Inspection on 17/10/05 for Christchurch Road (1)

This inspection was carried out on 17th October 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

Christchurch Road (1) 28/09/06

Christchurch Road (1) 16/01/06

Christchurch Road (1) 31/01/05

Christchurch Road (1) 14/09/04

Christchurch Road (1) 15/03/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

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

CARE HOME ADULTS 18-65 Christchurch Road (1) 1 Christchurch Road Hemel Hempstead Hertfordshire HP2 5BX Lead Inspector Marian Byrne Unannounced 17 October 2005 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. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Christchurch Road (1) Address 1 Christchurch Road, Hemel Hempstead, Hertfordshire, HP2 5BX 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) 01442 398384 01442 398384 Hightown Praetorian & Churches Housing Association. Dumitrachi Mazilu CRH Care Home 5 Category(ies) of MD Mental Disorder (5), MD(E) Mental Disorder registration, with number over 65 (5) of places Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 31/01/05 Brief Description of the Service: Number 1 Christchurch Road is a detached older style house in a residential area of Hemel Hempstead offering a service to five people. The accommodation is on two floors and consists of one en-suite bedroom, comfortable sitting room, dining room and kitchen on the ground floor, and four further bedrooms, bathroom, toilet and office on the first floor. There is an additional toilet on the mezzanine landing, and the garage is used as a utility space for laundry and some food storage. There is a small paved garden at the rear of the house, which is tended by staff and service users. The house is close to Hemel Hempstead town centre and public transport is accessible nearby. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, was carried out by one inspector, on the morning of 17th October 2005. All the service users were spoken with and all the staff on duty were spoken with. It was a very positive inspection. All the service users and staff were positive about the service. No new admissions had been made since the last inspection. All documentation had been updated where appropriate. The environment was clean, fresh and odour free. All the service users rooms were personalised to reflect the personality of the service user. One service user was out assisting staff to complete the weekly shopping. No requirements were left at this inspection. What the service does well: What has improved since the last inspection? What they could do better: The Registered Manager and the Registered Provider are aware that the front of the home needs attention. A new front door is on order and plans are afoot to improve the small garden. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 6 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. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 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 Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 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) 1,2,3,4&5. The home provides up to date information to all service users and their representatives to enable them to make an informed choice in choosing a home. EVIDENCE: The home updates its Statement of Purpose and Service Users’ Guide regularly and they reflect the service the service users can expect in the home. The assessment of the service users contained all the necessary information pertaining to the health, welfare and social needs of the service users. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9&10. The home ensures all the service users have care plans. Service users make decision about their lives and participate in the local community. EVIDENCE: Both care plans that were examined contained a commendable wealth of information that should ensure that there would be an adequate continuity of care provision in terms of health and welfare if the regular care team were not available. Care plans are reviewed every three months. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16&17. The service users have opportunities for personal development and where possible participate in the local community. Service users are offered and participate in the enjoyment of a varied healthy diet. EVIDENCE: Service users participate well in the running of the home. Each has a day when they chose the main course for the evening meal. They are supported by staff in the daily tasks of living. They have a varied and full life outside the home. The home is within easy access of the town centre. The service users use the local pub and restaurants to eat out regularly. On the day of inspection one service user was shopping with a member of staff. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19&20. Service users wishes are very much at the centre of the home. They are consulted on all aspects of their lives. Medication is administered appropriately. EVIDENCE: The service users spoken with indicated that they are consulted in all aspects of their lives. All service users are registered with a local doctor’s practice. Each has a named Community Psychiatric Nurse and are reviewed regularly. Medication was administered and recorded appropriately. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22&23. The service users are protected from abuse. Service users feel that their views are listened to. EVIDENCE: There were no complaints since the last inspection. The staff were aware of the Protection of Vulnerable Adults policy and informed the inspector they would follow it should the need arise. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28&30. The home is comfortable and meets the needs of the service users. EVIDENCE: On the days of the inspection the home was clean, fresh and odour free. All rooms were personalised and homely. Appropriate lifting and moving equipment is available. The environment meets the space requirements of the Care Standards Act 2000. Service users have the facility to lock their rooms. There are plans to install a new kitchen in the coming financial year. The front door is shabby and in need of paint, the Registered Manager informed the inspector that a new door is on order and will be installed in the next few weeks. The environment meets service users needs in relation to lifestyle and needs. It is homely, clean and hygienic. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35&36. The home is staffed by well trained, well supervised, committed staff. EVIDENCE: The home has a core of well trained and committed staff. All staff receive regular supervision. Staff spoken with confirmed that they are well supervised. The inspector observed very good interaction between staff and service users. All staff receive up to date training. The staff files inspected contained all the necessary information in relation to identity and security clearances. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 37,38,39,40,41,42&43 The home is well managed resulting in a home that is supportive, homely and meets their needs. EVIDENCE: This was the first inspection for the Registered Manager. The staff spoken with informed the inspector that they were well supported by the Registered Manager. There is a homely atmosphere in the home. The service users spoken with informed the inspector that they are happy living there and that they are consulted and supported in all aspects of their lives. There were appropriate up to date records on all aspects of the running of the home including fire safety, staff training, staff supervision and insuring care all the data on the service users. Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 16 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Christchurch Road (1) Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 17 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 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. 1. Refer to Standard Good Practice Recommendations Christchurch Road (1) I52 S19315 Christchurch Road V247621 171005 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire, AL7 3BQ 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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