Inspection on 29/08/06 for Hainault Road (241)

This inspection was carried out on 29th August 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

Hainault Road (241) 31/01/06

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 Hainault Road (241) 241 Hainault Road Leytonstone London E11 1EU Lead Inspector Robert Sobotka Unannounced Inspection 29th August 2006 08:10 Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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 Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hainault Road (241) Address 241 Hainault Road Leytonstone London E11 1EU 020 8556 5581 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 Mrs Neelam Ali Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: 241 Hainault Road is situated in a residential road off Leyton High Road. It provides services for 6 adults with profound learning disabilities. The home had previously been run by Canopy Care, which joined Outlook Services as of 1st of April 2005. The home has since updated its documentation, which is used by Outlook Care. The majority of the service users have complex needs and do not communicate verbally. The home has three flights of stairs with a lift to the first floor. In all there are 6 bedrooms, five of which are on the upper floors together with a sensory room, two bathrooms/toilets and an additional toilet and the office in the attic. The ground floor accommodation consists of an open plan kitchen to the lounge/dining area, which opens out onto a large garden, which is well maintained. There is also a ground floor bedroom with a bathroom and a toilet. The home provides leisure activities with inclusion into the community. Holidays are planned yearly and there are regular outings. Care planning is developed through the use of the Person Centred Planning (PCP). At the time of this inspection, there was one service user vacancy in the home. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day (morning and early afternoon) and was unannounced. During this visit, the inspector spent some time with the service users and spoke to staff working in the home including the registered manager; he also viewed various records and conducted a tour of the premises. The aim of this unannounced inspection was to check the home’s compliance with the National Minimum Standards for Care Homes for Adults 18-65 and the Care Homes Regulations. What the service does well: What has improved since the last inspection? There was only one requirement issued at the last inspection visit, which has now been met. The registered manager has now obtained NVQ Level 4 qualification in Care. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 6 New “easy read” policies and procedures have also been developed for staff. 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. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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 Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they may need to make a choice about the home. The home was appropriately meeting the needs of those accommodated there. EVIDENCE: The registered manager stated that there have been no changes to the home’s statement of purpose. Both the home’s statement of purpose and the service users guide contained relevant information, as required by law. There have been no new admissions to the home since the last inspection visit. Standard relating to the home admission’s process was not therefore assessed. Following a discussion with staff working in the home and review of the documentation, the inspector was satisfied that the home was meeting the needs of the service users accommodated there. In cases where the home experienced any difficulties in meeting the assessed needs, any concerns were being promptly passed onto the relevant professionals. Due to the level of disabilities, service users accommodated in the home were unable to comment on the quality of care offered to them and whether their needs were being met. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 9 Each service user had a licence agreement in place. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a good care planning system in place. Service users are encouraged to make decisions about their lives and take responsible risks as part of their independent lifestyle. EVIDENCE: As part of this visit, the inspector viewed care plans of four service users accommodated in the home. Care plans were well written, up-to-date and reviewed on regular basis. There was also a pictorial version of care plan of service users’ files. Staff are commended for ensuring that care plans are accessible to the current service user group. Each care plan viewed contained a communication passport, as well as a monthly evaluation sheet from written by individual keyworkers. In accordance with the risk assessments and in consultation with the service users’ relatives, the decisions were made regarding the service users’ abilities and precautions that had to be taken to ensure the health and safety and wellbeing of those living in the home. Where necessary, opinion from other Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 11 professionals, such as doctors and fire safety officers were obtained. Files viewed contained “infringement of rights” form. During the course of inspection, service users were given choices of activities. In situations when it was not possible to obtain views of those living in the home, due to their disabilities, views of their relatives/advocates were sought. Service users’ meetings were regularly held and minutes from those were available for inspection. Recently some of the service users attended a consultation day organised by Outlook Care Confidentiality was appropriately maintained. Staff shared information with the inspector on a need-to-know basis. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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): 12, 13, 15, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users continue to take part in appropriate leisure activities. They are encouraged and supported to develop and maintain friendships and family links. Service users enjoyed food in the home, however storage of food required improvement. EVIDENCE: Those who live in the home continue to benefit from a wide range of activities on offer. Each service user’s personal file viewed contained a copy of individual weekly activity schedule, which were developed in accordance with the service user’s wishes and interests. Service users are encouraged and supported to attend a wide range of activities both indoors and outdoors. There is an allocated member of staff during the day, who is responsible for planning leisure activities for service users. The home receives additional funding for activities. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 13 Two of the service users attend local day centres. Activities on offer included: church, massage sessions, shopping trips, cinema, bowling, cultural events (Caribbean Fun Day), music sessions etc. The home is commended for ensuring that all service users are encouraged and supported to access a wide range of activities regardless of their disabilities. Some of the service users attend church, which provides special services for those with learning disabilities. The inspector checked menus, which showed that service users are offered a wide range of food in the home. Support with feeding in offered to some of the service users. Food was mainly prepared by staff, but the service users also had an opportunity to assist in accordance with their wishes, assessed abilities and risk involved. There were appropriate food supplies in the home. Storage of food required improvement, as some of the perishable products were not labelled when opened. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was appropriately meeting service users’ physical and emotional health needs. Medication systems were satisfactory. EVIDENCE: Each service user’s care plan contained very clear guidelines for staff as to how personal care should be provided to each service user accommodated in the home. The inspector spoke to some of the staff working in the home, who demonstrated good awareness of healthcare needs of each service user accommodated in the home. Documentation in relation to meeting service users’ needs was well maintained. All service users were registered with the local General Practitioner and there was evidence that other healthcare professionals were involved in providing adequate care to the service users when needed. Each service user had a health action plan in place. Medication systems were appropriately maintained. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a good complaints system in place. Those living in the home were protected from abuse, neglect and self-harm. EVIDENCE: The home had a comprehensive complaints policy in place, which was well written and contained details of the Commission for Social Care Inspection. Copy of the complaints procedure was displayed on the wall by the front door. There have been no complaints made to the home since the last inspection visit. It was noted that the service users may not be able to raise complaints directly, due to the level of their disabilities. The home had a compliments book in place, which was available for inspection. The home had an appropriate adult protection policy in place. Staff training records viewed showed that staff received adult protection training. The registered manager ensures that any matters of concern and/or accidents and incidents are promptly reported to appropriate authorities, including the Commission. Records of accidents and incidents were well maintained and there was evidence that they were being monitored by the manager. As those who live in the home are unable to make decisions about how their money is spend, due to their disabilities, there was evidence that their relatives are consulted as to what their money should be spent on. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users living in the home continue to benefit from a comfortable, homely and clean environment. EVIDENCE: Service users living in the home continue to benefit from a homely and comfortable environment. As part of this visit, the inspector conducted a tour of the premises. Bedrooms viewed were attractively decorated, personalised and reflected interests and lifestyles of individual service users. There were sufficient communal areas in the home. There was a large garden at rear of the house. The registered manager stated that there were plans to built a conservatory at the back of the building. There were also plans to redecorate the sleep-over room, as well as one of the bedrooms for the service user who has recently moved downstairs due to mobility issues. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 17 The home has a sensory room, which is used by service users. Staff also use this room during nights for sleep-over purposes and it is also used for storing some of the documentation, such as service users care plans, policies and procedures etc. The home also has specialist equipment for those who needed assistance with mobility, such as hoists, specialist beds etc. There was evidence that this equipment was serviced on regular basis. The premises were clean and hygienic at the time of this unannounced inspection. Appropriate clinical waste disposal arrangements and laundry facilities were in place. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users continue to be cared for by well-trained and knowledgeable staff team, who are appropriately recruited. EVIDENCE: The inspector viewed duty rosters as part of this inspection. There are three staff working in the morning and three staff working in the afternoon. In addition, the manager works mainly “9-5” shifts and there is also an additional person rostered on, who deals supporting service users with activities. There is a sleep-over cover, as well as a waking night. The inspector was satisfied that there were sufficient numbers of staff on duty throughout the day to meet the needs of those accommodated in the home. Staff who spoke to the inspector during the day said that although there has been an increase in the workload due to changing needs of some of the service users, they felt that the situation was still manageable. There were no staff vacancies at the time of this inspection visit. Staff working in the home were in the process of obtaining their NVQ qualifications and some had already obtained one. Each member of staff had a personal development plan in place, which showed that staff received regular Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 19 training, which enabled them to carry out their jobs effectively. Staff confirmed that the training they received was good. The inspector also viewed 2 staff personnel files, which contained all information required by law, including appropriate Criminal Records Bureau checks. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 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): 37, 39, 40, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is run by a competent manager, who has now obtained NVQ Level 4 in Care qualification. Appropriate health and safety checks were in place. EVIDENCE: The registered manager has now obtained her NVQ Level 4 in Care qualification, as previously required. Staff working in the home commented that the registered manager was very supportive and had a good management style. The home is commended for its quality assurance systems were. In addition to the monthly unannounced visits from the responsible person, the organisation actively seeks and involves services users in contributing to the way the home should be run. As previously mentioned, service users are also invited to take parts in consultation days. Advocates are also involved to ensure that each Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 21 person in the home has an active voice and make suggestions as to how the home should be run. The home had an annual development plan for the year 2006/07, which was available for inspection. The organisation has recently developed an “easy access” policies and procedures for staff, in addition to the more comprehensive versions. Health and safety records kept in the home were well maintained. Regular fire safety, hot water temperature and fridge/freezer temperature checks were being carried out. As previously mentioned, the registered manager must ensure that all perishable food is labelled once opened to avoid food poisoning. The home was appropriately insured for its purpose and the registration certificate was on display. Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 22 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 3 2 x 3 3 4 x 5 3 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 x 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 x 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 4 3 x 3 x Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 YA17 Regulation 16(2)(i) Requirement Timescale for action 01/10/06 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 Hainault Road (241) DS0000065857.V309539.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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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