Inspection on 05/07/05 for Hartley House

This inspection was carried out on 5th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hartley House 15/01/07

Hartley House 25/07/06

Hartley House 17/02/06

Hartley House 07/10/04

Hartley House 06/05/04

Hartley House 07/01/04

Hartley House 12/06/03

Similar services:

Agar Grove & St Augustine`s Alcohol Treatment & Rehab

Herbert Street

Haven (The)

Charis

Brook Drive, 124

Rugby House Project

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

CARE HOME ADULTS 18-65 Hartley House 31 Madeley Road Ealing London W5 2LS Lead Inspector Gavin Thomas Unannounced 5 July 2005 at 1.40pm 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. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hartley House Address 31, Madeley Road, Ealing, London W5 2LS 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) 0208 997 0022 0208 810 5384 Turning Point Limited Ms Jill Goodwin Care Home 12 Category(ies) of Past or present alcohol depedence (0) registration, with number of places Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7 October 2004 Brief Description of the Service: Hartley House is a well - established service offering rehabilitation for the maximum period of six months, for people who have an alcohol dependency and wish to adopt an alcohol free lifestyle. The establishement is owned and managed by Turning Point. Turning Point is a national social care charity providing a range of community based projects for people recovering from alcohol and drug addictions, mental illness and learning disabilities. Turning Points first service was opened in 1964. The home accommdoates a maximum of twelve men or women. The service provides group therapy and one to one key work sessions. Emphasis is also placed on service users participation in the community. The home is staffed from 9am - 5pm Monday to Friday. Service users can contact staff outside of these hours on a free phone number. The home has a category of registration to accommodate up to three service users over the age of sixty - five. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place for the duration of 3.5 hours. The Inspector spoke with four service users. Service users said that overall, they were doing well at Hartley House. One service user was preparing to move on to a stage two programme. Service users were of the opinion that Hartley House is built on “trust” and it is this that enables people to achieve their goals and successfully complete the programme. Service users also confirmed that the types of groups and staff support were beneficial. One service user did raise specific views about the departure of a previous service user. The Inspector advised the service user that this was a matter that would be dealt with more appropriately as part of the community. What the service does well: What has improved since the last inspection? This service is well managed. The home had achieved the requirements made at the last inspection. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 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. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 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 Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 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) 1, 2 & 4 The Statement of Purpose and Service User Guide (Residents Handbook) are excellent, providing service users and prospective service users with details of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: A Statement of Purpose and Service User Guide were in place. There were no changes to these documents. The Statement of Purpose was in keeping with the criteria as set out in Schedule 1 of the Care Homes Regulations 2001. The Service User Guide is referred to as the Residents Handbook. The Registered Manager said that there have been no changes to the assessment process for prospective service users. The assessment is detailed and thorough. All staff have an input with all stages of the assessment process. The admissions criteria is very clearly set out. The home will not accept service users who do not meet this criteria. Prospective service users are required to visit the home prior to admission. These arrangements vary in accordance with the circumstances of the prospective service user at the time of their assessment. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 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, 8 & 10 Robust care planning systems were in place. The staff have a good understanding of service users’ support needs. EVIDENCE: There have been no changes to care planning processes. Care plans are normally generated with service users within three weeks of admission. An initial review of the care plan takes place after two months of admission. Service users are supported and guided by staff to identify their goals for the duration of their stay. A leaving care plan is drawn up with service users a month prior to them moving on. All service users are expected to participate in all aspects of life in the home. This is done via daily house business meetings, which are chaired by a project worker, weekly planning meetings which are chaired by a service user and a six weekly community meeting. The Registered Manager attends the six weekly community meeting. Service users are also invited to complete anonymous surveys to give their views on the running of the service. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 10 A policy on confidentiality was in place. Lockable facilities are provided for the storage of confidential records. Systems were in place to maintain confidentiality when supporting service users through personal and sensitive matters. The home was registered with the Data Protection Act 1998. The Registered Manager said there were no known concerns regarding confidentiality in the home. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 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 standard(s) 12,13,15 & 17 Good systems were in place for enabling service users to make constructive use of their time. EVIDENCE: Specific groups are held throughout the week, which service users are required to attend. These include a daily business group and a beginners group. Service users are also required to contribute towards housekeeping tasks and cooking. In – house therapy includes ear acupuncture and massage. A group for ex service users is held weekly. Service users are encouraged and supported to engage in community based activities and further education. Service users are also encouraged to structure their time on weekends. Support strategies were in place for enabling service users to maintain or re establish relationships with relatives and significant others. Procedures were in place for service users taking home visits. A visitor’s policy was also in place. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 12 All service users contribute to menu planning, food shopping and cooking. Menus examined indicated that service users prepare wholesome and wellbalanced meals. The storage of food was satisfactory. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 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 standard(s) 18, 20 & 21 The home has thorough procedures in place for the management of medication. The health needs of service users are well met with evidence of good multi disciplinary work taking place when required. EVIDENCE: Service users are required to be prompt for house meetings, duties and any external appointments. The Registered Manager said there were no known concerns with regards to service users privacy and dignity. Three service users spoken to said that the flexibility and structure of the programme has contributed towards their recovery from alcoholism. One service made a comparison of Hartley House with another service they had been introduced to. The service user was of the opinion that Hartley House offered a six-month programme, which was best suited to their needs. A medication policy was in place. All service users are made aware of the medication policy, which is included in the Residents Handbook. All service users are required to take responsibility for the management and administration of their medication. This is part of the rehabilitation programme. