Inspection on 26/10/05 for Hagden Lane (336-338)

This inspection was carried out on 26th 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

Hagden Lane (336-338) 13/10/08

Hagden Lane (336-338) 24/10/06

Hagden Lane (336-338) 11/01/05

Hagden Lane (336-338) 17/08/04

Hagden Lane (336-338) 04/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

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Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Hagden Lane (336-338) 336-338 Hagden Lane Watford Hertfordshire WD18 7SH Lead Inspector Yoke-Lan Jackson Unannounced Inspection 10:00 26 October and 22 November 2005 th nd Hagden Lane (336-338) DS0000019401.V261009.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 Hagden Lane (336-338) DS0000019401.V261009.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. Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hagden Lane (336-338) Address 336-338 Hagden Lane Watford Hertfordshire WD18 7SH 01923 213 015 01923 218 416 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) Turning Point Southern Area Office Mrs L Harris Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6) of places Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for 6 people with a learning disability or mental disorder (when associated with learning disability). 4th May 2005 Date of last inspection Brief Description of the Service: Hagden Lane (No. 336/338) provided by Turning Point, is a residential home for six service users with learning disability/mental disorder excluding dementia. The service user groups are separated by gender with three male service users at No. 336 and three female service users at No. 338. The building consists of two semi-detached, three bedroom houses situated in a residential area in the town of Watford. It is within easy reach of the shopping centre, public park and leisure facilities. Public transportation is walking distance away. There is no parking space except on the main road. Each of the two houses has a patio that leads into the back garden. At the end of the two gardens are the garages, one of which has been converted into an additional office (No. 338) and the other, an activity room (No.336). All the bedrooms are on the top floor, except for one at ground floor level at No 336.The kitchen/diner is fairly large. The bathrooms and toilet facilities are adequate for the number of service users living in the home. There is access between the two houses via the front and back doors. The home has adequate communal spaces in both houses. The main administrative office is at No. 336. Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was conducted on 26th October and a monitoring visit was conducted on 22nd November 2005. The inspection began with a tour of the premises. The service users present on the day were interviewed. The care plan files and other documents were examined. The standard of care is maintained. The service users gave positive feedback about the care and service provided. (Please see below the details of the inspection findings). What the service does well: What has improved since the last inspection? The building, both externally and internally, has been redecorated and refurbished. The home has recently admitted a service user following a full assessment. All the members of staff have completed their training on medication entitled “Certificate in Safe Handling of Medication”, provided by an approved educational college. Hagden Lane (336-338) DS0000019401.V261009.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. Hagden Lane (336-338) DS0000019401.V261009.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 Hagden Lane (336-338) DS0000019401.V261009.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, 2, 3, 5. Prospective service users are given the information they need to make an informed decision. They are able to visit the home and assess its facilities and suitability. A comprehensive assessment is carried out prior to the admission of a prospective service user. EVIDENCE: The service user interviewed confirmed that she was given the appropriate information prior to her admission into the care home. She had a trial period of stay. A Service User Guide and a copy of the Contract of Agreement were given. Hagden Lane (336-338) DS0000019401.V261009.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): 6, 7, 10. Service users are given every opportunity to participate in all aspects of the daily routine in the home. They are all involved in the day to day running of the home. The service users are encouraged to take appropriate risks as part of an independent lifestyle. Confidentiality is maintained in accordance with legislation. EVIDENCE: The assessed and changing needs of the service users are reflected in the individual care plans examined. One care plan file was not updated. However since the inspection, this issue has been rectified. On the day of the inspection there were some service users in the home. One commented: “I am very happy here. The carers are very helpful. I have no complaints”. All the service users present appeared content and well cared for. Staff ensure that personal information is maintained in accordance with the Data Protection Act 1998. Hagden Lane (336-338) DS0000019401.V261009.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): 12, 13, 15, 16, 17. Each service user has opportunities for personal development. The daily routine promotes independence and individual choice. They are encouraged to integrate into the community via outdoor activity programmes. Service users have good links with their families and friends. A healthy diet is promoted. EVIDENCE: The service users are given appropriate training in practical living skills and personal safety. Each has a planned programme of activities to suit their lifestyle. Each service user prepares their own menu and cooks their own meals. A member of staff assists each of them. The dietician visits the service users on a regular basis to ensure that they maintain a healthy diet. Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 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 the following standard(s): 18, 19, 20, 21. Service users are treated with respect and they receive personal care and support in the way they require and prefer. Medication is administered in accordance with legislation. EVIDENCE: Health and behavioural concerns are referred to the appropriate health care professional for immediate assessment. One service user continues to administer her own medication. Staff assist her when necessary. Trained staff administer the medication to the other service users. Proper records are kept in accordance with legislation. Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 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 the following standard(s): 22, 23. The Complaints Policy and Procedure are robust and they are available to service users and others. EVIDENCE: The staff are aware of the Whistle Blowing Policy and all staff are trained to ensure that they follow the Hertfordshire Adult Protection Procedure. There were no complaints since the last inspection. A recent theft was investigated by the police. The service users have not been affected. Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 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 the following standard(s): 24, 25, 26, 27, 28, 29. The home provides a safe and comfortable environment for the service users. The facilities provided are adequate for the current group of service users. EVIDENCE: There is an on-going maintenance programme. Currently the interior of the building is being redecorated and refurbished. The external grounds have been cleared of unwanted objects and appeared neat and tidy and were safe and accessible to all the service users. The bedrooms examined reflected the lifestyle of the individual service user. Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 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 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, 35, 36. Service users are well supported and supervised by trained staff. The staff have regular supervision and training to meet the needs of the service users in their care. EVIDENCE: All the staff have completed their training in medication entitled “Certificate in Safe Handling of Medication”, provided by an approved educational college. New staff followed the Induction Training Programme organised by the provider, Turning Point. The service users interviewed felt supported and they are very pleased with the staff that assisted them. Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 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 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, 39, 40, 41, 42. The general administration and management of the home are positive. The service users’ health and safety are generally promoted and protected. However, the provider, Turning Point, does not always submit the monthly report to the Commission on time. EVIDENCE: The registered manager was not present at the initial inspection but was present during the monitoring visit. She confirmed that all records required by legislation have been updated. Following a theft, a new local procedure is being devised and a written copy will be forwarded to the Commission for Social Care Inspection. Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 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 x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hagden Lane (336-338) Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score X X X X 2 3 3 DS0000019401.V261009.R01.S.doc Version 5.0 Page 17 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 Hagden Lane (336-338) DS0000019401.V261009.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hertfordshire Area Office 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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