Inspection on 13/09/05 for Gubbins Lane

This inspection was carried out on 13th September 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 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

Gubbins Lane 09/02/07

Gubbins Lane 04/11/05

Gubbins Lane 31/03/05

Gubbins Lane 22/02/05

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 Gubbins Lane 26 Gubbins Lane Harold Wood Romford Essex RM3 0QA Lead Inspector Harbinder Ghir Unannounced Inspection 13 September 2005 12:00 Gubbins Lane DS0000027853.V251219.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 Gubbins Lane DS0000027853.V251219.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. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Gubbins Lane Address 26 Gubbins Lane Harold Wood Romford Essex RM3 0QA 01708 384525 01708 384525 sara@outlook.org.uk 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) Outlook Care Ms Sara Petley Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st March 2005 Brief Description of the Service: 26 Gubbins Lane is a care home registered to provide care, support and accommodation to 6 adults of both sexes aged between 18-65 with physical and learning disabilities. The home is a one level purpose built property and gardens with car parking facilities to the front of the building. The home is located in a residential area of Harold Wood, close to shops, public transport and the M25, A127 and the A12. The home employs staff, working a roster, which gives 24-hour cover. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Harbinder Ghir, Regulatory Inspector, undertook this unannounced inspection on the 13th September 2005 and was at the premises from 12.00 noon to 3.30pm. The visit included talking with residents and staff. Some judgements about quality of life within the home were taken from direct conversation with staff and observation. In addition a tour of the premises was undertaken and some records were looked at. Due to the profound level of learning disabilities only one resident was able to verbally communicate with yes and no answers to the inspector. What the service does well: What has improved since the last inspection? The homes confidentiality policy has now been updated. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 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. Gubbins Lane DS0000027853.V251219.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 Gubbins Lane DS0000027853.V251219.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): 1, 3, 4, 5 The home’s Statement of Purpose and Service User Guide are excellent. They provide service users and prospective service users with the information they need to make a decision about moving into the home. Service users’ needs are fully assessed. Service users have access to specialist services if they need them. EVIDENCE: The Statement of Purpose and Service User Guide were seen, which provided detailed information about the service. The Service User Guide was also presented in pictorial form making the documents appropriate to the communication needs of residents. A copy of the Service User Guide is given to all residents prior to admission and is readily available within the home as is the last inspection report. Residents receive a written contract of terms and conditions, which was very comprehensive and was also in pictorial form. Residents or their representatives signed contracts. Senior staff confirmed that trial visits to the home are encouraged and are an opportunity for potential residents and their family to identify how appropriate the home is for them in meeting their needs. Residents are offered 4-day and 24 hour stays. Residents can access specialist services, which are tailored to meet their individual needs. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 9 Staff have the skills to deliver the agreed services and can communicate with residents within the limitations of residents’ abilities. This was observed throughout the inspection. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 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, 10 There is a clear and consistent care planning system in place, which provided staff with the information they needed to meet the needs of residents. Residents are supported to make active choices and decisions throughout their daily living and areas of risk are assessed. Information about service users is kept confidential. EVIDENCE: Care plans inspected were divided into sub sections, which were easy to read and follow. The home uses person centred care plans. Care plans seen were divided into two sub-sections covering daily routines and all aspects of personal and social needs in addition to healthcare needs. Residents are involved as far as possible in setting up the care plan and plans are produced in a format which is accessible to them. Each service user has a designated key worker. The care plans set out specialist requirements and how they are met. Care plans included individual procedures in relation to risk areas and challenging behaviours. Comprehensive risk assessments were in place for individual areas of identified risk and steps had been taken to reduce risk Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 11 where possible, clear guidance was given for staff. Care plans and risk assessments were up to date, reviewed regularly by the home and by multidisciplinary professionals. The individual daily records for residents included involvement in the daily running of the home as far as their abilities allow. Residents met every Sunday to plan the menu for the coming week. Some residents contributed to running of the home by participating in domestic duties, such as cleaning their rooms, going out shopping to Tesco’s and helping the manager in her office. There is a missing persons procedure, with Missing Person forms in each person centred profile. Individual records examined were accurate, secure and confidential and staff were aware of how to handle confidential information. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 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, Residents are provided with the support to maintain their independence and in areas of personal development according to their needs and wishes. Residents are engaged in community life; enjoy a range of leisure activities and a varied and nutritional diet. EVIDENCE: Care plans showed that the development of personal, social and emotional skills are fundamental to the service provided. Staff support residents to develop practical life skills for example by supporting them with managing their finances. All residents have the opportunity to be involved with the local church and attend weekly meetings if they choose. Care records identified some residents attending church on a weekly basis. