Inspection on 18/11/05 for Haldon View

This inspection was carried out on 18th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Haldon View 15/01/07

Haldon View 31/08/04

Haldon View 02/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Haldon View 1 Beech Avenue Pennsylvania Exeter Devon EX4 6HE Lead Inspector Sue Dewis Announced Inspection 17th November 2005 10:00 Haldon View DS0000039152.V266953.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 Haldon View DS0000039152.V266953.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. Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Haldon View Address 1 Beech Avenue Pennsylvania Exeter Devon EX4 6HE 01392 411229 01392 421317 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) Devon County Council Mrs June Langlands Moran Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age Group - 18 - 65 years Date of last inspection 25th May 2005 Brief Description of the Service: Haldon View is a large detached house set in its own grounds in a residential area of Exeter. It is on the bus route into the city and has nothing to distinguish it as a residential home. The home is owned by Devon County Council and offers respite care for younger adults with learning disabilities between the age of 18 to 65 yrs. Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over approximately three and a half hours one evening in mid November 2005, and was the second inspection in this inspection year. The home had been notified that an inspection would take place within three months and had returned a pre-inspection questionnaire, information from which was used to write this report. As part of this process the inspector also received comment cards from six service users and the relatives of six service users. Haldon View provides evening and weekend respite care only. Therefore, some of the standards are not entirely applicable to the home as the residents spend only short periods of time there. At the time of the inspection there were five residents and two care staff at the home, two other service users would also be staying the night. The manager was also available for most of the inspection. The inspector was made very welcome and would like to thank staff and residents for their assistance throughout the visit. What the service does well: What has improved since the last inspection? Areas of the home are being redecorated and a separate fridge for medications has been obtained. Risk assessments relating to hot pipes in the laundry, identified at the last inspection, were now available for inspection. Haldon View DS0000039152.V266953.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. Haldon View DS0000039152.V266953.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 Haldon View DS0000039152.V266953.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): 2 Prospective service users and their families are assured that their care needs can be met. EVIDENCE: As service users will not be living at the home on a permanent basis, the assessment procedure can be more flexible. All service users are referred through the local Care Management Team and initially visit the home to discuss if the home can meet their needs. ‘Tea visits’ are set up following this visit prior to the service user’s first stay. Haldon View DS0000039152.V266953.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): 7 and 9 There is generally good communication between the home and relatives of service users. Service users are encouraged (where possible) to make choices and decisions about their daily lives, and staff give careful consideration to any potential risks and how these can be minimised. EVIDENCE: Residents do not live permanently at the home and therefore staff rely on good communication between themselves and carers to ensure any changes in needs are passed on. Communication and intellectual abilities vary across the residents, with some residents being very able and others much less so. Staff were observed communicating very well with residents using verbal and non-verbal communication. Residents were smiling and laughing and appeared comfortable in the presence of the staff. Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 10 There is a laundry drying area within the home that contains very hot pipes, which residents have limited access to, risk assessments have now been completed and the manager is looking to have a stable door fitted to limit access further. (see also Standard 42). Haldon View DS0000039152.V266953.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): 15 The staff have a good understanding of the service users’ needs, and this is evident from the positive relationships that have been formed between staff and service users. Though social activities are well organised within the home, there are limited opportunities for outings. EVIDENCE: Service users only attend the home for short periods, and usually this is to allow their relatives a break. Therefore, there are limited visits from families when service users are at the home. Several service users know each other well from regular visits and the families of two service users’ co-ordinate bookings so that their relatives are always at the home together. Comments from several relatives indicated that they were unhappy about the level of outings provided for service users. (see also Standard 34). Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The systems for the receiving, returning and administration of medications are good. EVIDENCE: Service users’ medications are generally obtained by their families and the service users either brings in the exact quantity for their stay, or all their medication. Medication is always counted in and if any is returned, counted out. The families ensure that medication is correctly labelled, and two staff sign to say they have accepted it into the home and when it has been given to the service user. Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has a satisfactory complaints system. Staff have received training and instruction on the protection of vulnerable adults. EVIDENCE: The home uses the Devon County Council Complaints procedure and service users were aware that they should speak to staff if they were unhappy about anything. All staff, except one, have recently received training in the Protection of Vulnerable Adults. The one remaining staff is due to receive training in the new year. Staff confirmed they have had CRB (Criminal Records Bureau) checks. Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 All areas were clean, hygienic and odour-free. Progress has been made in redecorating the home. EVIDENCE: There is a comfortable lounge/dining area and several other communal areas around the home that residents can use if they wish. The dishwasher, a freezer and a fridge are sited in the laundry, which could lead to cross infection, but there is now a separate small fridge where medications requiring refrigeration can be stored. Staff had reported that some areas of the home could be very cold especially as the radiators have now been covered, however, this was no longer felt to be an issue. The ground floor corridors and bedrooms are being redecorated. Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 The procedures for recruiting and inducting new staff are robust and offer protection to residents. The deployment and numbers of staff are generally sufficient to meet the needs of residents, though outings would be increased if more staff were available. EVIDENCE: Three staff files were inspected. All contained the required information, including satisfactory CRB (Criminal Records Bureau) checks, application forms and two references. The manager and the inspector discussed ways to ensure staff records would be available for inspection at all times. There are usually two staff on duty while service users are arriving at the home, then three staff from 5pm till 10pm. However, there are times when there are only two staff on duty all evening. Several relatives made comment on their feedback forms that they would like to see more staff on duty to enable service users to participate in more activities. Staff also commented that they would like to be able to do more outings, but this would need more staff on duty. Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 The home is well managed and this generally results in practices that promote and safeguard the health, safety and welfare of the residents. EVIDENCE: The current registered manager has recently been promoted and the assistant manager will apply to CSCI to be registered as manager of the unit. There are regular quality assurance visits and reports made by the Responsible Individual for the home. Questionnaires are sent out from time to time and relatives and service users are regularly consulted. All radiators are guarded and staff receive regular training in health and safety. However, service users have access to very hot pipes in the drying area of the laundry (see also Standard 9). The fire alarm system is tested appropriately, but fire extinguishers are not being visually checked monthly. Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 17 Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 1 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 2 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Haldon View Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 1 X DS0000039152.V266953.R01.S.doc Version 5.0 Page 19 YES 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 YA42YA9 Regulation 13 (4)(c) Requirement Timescale for action 31/12/05 2. YA42 23 (4) (c)(v) You are required to take action to protect residents from burning from hot services in the laundry (previous timescale of 05/09/05 not met) You are required to make 31/12/05 adequate arrangements for testing fire equipment, at suitable intervals. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA30 YA34 Good Practice Recommendations You are recommended to re-site either the laundry or kitchen equipment currently sited in the same room You are recommended to consider providing staffing ratios to facilitate more service user outings. Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Haldon View DS0000039152.V266953.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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