Inspection on 23/01/06 for 121a Foxley Lane

This inspection was carried out on 23rd January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

121a Foxley Lane 13/03/07

121a Foxley Lane 19/09/05

121a Foxley Lane 17/03/05

121a Foxley Lane 27/09/04

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Edenvale

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Chatsworth Care - Dawson House

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Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Foxley Lane (121a) 121a Foxley Lane Purley Croydon Surrey CR8 3HR Lead Inspector James Pitts Unannounced Inspection 15:25p 23 January 2006 rd Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 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 Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 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. Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Foxley Lane (121a) Address 121a Foxley Lane Purley Croydon Surrey CR8 3HR 020 8645 0277 020 8645 0605 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.sense.org.uk Sense Mrs Sara Lei Baldesare Care Home 2 Category(ies) of Learning disability (2), Mental disorder, registration, with number excluding learning disability or dementia (1), of places Sensory impairment (2) Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2005 Brief Description of the Service: Foxley Lane is owned and managed by SENSE, which is a national charity that caters for people with a variety of sensory impairments and other disabilities. The home can accommodate a maximum of 2 service users with complex needs. The home is a bungalow type property that is set within it’s own grounds and yet is indistinguishable as a care home. Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit took place on a Monday afternoon and both of the service users were at home. Both of these people were planning to go out at 4pm so this visit was kept brief so as not to interfere with their plans. One of the service users indicated at what time they were going out and showed the inspector their favourite book. Each of the people who live here find it very difficult to verbalise to staff or other people to let them know how they are and what they need. These people can let staff know in other ways that they might want something and the staff know the service users very well and recognise the ways in which each person does this. Prior to the inspection that took place in October 2005 an advocate for one of the service users had filled out a comment card on their behalf and had said that the staff offer very thoughtful and sensitive support. Two relatives also sent back comment cards at that time and both said that they had never had any complaints about the home and are satisfied with the service that is provided. Although this inspection was brief, and focused on meeting the two people who live here, this report does contain some repeated comments that were made at the previous inspection. The reason for doing this is so that those reading this report will get a broader sense of the home’s operation over the current inspection year. What the service does well: The home is continually good at ensuring that service users are supported appropriately in all aspects of their day-to-day living. This includes providing the necessary support to service users that will enable them to be a part of the wider community and to have aspirations, expectations and goals. This is done within a clear risk assessment framework, which properly balances the right to freedom within acceptable risks without imposing unreasonable restrictions. The staff team are good at making sure that all of the service users are protected from abuse (this means that the staff at the home do everything that they can to stop any of the service users from being hurt by someone else). The home also has the necessary safeguards in place to ensure that proper and diligent staff selection and recruitment occurs. Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 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. Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 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 Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 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): The key standard, Standard 2, in this section of standards was assessed as having been met at the inspection of 19th October 2005 and was not examined again at this visit. EVIDENCE: Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 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 the following standard(s): All of the standards in this section were assessed as having been met at the inspection of 19th October 2005 and were not examined again at this visit. EVIDENCE: Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 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 the following standard(s): 13, 14 & 17 Service users can feel confident that the staff of the home will provide opportunities for each to develop their personal and social skills. This includes active support for each person to participate in the community both in terms of the activities of daily life and leisure interests. EVIDENCE: The service users continue to have access to a wide range of the home such as swimming, weekly visits to a sensory aromatherapy sessions (funded by SENSE), country walks outings. Each of the service users were planning to go out day of this inspection visit. of activities outside room, weekly and other such a little later on the The staff team ensures that service users access the local community as much as possible including meals out, trips to shops, pubs, the seaside etc. One to one staffing is always provided. It is sometimes necessary for a third member of staff to accompany the service users on outings, and this is sometimes available. Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 11 Service users also have access to a healthy and varied diet and a range of foods of their liking. Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 12 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): All of the Key standards in this section were assessed as having been met at the inspection of 19th October 2005 and were not examined again at this visit. EVIDENCE: Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 13 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): Both of the standards in this section were assessed as having been met at the inspection of 19th October 2005 and were not examined again at this visit. There have been no complaints or concerns reported to the home or to the Commission. EVIDENCE: Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 14 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): 29 & 30 The service users can still feel confident that they are living in a generally well maintained and clean home. EVIDENCE: The loop system in the lounge was tested again during this visit and was still found to be in need of repair. Although someone visited recently to do this, it would appear that the microphone was repaired but the connection on the loop box is what appears to be at fault. The home was found to be very bright, well decorated, clean and free from any offensive odours. Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 15 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): 32, 33 & 35 Service users can feel confident that there will be enough staff on duty each day to meet their needs and that these staff are safe and well trained in how to support them. EVIDENCE: As reported at the previous inspection, all new staff are subject to a detailed induction programme that includes core training such as basic first aid, food handling, adult protection, communication and SENSE core values. All staff completing the induction automatically progress to NVQ. Additionally there is in- house induction in relation to the home’s procedures, service user needs etc, all of which are documented. Staff training profiles, are maintained in the home. Additional to all this core training there is evidence of extensive focus on communication training with most staff having had access to training on working with deaf/blind people, Makaton, British Sign Language and Deaf awareness. All staff have training is Crisis Prevention and Intervention. Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 16 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 & 42 The service users can feel confident that they are living in a home that is well managed both internally and by SENSE. EVIDENCE: The manager of the home took up a temporary “acting up” position as an area manager with SENSE. This is initially for a six month period and the deputy manager is acting as the manager during this time. SENSE were previously informed that they must write to formally notify the Commission of this proposal, which has now been done. The home remains good at making sure that the people who live and work here are kept safe from fire and other hazards. The only errors that were previously seen to have been made is that an update the gas safety and portable appliance check needed to be done. An agreement has been reached about the frequency of the portable appliance checks and the gas safety check has now been completed with written confirmation being sent to the Commission after this inspection visit. Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 17 Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X 2 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Foxley Lane (121a) Score X X X x Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 x DS0000028136.V272510.R01.S.doc Version 5.0 Page 19 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 YA29 Regulation 23 (2) ( c ) Requirement The loop system in the lounge was tested during this visit and was found to be in need of repair. Timescale for action 23/01/06 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 Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Foxley Lane (121a) DS0000028136.V272510.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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