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 13 Residents are offered opportunities to develop educational skills and seek employment opportunities as far as their abilities allow. Three residents attend a day centre which is focused on developing individual skills. Each resident has their own personalised weekly activity programme where they are offered opportunities to participate in a range of leisure activities both within the home and in the local community. Staff enable residents as far as possible to integrate into community life by providing information and access to community facilities and events. Group trips and outings are available for those who share the same interests. Residents are also supported and encouraged to pursue their own interests and hobbies. Some of the activities residents are involved in included attending cooking classes, coffee at the café when out swimming, walk in the park, aromatherapy and massage sessions. All residents are provided with the option of a holiday outside the home, which they choose and plan. This year residents were planning a hotel break. Residents family and friends can visit anytime of the day. Residents are encouraged to go out with their families and develop personal relationships. Due to the profound level of learning and physical disabilities residents are admitted with, all meals are provided by the home, which are varied and healthy. Picture cards of foods are displayed on a notice board outside the kitchen where residents can choose their preference of meals. Residents can also display their own picture cards of their preferred meals. Where residents are able to prepare their own meals they are encouraged and supported by staff. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 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 Personal, physical and emotional healthcare is provided that meets residents’ needs and wishes. Residents are protected by clear and comprehensive arrangements for the administration of medication. EVIDENCE: All residents have a detailed plan of their daily routine including what support is needed in relation to personal hygiene. Personal support takes account of individual preferences and residents’ choice of dress and appearance is respected. All residents have a designated key worker. Residents are supported to attend appointments with treatment by health care professionals. Care records showed that residents’ health is monitored and prompt referrals are made. Personal support takes account of individual preferences and is provided in private. Medication is managed well by the home. The home has an appropriate medication policy and procedure in place, which protects all service users and ensures the safety of those who can self-medicate by using risk assessments where necessary. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 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 the following standard(s): 22 The home provides a satisfactory complaints system and residents feel that their views are listened to and acted upon. EVIDENCE: The home has a comprehensive complaints policy and procedure. The home’s complaints logbook was seen where all complaints where logged clearly. The log identified that relatives, friends or visitors felt comfortable in making a complaint. Staff responded promptly and complaints were actioned appropriately. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 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 the following standard(s): 24, 25, 26, 27, 28, 29, 30, Residents’ benefited from living in a safe, well-maintained and clean environment. Décor, furnishings and fittings that are of a good standard and provide a homely and pleasant living environment enhance their comfort. EVIDENCE: The premises were comfortable, bright, airy, clean and free from offensive odours. Furnishings and fittings in communal areas were of good quality, domestic and unobtrusive. The home provided a large lounge, a dining and kitchen area. There is a communal assisted bathroom and shower room, and additional toilets. The grounds around the home were well maintained and were equipped with suitable garden furniture. The garden also has a fishpond, which residents are involved in looking after. Residents’ rooms were seen during the inspection. All rooms were fitted with a hand basin, were comfortable with adequate furnishings and were also personalised by residents. Emergency call points were in place and all specialist equipment for those residents in need was in place. A resident Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 17 spoken to stated that he liked his room and was happy at the home. All rooms were lockable and can be overridden by staff in an emergency. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 18 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 Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. The home needs to review its staffing levels at peak times to ensure the needs of all residents are met. The staff group receive adequate training to meet the needs of residents. EVIDENCE: Staff were observed to respect residents and were accessible and approachable. Staff demonstrated that they have the necessary skills and knowledge to meet individual needs of residents including being good listeners and communicators, reliable, honest and interested and were able to deal with and anticipate problem behaviours. The staff team have established professional relationships with therapists, care managers, GP’s, etc. It was evident from the activities in the home that the staff were highly motivated and committed to the service user group. The staff team consist of permanent and agency staff. Agency staff are used due to sickness absence, maternity and annual leave. Staff morale is very high, however staff spoken to highlighted staffing shortages during peak times. They informed that the mornings is very difficult for staff as two members of staff attend to those residents with complex needs whilst one member of staff is left to do the breakfast and tries to attend to 4 other residents which does Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 19 not ensure all the needs of residents at this time are being met adequately as residents are left waiting for long periods of time. The duty rota seen provided adequate numbers of staff at all other times. Comprehensive and detailed staff-training files were viewed during the inspection. Training is organised for all staff on a on-going basis and staff have an annual appraisal to review performance and agree development plans. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 20 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): 41 Residents are safeguarded by the home’s record keeping policies. EVIDENCE: During the inspection all residents care plans were kept in a secured place when not in use. Documentation seen was completed appropriately. Residents could access their records if they wished. Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 21 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 X 3 3 3 Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 2 3 X x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Gubbins Lane Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score X X X X 3 X x DS0000027853.V251219.R01.S.doc Version 5.0 Page 22 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 YA33 Regulation 18(a) Requirement The registered manager must ensure that, in regards to the number of residents and their assessed level of needs, appropriate numbers of persons are working at the care home at peak times to ensure the needs of all residents are met effectively. Timescale for action 13/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Gubbins Lane DS0000027853.V251219.R01.S.doc Version 5.0 Page 24 - 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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