at the home and weekly fees range from between £1,500 and £2,200. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 11:00am and 4:30pm on 7th June 2007. The Registered Manager, two care support workers and two of the three residents placed at the home were present. The Inspector was advised by the Registered Manager that one resident was on a home visit to relativies. During the course of the inspection, the home’s policies, procedures, documents and records were viewed. A tour of building was undertaken and observations were made. Two care support workers and one resident were spoken with. All key Standards were examined. Discussions were held with the Registered Provider who visited the home during the latter stages of the inspection. The Registered Manager was co-operative and provided appropriate assistance throughout the inspection. What the service does well: A culturally diverse service is provided at the home. Two residents appeared healthy, appropriately dressed and related in a friendly and spontaneous manner with the Registered Manager and care support workers who were on duty at the time of the inspection. Care support workers have received appropriate training and were observed being attentive and competent in meeting the needs of residents. All records, policies, procedures and documents were satisfactory and indicated that the best interests of the people who use the service were being safeguarded. Overall, the home was found to be clean, hygienic and well maintained. The atmosphere was lively and homely. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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 Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The records relating to two of the people who use the service were viewed and it was reflected that the individual needs and aspirations of prospective residents were satisfactorily assessed by the home prior to their admission. EVIDENCE: The Inspector was informed by the Registered Manager that referrals of prospective residents were made by Community Teams for People with Learning Disabilities and that the Registered Provider was initially involved in identifying suitable homes within the organisation for meeting specific needs. The records relating to two residents were examined and it was evidenced that background history and an initial written assessment were submitted by placing Authorities at the point of referral. The Registered Manager, identified key worker, previous carers, social workers, health care professionals and prospective residents were involved in a subsequent assessment process. This determined the capacity of the home to meet separate personal, health care, Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 9 religious and cultural needs, social interests and educational and/or work aspirations. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans relating to three residents were examined. All were appropriately carried out and reflective of residents involvement. Related risk assessments were in place and clearly detailed. EVIDENCE: The care plans that had been drawn up regarding three residents were viewed. It was reflected that residents were involved in identifying and assessing individual personal, healthcare and religious needs, social interests and educational/work aspirations. Appropriate action plans and set goals had been put into place and signed by the respective resident and his/her key worker. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 11 Risk assessments had been carried out in relation to specfic activities identfied within care plans such as falling off a bicycle and violent/aggressive behaviours. Care plans and risk assessments were being regularly reviewed. Care support workers who were spoken with confirmed that residents were able to make decisions regarding their daily living routines such as activities, meals and what they wore each day. Residents also handled their own money but received support when making individual purchases. The Inspector was informed by the Registered Manager that one resident independently paid his/her rent contribution to the home. People who use the service were observed moving freely and comfortably around the home. One resident chose to have a late lie-in at the time of the inspection and bedrooms were reflective of personal choices and interests. . Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. It was reflected on separate records viewed that residents are able to participate in regular activities of their choice within the local community. They are also able to maintain regular contact with relatives and have personal relationships. The people who use the service take responsibility for light housekeeping tasks within the home. Varied and nutritional meals are being provided. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 13 EVIDENCE: The Inspector was advised by the Registered Manager that the people who use the service received support in developing independent living skills including budgeting, self care and communication. They were offered opportunities for further education and received assistance in obtaining appropriate employment. The records were reflective of residents being able to seek part-time employment and enroll on various college courses such as computing, sports training and photography. The home has an activities room and three bicycles are available to the people who use the service. Individual Activities Programmes were in place and it was indicated that residents participated in a variety of outdoor activities including cycling, swimming, snooker and horseriding. They also attended evening clubs and annual holidays were arranged. The Inspector was informed by the Registered Manager that the people who used the service were in regular contact with their respective relatives and were able to develop and maintain personal relationships. One resident was on a visit to relatives at the time of the inspection. It was reported by a care support worker that the people who use the service assisted with the preparation meals and made their own drinks. They also loaded the diswasher and brought down their laundry. An open kitchen policy is in operation and residents are able to prepare their own breakfast, light lunches, drinks and snacks. At least one main meal was prepared by care support staff each day and varied and nutritional options were listed on the menus. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The records were reflective of appropriate personal care being delivered to the residents and that their separate health care needs are being met satisfactorily. The policies and procedures on medication are comprehensive. EVIDENCE: The Inspector was informed by the Registered Manager that the residents required prompting or assistance with personal care. These tasks were carried out within separate ensuite facilities but that residents independently chose what they wore each day. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 15 Two residents appeared well groomed and appropriately dressed at the time of the inspection. The specific health care needs of residents were recorded within care plans and it was indicated that they received annual health, dental and optical checks. General Practioner appointments were arranged as required and residents were accompanied by care support staff during medical appointments. Policies and procedures on medication were in place. The storage and disposal of used medicines were satisfactory and the medication administration sheets were accurately documented. The records were indicative of medication training being delivered to all members of the care support staff team. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is in place and satisfactory. The records indicated that the people who use the service are being protected from abuse. EVIDENCE: The complaints procedure was concise, clearly detailed and accessible to the people who use the service and their relativies. The home does not hold financial responsibility for residents. The Registered Manager confirmed that residents received weekly benefits that were paid directly into their separate bank accounts. However, residents were accompanied by care staff when benefits were being withdrawn, and received support and advice with budgeting. Individual cash cards were safeguarded at the home. Grove Park policies and procedures on the protection of vulnerable adults were in place and the records were reflective of staff training on Adult Abuse Awareness being delivered. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A tour of the building was undertaken and all areas were found to be well maintained. The overall environment was safe, calm and homely. EVIDENCE: The communal areas within the home are spacious and appropriate for shared or individual activity. There are two lounges, both are attractively decorated, comfortably furnished and television sets, video, a computer and music system are in place. There is a large kitchen/dining area. The rear garden is tidily kept and leads into the activities’ room which is suitably equipped. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 18 No issues were identified in relation to the laundry. Overall, the home was found to be bright, airy, hygienically clean and well maintained. The environment was safe and homely. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Training records were viewed and it was indicated that the care staff were appropriately trained and qualified for meeting the needs of those who use the service. A sample of recruitment files were viewed and were found to contain the required documents. EVIDENCE: The Inspector was advised by the Registered Manager that one care support worker had achieved level 3 NVQ and that one care worker was currently receiving NVQ training. A number of recruitment files were examined at random and all contained the required documents such as CRB disclosure certificates, application forms, references and signed contracts/statement of terms and conditions. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 20 A training programme was in place and it was reflected that all new care staff received induction training and that subsequent staff training such as Health and Safety, Fire Awareness, Food Hygiene, Medication, Basic First Aid and Fire Safety Awareness had been delivered. Care support staff who were on duty at the time of the inspection were observed being sensitive and competent in responding to the needs of the people who use the service. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager is appropriately experienced and qualified and the home is well run. Systems for effective quality assurance were not evidenced but the Registered Provider confirmed that quality assurance in relation to the home would be carried out in due course. Health and safety records were viewed and found to be satisfactory. EVIDENCE: Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 22 The Registered Manager is experienced in her role and has obtained the Registered Manager’s Award. Residents were observed freely enterering the Registered Manager’s office and interacting in a friendly and spontaneous manner with her. Members of the care support staff team that were spoken with reported that the Registered Manager was approachable, supportive and friendly. Systems for undertaking effective quality assurance were not in place at the time of the inspection. The Registered Provider confirmed that these sytems were being held at Head Office and that quality assurance exercises regarding the home would be initiated in due course. It was evidenced that all health and safety checks including fire safety, water temperature and portable appliances were regularly carried out and up to date. Fire drills were being appropriately undertaken. Fire and environmental risk assessments were in place and clearly detailed. Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Bear Road (82) DS0000069305.V334583.R01.S.doc Version 5.2 Page 26 - 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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