Inspection on 11/08/05 for Hartington Road Care Home

This inspection was carried out on 11th August 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 but made no statutory requirements on the home.

Other inspections for this house

Hartington Road Care Home 08/05/07

Hartington Road Care Home 09/05/06

Hartington Road Care Home 23/10/05

Hartington Road Care Home 04/03/05

Hartington Road Care Home 16/09/04

Hartington Road Care Home 24/03/04

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

CARE HOME ADULTS 18-65 Hartingdon Road Care Home 75 Hartingdon Road Leicester Leicestershire LE5 5GQ Lead Inspector Keith Williamson Unannounced 11 August 2005 at 4.00pm 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 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 Stationary 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. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hartingdon Road Care Home Address 75 Hartingdon Road Leicester Leicestershire LE5 5GQ 0116 271880 0116 2516112 None Mr Mohammed Anwar Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Vacant Care Home 3 Category(ies) of MD Mental Disorder - 3 registration, with number of places Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 04/03/05 Brief Description of the Service: Hartington House is registered to provide care for three people with mental health problems. The home is a terrace house set in a residential area and is approximately a 10 minute bus journey from the city centre. The home was set up specifically to meet the needs of people from the Asian community. It is situated on Hartington Road opposite a community centre and close to a range of shops and local amenities. There is one single and one shared room, both of which are located on the first floor. The home has recently been re-furbished. On entering the home, there is an open plan dining room and lounge. There is a large kitchen and the toilet and shower room at the rear. The staff at the home encourage service users to maintain their independence and have daily routines. The home has a mixed skilled staff team and some able to converse in the service users first language. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day, commenced at 4.00 pm and was completed in 4 hours by one Inspector aided by an interpreter. An opportunity was taken to view the care plans and other records in detail. Three residents were spoken with on this visit, the comments they made are included within this report; one member of staff was also spoken with. The acting manager assisted with the inspection, spending time with the inspector, discussing the management of the home. Overall the Inspector recognised the three residents function very independently within an environment that meets the residents basic needs. The majority of standards inspected on this visit, were in response to the outstanding requirements from the last inspection. What the service does well: What has improved since the last inspection? What they could do better: A number of risk assessments have yet to be put in place, both for individual residents and areas covering health and safety and medication in the home. The reports from the Environmental Health and Fire Officers’ are not available in the home for inspection purposes. A contract for the main employee has yet to be put in place; and a record of staff training, has yet to be supplied. The provision of policies and procedures pertinent to the home has yet to be organised. Staff are not aware of the content of any plans of care, and are unaware of the residents physical and emotional needs. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 6 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. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 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 standard(s) 2 & 5. The assessment process and contracts are dated though remain effective, which enables the staff team to deliver the appropriate care. EVIDENCE: The three residents have lived in the home for a considerable period of time, original assessments are in place, but are now somewhat out of date. Periodic re-assessments are recommended to monitor the changing needs of residents. Contracts are in place, it is recommended that their current bedroom number is written into the contract to ensure, residents are aware of their allocated room for the duration of the stay. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 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 standard(s) 6 & 9. Care plans reflect the lifestyle of each resident, providing the appropriate information for staff. Risk assessments do not cover the appropriate areas, leaving a high degree of risk for residents in the home. EVIDENCE: The single care plans are reviewed regularly and provide adequate information on each resident, enabling staff to provide the appropriate care strategies. Risk assessments do not cover the appropriate areas for all residents, leaving open the possibilities of residents being placed at risk in the home. All three residents indicated they had limited knowledge of their individual plans of care. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 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 standard(s) None. No standards were visited on this occasion. EVIDENCE: Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20. Suitable processes are in place to meet residents’ hygiene and health care needs. The medication process continues to be managed inappropriately. EVIDENCE: The current residents, when conversed with agreed their care needs are met within the home. One resident currently manages his own medication and keeps this appropriately in his bedroom; however there are no risk assessment strategies or planned monitoring in place, to ensure resident safety. The resident commented, “I keep my medicine locked at all times”. Currently the medication for the other two residents is stored at another home, where day care is provided; this is inappropriate and all medication other than that prescribed for times when day care is being provided, must be stored appropriately at the home. