Inspection on 31/01/06 for Hainault Road (241)

This inspection was carried out on 31st 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hainault Road (241) 29/08/06

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Chatsworth Care - Tudor Lodge

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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 31st January 2006 11:30 Hainault Road (241) DS0000065857.V264585.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 Hainault Road (241) DS0000065857.V264585.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. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 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.V264585.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27/04/05 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). Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 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. This inspection took one place over one day (late morning and early afternoon) and was unannounced. As part of this visit, the inspector spent some time with the service users and spoke to staff working in the home, as well as the registered manager. He also conducted a tour of the premises and viewed various records. What the service does well: What has improved since the last inspection? 3 out of 4 requirements issued at the last inspections have been met since the last inspection. The medication recording systems have been improved and all medication was now being appropriately stored. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 6 The registered manager also ensured that hot water temperatures in areas accessible to the service users do not exceed 43 C. 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.V264585.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 Hainault Road (241) DS0000065857.V264585.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. Prospective service users have the information they may need to make a choice about the home. The home was meeting the needs of those accommodated there. EVIDENCE: The home had an up-to-date statement of purpose and a service user’s guide in place. 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. 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. Based on the review of documentation maintained in relation to each service user, discussions with staff and the registered manager, as well as direct and indirect observation, the inspector was satisfied that the home was meeting the assessed needs of those accommodated at 241 Hainault Road. Hainault Road (241) DS0000065857.V264585.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, 8, 9. 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 all service user accommodated in the home. Care plans were well written and up-to-date. There was also a pictorial version of care plan of service users’ files. 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 professionals, such as doctors and fire safety officers were obtained. Files viewed contained “infringement of rights” form. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 10 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. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 11 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, 13, 14, 17. Service users continue to benefit from a high level of activities on offer. They are encouraged and supported to lead active lifestyles within the local community. Those who live in the home enjoyed food offered. 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. Two of the service users attend local day centres. On the day of this inspection all service users went out bowling, which is their weekly activity and they were also supported with preparing lunch. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 12 The inspector shared lunch with the service users. It was appetising, well presented and nutritionally balanced. 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. Record of food offered to the service users was maintained. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. The 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 service users appeared well at the time of the inspection. 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. There has been an improvement in managing medication systems. The requirement for the registered manager to consult with the pharmacist in relation to appropriate storage of Sodium Valporate has now been met. All medication administered to the service users was signed for and there were regular medication audits in place. This standard has therefore now been met. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 14 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 home had a good complaints system in place and views of those who lived in the home were listened to and acted on. Service users are 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 policy 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. Money kept on behalf of each person living in the home were managed by the organisation’s central office. Each service user received regular statements from their bank accounts. The inspector checked a random selection of finances kept for some of the service users, and these were found correct. There were good recording systems, which showed that money was spent appropriately. 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. Records of accidents and incidents were well maintained and there was evidence that they were being monitored by the manager. Staff training records viewed showed that staff received adult protection training. The registered manager ensures that any matters of concern are promptly reported to appropriate authorities, including the Commission. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 15 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, 30. Those who live in the home benefit from a homely, comfortable and clean environment. EVIDENCE: The home had recently been refurbished and all communal areas as well as all bedrooms had been redecorated. Those who live in the home were able to choose colour schemes in their bedrooms. The service users’ bedrooms were personalised and reflected their interests and lifestyles. There were sufficient communal areas in the home; this included a wellmaintained large garden at the back of the house. The home had a sensory room, which is used by service users. Staff also used this room during nights for sleep-over purposes. The home had specialist equipment for those who needed assistance with mobility, which was serviced on regular basis. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 16 The immediate requirement for hot water temperatures in communal areas not to exceed 43C was met within given timescales. Since the last inspection the flooring in one of the service users bedrooms has been changed and automatic door closures have been installed in some of the bathrooms and bedrooms. All areas of the home were clean and hygienic, tidy and well maintained at the time of the inspection. Appropriate clinical waste disposal and laundry facilities were in place. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 17 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. The home is continuously staffed. Staff are appropriately trained to meet the assessed needs of the service users. EVIDENCE: As part of this inspection, staff duty rosters were viewed. There are 3 care staff on each shift plus an additional member of staff in charge of activities and a senior support worker. The are home has a sleep-in cover. There is also a waking night staff on duty each night. There were sufficient numbers of staff on each shift to meet the needs of those living in the home. Staff who spoke to the inspector during this visit said that the workload was manageable. At the time of this inspection all staff were in possession of NVQ Level 2 or above qualification and some staff were in the process of obtaining NVQ Level 3. The manager stated that apart from mandatory training required by law, such as: fire protection training, first aid, moving and handling; staff had also received training in protection of vulnerable adults, epilepsy, health and safety, information technology courses, and Continuous Improvement Programme, which deals with organisational policies and procedures. Members of staff said that Outlook Care provided good quality of training. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 42. The service is run by a competent manager, however she must obtain the relevant qualification by set timescale. Appropriate health and safety checks were in place. EVIDENCE: The home manager told the inspector that she was in the process of obtaining relevant qualifications, which are required by law. The inspector received positive comments from staff working in the home about the registered manager’s management style, her openness and ongoing support. Appropriate quality assurance systems were in place. On the day of this inspection an unannounced visit from the responsible person’s representative was taking place. Reports from previous “Regulation 26” visits were available in the home and are sent to the Commission on a monthly basis. The home had an annual development plan for the year 2005/06, which was available for inspection. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 19 The home’s policies and procedures have recently been changed to reflect the recent change of the provider from Canopy Care to Outlook Care. 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. The home was appropriately insured for its purpose. Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 20 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 x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 3 12 x 13 3 14 4 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 Hainault Road (241) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x 3 x DS0000065857.V264585.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 YA37 Regulation 9(2)(b)(i) Requirement The registered manager must obtain relevant qualification at Level 4 in Care. (Previous timescale of 31/12/05 was not met.) Timescale for action 30/06/06 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.V264585.R01.S.doc Version 5.0 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI Hainault Road (241) DS0000065857.V264585.R01.S.doc Version 5.0 Page 23 - 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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