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 14 Risk assessments and monitoring processes were in place to ensure that service users were managing their medication properly. Service users are required to sign a contract regarding the management of their medication. A record is retained by the home of all medications brought into the home. The Registered Manager said that circumstances around an unexpected death and last wishes were discussed with the current service user group. Service users were of the opinion that this should be addressed in the Beginners Group at the point of admission. This will be taken forward by the home and raised with service users on admission. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 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 standard(s) 22 & 23 Procedures for the management of complaints and the protection of service users were satisfactory. EVIDENCE: A complaints policy and procedure was in place. The Registered Manager said there have been no changes to the complaints process. The Registered Manager also confirmed that the home had not received any complaints since the last inspection. Adult protection policies and procedures were in place. These were included in the Residents Handbook. Procedures were in place to address any situation if a service user was found to be under the influence of alcohol or drugs. Service users are required to undergo random breath and urine tests. All service users are made aware of this process and the consequences if their test results are positive. Staff offer advice and guidance on managing finances. All staff had attended adult protection training. A whistle blowing policy was in place. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 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 standard(s) 24, 25 & 30 The physical standards of the home are maintained to a high standard. Furniture and fittings were of good quality. EVIDENCE: The home is situated in a residential setting and in keeping with local ambience. It is a large Victorian house and very well kept. Some of the features and provisions include a large billiard table come dining table, a non smoking lounge, meeting/quiet rooms and a large enclosed rear garden, most of which is laid to lawn. The home is ideally located for easy access to public transport routes, shops and other amenities. Ealing Broadway is within walking distance from the home. A planned maintenance and renewal programme for the fabric and decoration of the premises was in place. The home does not use any form of CCTV. The Registered Manager said that an asbestos survey had been carried out. Asbestos was not found and no further action was required. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 17 Minor works had been carried out on subsidence caused by a tree in the rear garden. The tree has been removed and work has been carried out to repair the cracks in the kitchen wall. Service users accommodation consists of ten single bedrooms and one double bedroom. Service users spoken to said there were no concerns with the accommodation. A policy on the control of infection was in place. All service users are required to contribute to cleaning of communal areas of the home. Service users are also required to maintain the cleanliness of their bedrooms to an acceptable standard. The laundry room is situated on the ground floor. The home has one washing machine, which is rented. The washing machine was in compliance with the Water Supply (Water Fittings) Regulations 1999. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 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 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 & 35 The home has a small and stable staff team. The staff have demonstrable experience and knowledge to support service users in making positive changes in their lives. EVIDENCE: The home maintains a stable staff team. A full time administrator was recruited in January 2005. One new project worker was recruited in April 2005. Staff were familiar with the aims and objectives of the service. The home is staffed Monday to Friday between 9am and 5pm. There have been no changes to the staffing levels. The home continues to operate a robust key worker system. The Registered Manager explained that the organisation was having difficulties in accessing work-based assessors for NVQ training. As a result, project workers had not commenced NVQ courses. This matter was being addressed at organisational level. A comprehensive training programme was in place. Turning Point provides a wide range of training and development opportunities for staff to keep abreast of current practices. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 19 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 & 39 The Registered Manager has a clear development plan and vision for the home. The systems for service users consultation are good with a variety of evidence, which indicates that service users’ views are both sought and acted upon. EVIDENCE: The Registered Manager has achieved an NVQ Level 4 in management and care. In addition to this, the Registered Manager has a Postgraduate Diploma in Psychosynthesis Counselling and a B.A (open) in Psychology. The Registered Manager has extensive experience working in the field of substance misuse. The Registered Manager receives professional supervision. The Counselling Supervisor provides staff with clinical advice and guidance when required. The home is commended for the robust quality assurance and monitoring systems in place. The key performance indicators for May 2005 were examined. This document gave an overall account of the home’s performance Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 20 including Housing Services, Staffing, Service User statistics and Finances. Policies and procedures are reviewed periodically. The most recent policy reviewed was the rent arrears policy. There has been a reduction in the number of admissions to the home within the last year. The Registered Manager said that this was the result of service users successfully completing the six-month programme. Service users are invited to complete quarterly anonymous surveys. The outcomes of the surveys are published. The Registered Managers presents the outcomes of the surveys to service users in the community meetings. The Inspector can confirm that copies of reports for monthly visits carried out as required under Regulation 26 of the Care Homes Regulations 2001 are submitted to the CSCI. Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 21 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 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score 3 2 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hartley House Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 22 No 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 Regulation Requirement Timescale for action 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. Refer to Standard 32 Good Practice Recommendations In accordance with standard 32.6 of the National Minimum Standards for Care Homes for Adults (18-65), 50 of care staff in the home should achieve an NVQ Level 2 (by 2005). Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Ground Floor 58 Uxbridge Road Ealing, London W5 2ST 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 Hartley House G61-G10 s27732 Hartley House v214200 050705 Stage 4.doc Version 1.30 Page 24 - 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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