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23. Robust processes are in place so that residents or their relatives can access the complaints procedure. Adult protection issues are not dealt with appropriately. EVIDENCE: An examination of the written complaint process indicated that clear guidance is given to residents and their relatives on how to make a complaint. The residents spoken with gave clear verbal responses on how to access the complaint process and whom they should contact to make a complaint. No additional support is in place for residents to actively complain if required, consideration should be given to involving an advocate within the home. An inspection of the internal complaints information revealed no internal complaints. Two of the residents stated if they had a complaint they felt they could speak to the staff at Newton House (day care provision), or Mr. Anwar. Staff are not aware of the necessary adult protection protocols. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27 & 30. The home is comfortable and pleasant in appearance, which creates a homely environment. EVIDENCE: Residents’ bedrooms are personalised and suit the needs of the individual users, all residents carry out light domestic duties and are encouraged to keep their own bedrooms tidy. The toilet to the ground floor still requires to have some work completed to improve the environment. Cleaning schedules are in place; care staff cover the majority of the domestic tasks. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34 & 35. Residents are not protected by a experienced or qualfied staff group. EVIDENCE: The current member of staff does not benefit from a clear role. The staff can communicate in an appropriate language, and is culturally aware of residents needs. The staff rota does not adequately recognise the level of staffing in the home. The acting manager stated staff training has been undertaken, though it was not possible to ascertain to what level, or specific content. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 40 & 42. Residents do not benefit from a well run home. EVIDENCE: The current acting manager has made little effort in attempting to have in place any policies or procedures to which the staff could refer to in the day-today running of the home. The health, safety and welfare of residents is not being promoted or protected. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score 2 2 2 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hartingdon Road Care Home Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x 2 x 2 x C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 17 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 9 Regulation 12 (1) a Requirement The registered person must introduce a risk assessment framework for the medication system. The original timescale of the 18th April 2005, has not been met. The registered person must hold all medication records and medication within the home. The original timescale of the 18th April 2005, has not been met. The registered person must ensure the latest reports from the Environmental Health Officer and Fire Officer are provided for the next inspection. The original timescale of the 25th April 2005, has not been met. The registered person must ensure that soap and towels are provided for use by service users and staff in the home. The original timescale of the 4th April 2005, has not been met. The registered person must ensure privacy of service users and make available toilet door locks of an appropriate type be provided. The original timescale of the 4th April 2005, has not Timescale for action 11th September 2005 2. 20 13 (2) 11th September 2005 3. 24 13 (4) c 11th September 2005 4. 24 13 (3) 16 (2) j 29th August 2005 5. 24 12 (4) a 29th August 2005 Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 18 been met. 6. 33 17 (2) The registered person must ensure an acurate staffing rota must be kept in the home at all times. The registered person must ensure that the home has in place the appropriate records of the training staff have undertaken in the home. The original timescale of the 4th April 2005, has not been met. The registered person must ensure the appropriate core training must be provided periodically for the staff. The registered person must ensure the provision and regular review of all policies in the home. The original timescale of the 25th April 2005, has not been met. The registered person must demonstrate that water temperatures are kept within the recommended safe temperature range, at or near 43C. The original timescale of the 4th April 2005, has not been met. The registered person must ensure detailed water temperature risk assessments are in place. The original timescale of the 4th April 2005, has not been met. The registered person must ensure that a risk assesment is put in place for lone working is put in place for all appropriate staff. 29th August 2005 11th September 2005 7. 32 18 (1) a 8. 35 18 (1) a 11th September 2005 29th August 2005 9. 40 13 10. 42 13 (4) a 11th September 2005 11. 42 13 (4) a 29th August 2005 12. 42 18 (1) a 29th August 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 19 No. 1. 2. 3. 4. 5. Refer to Standard 8 31 39 Good Practice Recommendations It is recommended that the acting manager involve an independent advocate to act on behalf of the residents in the home. It is recommended that an appropriate contract of employment be put in place for the staff in the home, and is signed by . It is recommended that all reports compiled by the responsible person(regulation 26 visits), copies of which, are sent to the CSCI. Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Hartingdon Road Care Home C51 S6437 Hartingdon V242586 110805 Stage 4.doc Version 1.40 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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