Inspection on 20/12/05 for Harding House

This inspection was carried out on 20th December 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Harding House 26/01/09

Harding House 12/09/06

Harding House 28/07/05

Harding House 17/02/05

Harding House 15/07/04

Similar services:

Foxley Lane (121a)

Avenues (The) (Neave Crescent)

Banstead Road South (21)

Rela Goldhill Lodge

RNID

Therapia Road, 26

Annaly House

Wick Road ( 302, Flat 1 & 2)

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

CARE HOME ADULTS 18-65 Harding House 70 Wandsworth Common Northside London SW18 2QX Lead Inspector Louise Phillips Unannounced Inspection 20th December 2005 09:30 Harding House DS0000010193.V272706.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 Harding House DS0000010193.V272706.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. Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Harding House Address 70 Wandsworth Common Northside London SW18 2QX 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) 020-8870-3653 020 8874 6716 Riverhaven Mrs Maria JW Saward Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10), Sensory impairment (10) of places Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th July 2005 Brief Description of the Service: Harding House is a care home registered to provide care and support to ten residents with mental health needs and who also have a hearing impairment. The service is managed by the Riverhaven organisation which trades as part of Servite Houses. The home is situated on a main road within walking distance of the shopping centres of Wandsworth and Clapham Junction and the transport links served by the areas. Harding House is a large Victorian house with accommodation provided over three floors with a good size garden to the rear of the home. Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day with time spent talking to residents, staff and viewing paperwork and care records. A British Sign Language interpreter was present for a majority of the inspection to assist the inspector when communicating with residents and staff. During the inspection five residents and three staff were spoken to. At the time of inspection there was no registered manager at the home, and the inspector was informed that a new manager is due to commence at the end of January 2006. What the service does well: What has improved since the last inspection? 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. Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 6 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 Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 7 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 and 2 The assessment process ensures that the home is the right place for new residents to move to, however the Service Users Guide does not give enough information about what residents can expect from the home. EVIDENCE: Since the last inspection the Service Users Guide has been developed to include most of the information required, though it still needs to provide more details about the terms and conditions for residents living at the home and the complaints procedure. Due to the recent change in management, the details of the new manager will need to be included in this document. Since the last inspection no new residents have moved into the home. The information contained in the file for residents living at the home demonstrates that there was a thorough assessment of their needs prior to moving in. Documentation also provides details that the process of people moving to the home is individualised to ensure that the resident’s needs are considered throughout. Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 8 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 The home works well to meet the needs of each individual, however developments are needed to ensure that the care plans are up-to-date and include all the support provided to each resident. EVIDENCE: Discussion with a number or residents indicates that they like living at the home and are involved in choosing what they like to do in their lives. One resident spoke at length about how they enjoy going out, stating that “…I often like going shopping, or for a walk…”. Another resident commented on how they like to spend their time “…listening to my music…”. Each resident said that they were involved with staff at the home in developing and reviewing their care plan. The records for two residents were looked at and each had a wealth of information about their health and social care needs. The care plans are well-formatted and provide details of the individual needs of each resident and how they will be supported. This enables them to be easily followed and it is easy to identify the actual care provided. However where one resident had earlier informed the inspector that they were doing a college course this was not included in their care plan, despite this having been Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 9 reviewed recently. It was also noted that in some areas care plans had not been reviewed when they were due to have been. Harding House DS0000010193.V272706.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, 14, 16 and 17 The activities offered at the home enable residents to pursue a variety of interests on an individual and group level. Residents are also able to develop themselves personally with the support of staff. Meals offered at the home take into account the preferences of each resident. EVIDENCE: Residents and staff at the home spoke about the holiday that had taken place earlier in the year to Torquay. Each person discussed this with great enthusiasm, reflecting on how everyone enjoyed themselves and the positive influence that being in a different environment had on the residents. The residents commented that they are happy with the variety of activities that are provided by the activities co-ordinator and that they are regularly asked about what they would like get involved in doing, both in and outside the home. A positive step has been the recruitment of a volunteer to help the activities co-ordinator in their work. The inspector was informed that an additional volunteer is also due to start soon to further enhance the activities and allow for more individualised work with residents. Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 11 The activities co-ordinator was present during part of the inspection, prior to taking some residents to a Christmas pantomime. He discussed additional aspects to his role, which involves a monthly questionnaire to residents about the activities provided and what they would prefer to have more of, and maintaining a monthly record of the activities undertaken by each individual resident across the three Riverhaven homes. He also compiles a bi-monthly newsletter that is of a high standard, detailing all recent events with photos and comments about these, upcoming activities and suggestions for cinema trips, etc.; so enabling all residents to keep up-to-date with what is going on and what they can get involved in. During the inspection one resident was seen going out to work at a local supermarket, and another resident discussed an English and mathematics college course that they had recently started with the support of staff at the home. A number of resident’s bedrooms were seen and found to be at a generally good level of cleanliness. A staff member stated that since the last inspection a rota had been implemented for staff to encourage and support each resident to clean their room and wash their bed linen at least once a week. The menu offered by the home is planned with residents at the monthly house meeting, with a regular shop being carried out to ensure a consistent supply of food at the home. The cupboards and fridge in the kitchen were seen to be well-stocked with cereals, condiments, tinned and fresh foods. Harding House DS0000010193.V272706.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): 18 and 21 Personal care is offered in an individual way, with respect given to the resident’s preferences. The subject of the death of each resident has been managed well to ensure that their wishes are taken into account in the event of this occurring whilst at the home. EVIDENCE: One resident stated that they sometimes request staff to help them with their personal care needs. They commented that the staff are always willing to help, that they are unhurried and that they can choose which staff they want to help them. Riverhaven has a comprehensive policy on death and bereavement which details the procedures for staff to take in the event of the death of a resident. Each residents’ file contains funeral arrangements and wishes upon death in the event that the resident dies whilst still living at the home. Harding House DS0000010193.V272706.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): 23 The responsiveness of staff ensures that residents feel safer, though it is unclear what action was taken by the home to address this area. EVIDENCE: Two residents spoke that they “…feel unsafe sometimes, when (other residents) throw things…” and that “…it is usually when they are not well…”. Yet the residents spoke positively about the staff responses when these situations arise, commenting that “…staff are really good, they come straight away and deal with it…”, “…the staff make me feel safer…”. The previous inspection found that some of the residents felt unsafe at the home and a requirement was made for the home to ensure a safe and secure environment for all those accommodated. It is unclear what action has been taken by the home to address this and the requirement is restated. Harding House DS0000010193.V272706.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 and 30 Improvements have been made to the cleanliness of the home, but redecoration is still required in the resident’s bedrooms. EVIDENCE: Since the last inspection the bathrooms throughout the home have been refurbished to a good standard, making these areas bright, homely and modern for the residents. Improvements have been made to the cleanliness of resident rooms with the implementation of a new rota, where staff support and encourage each resident to clean their room and launder their bed linen on a weekly basis. The resident’s bedrooms were still observed to be in need of redecoration and refurbishment, with chipped and cracked paint observed on the walls in a number of bedrooms. The drawers and wardrobes in two bedrooms were also stained and in need of replacing. The inspector was informed that it is planned that the decorating and refurnishing of all bedrooms will be carried out within the next six months. Harding House DS0000010193.V272706.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): These standards were not assessed on this occasion. EVIDENCE: Harding House DS0000010193.V272706.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 and 39 The home seeks appropriate feedback from the residents to enhance the service. EVIDENCE: As stated earlier in the report, there is currently no registered manager at the home and the inspector was informed that a new manager is due to start in late January. At present the deputy manager is ‘acting-up’ as the home manager, with the support of senior managers in Riverhaven. It is required that the Registered Person ensure that an application for Registered Manager is submitted to the CSCI when the new manager commences work at Harding House. Quality assurance systems at the home are of a good standard with a monthly feedback questionnaire being received from residents, plus regular house meetings to discuss issues such as the food, activities and issues relating to accommodation. Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 17 Harding House DS0000010193.V272706.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 2 3 X X X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Harding House Score 3 X X 3 Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X X X DS0000010193.V272706.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 YA1 Regulation 5(1) Requirement The Registered Persons must ensure that the Service Users Guide provides all the required information. A copy of this must be supplied to the Commission. (Previous timescale not met) The Registered Persons must ensure that the care plans provide all the support needs of each resident. The Registered Persons must ensure that the home ensures a safe and secure environment for the residents accommodated The Registered Persons must ensure that all residents bedrooms are redecorated and refurbished. (Previous timescale not met) The Registered Person must ensure that an application for Registered Manager is submitted to the Commission. Timescale for action 28/02/06 2. YA6 15(1) 31/03/06 3. YA23 12(1) 13(6) 23(2)(d) 31/03/06 4. YA24 31/03/06 5. YA37 9(1) & (2) 28/02/06 Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 20 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 Harding House DS0000010193.V272706.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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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