Inspection on 19/06/06 for Foxlands House

This inspection was carried out on 19th June 2006.

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

Foxlands House 06/09/05

Foxlands House 11/04/05

Foxlands House 25/10/04

Foxlands House 14/07/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Foxlands House 1 Cranesbill Close Annesley Avenue Colindale London NW9 5RQ Lead Inspector Daniel Lim Key Unannounced Inspection 19th June 2006 09:00 Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Foxlands House Address 1 Cranesbill Close Annesley Avenue Colindale London NW9 5RQ 020 8200 1796 020 8200 9610 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) Richmond Fellowship Gloria Achiekwelu Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The homes will have one registered manager and a designated deputy manager in each home. There is one male service user at Foxlands House over the age of 65 (D.O.B 24/04/1934). The CSCI must be informed when this service user no longer receives care at the home. The homes Meridan House and Foxlands House will function seperately with their own registration and independent staff group to provide personal care only. 6th September 2005 3. Date of last inspection Brief Description of the Service: Foxlands House is a small purpose built care home which was opened in 1998. It forms part of a complex of six buildings developed on this site to accommodate people who were previously patients at Napsbury Hospital in Hertfordshire. The home is run by a charity called The Richmond Fellowship. It is registered for a maximum of six service users with mental disorders. Three of the service users may be over the age of 65 years. The stated aim of the home is to provide a home where service users can be cared for with dignity and where they can lead as independent a life as possible. The home is a detached, two storey modern house. It has six single bedrooms located on the ground and first floors. All bedrooms have ensuite facilities.The staff office, lounge, kitchen and laundry are located on the ground floor. The managers office and a smaller lounge is on the first floor. There is a communal bathroom and toilet on the ground floor and a second communal bathroom and toilet on the first floor. There is a small car park at the front and a garden at the back. The home is within walking distance of Colindale Hospital and about a mile away from Edgware Hospital. It is also close to shops and public transport facilities along Burnt Oak Broadway. The fees charged by the home are based on a block contract with the local health authority (£1158 per person week). The provider must make information about the service available (including reports) to service users and other stakeholders. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 19 June 2006 and took a total of three and a half hours to complete. The inspector found that the overall quality of care provided was of a high standard. During this inspection, the inspector was accompanied by the deputy home manager (Jackie Mwaoha). The inspector was able to interview four residents. The feedback received from them indicated that they were satisfied with the care provided. Statutory records were examined. These included three residents’ case records, the maintenance records, accident records, complaints’ record and fire records of the home. The premises including bedrooms, bathrooms, treatment room, laundry, kitchen, gardens and communal areas were inspected. Two staff on duty were interviewed on a range of topics associated with their work. Staff records, including supervision records, evidence of CRB disclosures, references and training records were examined. The minutes of staff and residents’ meeting were also examined. What the service does well: The case records of residents were well maintained and plans of care examined were structured and up to date. The premises were clean and homely. The garden was attractive and residents were involved in maintaining it. Residents had been consulted and their preferences regarding activities organised had been responded to. Residents were satisfied with the care provided and they stated that they had benefited from staying at the home. Staff were well trained and aware of the need to treat residents with respect and patience. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 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. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Arrangements were in place to ensure that residents’ aspirations and needs are assessed. This ensures that their needs can be identified and met at the home. EVIDENCE: The four residents who were interviewed indicated that their care needs had been met at the home and they were happy with the care provided. Comments made included, “well treated” and “I have improved and got better”. A sample of three residents’ case records which were examined, contained comprehensive assessments, plans of care and details of how residents needs had been met. The inspector observed that residents in the home were clean, appropriately dressed and appeared well cared for. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 9 Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 8, 9 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Arrangements were in place to ensure that residents are able to make decisions about their lives and remain as independent as possible. EVIDENCE: All four residents who were interviewed were able to confirm that they had been consulted regarding their care and suggestions made by them had been responded to. They expressed satisfaction at the helpful attitude of staff. The sample of three residents’ case records contained appropriate care plans and assessments. Plans of care had been signed by residents’ concerned and these had been regularly reviewed. There was documented evidence that residents had been encouraged to be as independent as possible and this was confirmed by the residents interviewed. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 11 Two of the residents interviewed confirmed that they had made significant progress in the home and were able to lead more active lives. One stated that she had enrolled on a training course. Residents were noted to be involved in household chores such as shopping, gardening and tidying of their bedrooms. The inspector noted that a resident had presented a fire risk. The case records concerned contained an appropriate fire risk assessment and staff were aware of action to be taken to minimise risks. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 14, 15, 16, 17 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The daily life and routines of residents were well organised and individually tailored to meet the needs of residents. This ensures that residents felt valued and are able to exercise choice and control over their lives. EVIDENCE: The daily life and routines of residents were well organised. The home had a varied activities programme for residents. This included cookery sessions, games, gardening and outings to places of interest. There was evidence in the case records that they had been kept active and stimulated. The inspector was informed by residents and staff that a holiday had been organised for residents and this reflected their preferences. Meetings had been organised and residents had been consulted regarding the management of the home. The minutes of these meetings were available for inspection. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 13 Resident interviewed indicated that they were satisfied with the meals served. The menus examined appeared varied and balanced. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 20 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for healthcare and personal care were satisfactory. This had ensured that residents holistics needs are being met at the home. EVIDENCE: The four residents interviewed stated that they had been attended to by their GP and other healthcare staff. The medication records were well maintained and residents stated that they had been given their medication. The temperature of the room where the medicines cupboard was located had been monitored daily. These were on the whole, satisfactory (with 2 exceptions when the temperature was noted to be 26C). The inspector was reassured by the manager that an air conditioner was in the process of being purchased for the room. The sample of three case records contained comprehensive plans of care which addressed the holistic needs of residents. There was evidence in the records to Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 15 indicate that plans prepared had been carried out. These plans were reviewed regularly. The inspector noted that a resident who had challenging behaviour and had presented management difficulties had made significant improvement as a result of care provided and a behaviour modification programme. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The arrangements for responding to complaints and for adult protection were satisfactory. This ensures that residents feel listened to and are protected from abuse and harm. EVIDENCE: The complaints book was examined. The inspector noted that complaints made had been promptly responded to. Residents interviewed stated that they were well treated by staff and no allegations of abuse were received by the inspector. Residents who were interviewed stated that they had been consulted regarding their care and the management of the home. They further stated that suggestions made by them had been responded to. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 27, 28, 29, 30 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home was clean, well equipped and furnished to a high standard, therefore providing a nice environment to live in. EVIDENCE: The premises were clean and well maintained. The communal areas were well decorated and adequately furnished. The garden was attractive and colourful. The inspector was informed that residents had been involved in maintaining the gardens. The required maintenance and safety certificates were seen by the inspector. These included safety inspection certificates for the portable appliances, electrical installations and gas equipment. The laundry was inspected. Linen which had been washed were examined. These were found to be clean. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 18 Lockable facilities had been provided in bedrooms inspected. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The recruitment process and staffing arrangements were satisfactory. This ensured that residents’ needs were met by an appropriate and capable group of staff. EVIDENCE: The four residents who were interviewed indicated that staff were responsive and had treated them with respect and dignty. The duty rota was examined. It indicated that in addition to the manager, there was normally at least three staff during the morning shift, 2 staff during the afternoon and evening shifts and one staff on sleeping duty during the night shifts. The two staff who were on duty were interviewed on a range of topics associated with their work (such as health and safety, adult protection, fire procedures and the mental healthcare care of residents). They were noted to be knowledgeable regarding their roles and responsibilities. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 20 There was documented evidence that staff had been provided with essential training. This included food hygiene, mental healthcare, and health and safety. The staff records examined indicated that the required recruitment standards and procedures (including obtaining satisfactory CRB disclosures and references) had been followed. Staff were aware of the need to treat all residents with respect and patience and to allow residents time to recover from their problems. One to one sessions had been provided by staff for residents and thee were documented in the case records. Staff further stated that they worked as a team and communication in the home was good. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42. The quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home was run in the best interest of residents and arrangements were in place to ensure the safety and welfare of residents in the home. EVIDENCE: When interviewed, the deputy manager was found to be knowledgeable and residents were of the opinion that the home was well managed. There was evidence that staff and residents were consulted regarding the management of the home. Weekly residents’ meetings had been held. There was evidence that residents preferences regarding holidays, outings and meals provided were responded to. All four residents interviewed expressed satisfaction at the way the home was managed. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 22 The inspector noted that with one exception, residents interviewed had made significant progress mentally and were alert and responsive during this inspection. In particular, the inspector noted that a resident with challenging behaviour had improved and had co-operated with staff caring for her. Weekly fire alarm checks, fire door checks, fire drills and fire training had been documented. Following requirements made in the last inspection report, one of the fire drills had been carried out after dark and all windows inspected had been fitted with window restrictors. These were engaged. Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 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 3 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 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 3 3 X 3 3 3 Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 24 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. 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 Foxlands House DS0000010439.V290020.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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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