Inspection on 09/11/05 for 36 Harvey Road

This inspection was carried out on 9th November 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 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

36 Harvey Road 28/07/06

36 Harvey Road 22/06/05

36 Harvey Road 05/10/04

36 Harvey Road 11/05/04

36 Harvey Road 05/02/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Harvey Road, 36 36 Harvey Road Whitton Middlesex TW4 5LU Lead Inspector Louise Phillips Unannounced Inspection 9th November 2005 11:20 Harvey Road, 36 DS0000017371.V264913.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 Harvey Road, 36 DS0000017371.V264913.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. Harvey Road, 36 DS0000017371.V264913.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Harvey Road, 36 Address 36 Harvey Road Whitton Middlesex TW4 5LU 020 8893 3480 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) harvey.rd@owl-housing.org Owl Housing Limited Ms D Brenner Ms Maria Diana Inniss Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Harvey Road, 36 DS0000017371.V264913.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2005 Brief Description of the Service: 36 Harvey Road is a care home for up to five adults with learning disabilities, all of whom may be over 65 years of age. The property is owned and maintained by Richmond-upon-Thames Churches Housing Association, whilst the service is operated by Owl Housing. The home is situated in a pleasant residential area with access to local shops, cafes, pubs as well as parks. There is an adequate sized garden to the front and rear of the property. Harvey Road, 36 DS0000017371.V264913.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 the manager, staff and viewing paperwork. A tour of the premises took place and care records were inspected. Two of the staff on duty were spoken to during the inspection. 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. Harvey Road, 36 DS0000017371.V264913.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 Harvey Road, 36 DS0000017371.V264913.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, 2 and 4 The assessment process ensures that the home is the right place for new residents to move to. Some minor adjustments are needed to the information supplied to residents about the home. EVIDENCE: Since the last inspection no new residents have moved into the home. The information contained in resident’s files demonstrates that each person living at the home had a thorough assessment of their needs prior to moving in to ensure that they would receive a good level of support at the home. Documentation also provides details that the process of people moving to the home is very individualised and in stages to ensure that the resident’s needs are considered throughout, and that they actually want to move to the home. Each file contains a recently updated Service Users Guide that is wellpresented throughout. The guide is eye-catching, bright and colourful, containing bold print and pictures to enable it to be easier for residents to use. Some further work is needed on the guide to ensure that it contains details of the qualifications of the staff working at the home. These are currently contained in the Statement of Purpose but should also be in the Service Users Guide. Harvey Road, 36 DS0000017371.V264913.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 and 9 The care plans and information about each resident demonstrates that the home strives to meet the needs and wishes of each individual. This ensures that the residents get care and support that they want. EVIDENCE: The records for two residents were looked at and indicated that for each one there was a current plan of care which set out the needs of the resident and how they were to be met by the home, with evidence that these were being reviewed regularly. The format of the care plans is easy to follow and easy to recognise the actual care received by each resident. Each file contained a wealth of information that demonstrated the input of residents in their care. These include a ‘personal profile’ detailing the history of the residents, along with photo’s of when they were younger. This went on to provide information about what they like to wear, what they enjoy eating and what they like to do in their spare time. For one resident there was a ‘start of my day’ guidance that describes their preferences when waking up and getting out of bed in the morning. This Harvey Road, 36 DS0000017371.V264913.R01.S.doc Version 5.0 Page 9 reminds staff to put their bubble lamp on and play gentle music whilst they lie in bed and prepare to get out of bed. Both resident’s files contained photo’s of what the resident likes to do, which were titled ‘essential to me’. These involved their wishes in such things as wanting their hair done regularly, watching lights, going to the library and being involved in decisions about themselves. There then followed details of ‘things I do not like’, such as being rushed, assisted to bed when not tired and being left in one position for a long time. In addition each file contained an assessment of any areas where there was considered to be any risk to the resident, along with how these risks were to be dealt with and reduced as far as possible. The resident’s files also had information guidelines called ‘to keep me safe you should’, which gave individual details of areas such as being weighed regularly, and for staff to encourage them to eat and drink regularly. Harvey Road, 36 DS0000017371.V264913.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): 13 and 14 The staff have a good understanding of the individual support needs of the residents, and assistance with activities is offered in such a way as to promote each persons individual interests. EVIDENCE: The resident’s files contain information on the different activities that they have been involved in throughout the week. On the wall in the office is a weekly timetable of the activities, as a reference for staff. These include in-house events such as the weekly community meeting, relaxation, watching a video and one-to-one work. There also included details of external activities such as attending a group at another Owl Housing service and going out for a walk. A record is maintained of the activities carried out by each resident. At the time of inspection the manager stated that one resident was at the day centre having aromatherapy, whilst another was getting ready to go out for lunch. Harvey Road, 36 DS0000017371.V264913.R01.S.doc Version 5.0 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 the following standard(s): 18 and 19 The health and personal care needs of the residents are well met with the input of relevant healthcare professionals. EVIDENCE: The personal care needs are of each resident are described in the resident’s files in the format of guidance procedures and care plans. Documentation in the files demonstrates that multi-disciplinary team input is sought and utilised as necessary. In two service users files this was seen in relation to occupational therapy and speech and language therapy services. Documentation and discussion with the manager demonstrate that new measures were recently introduced by the home to reduce the risk of urinary tract infection occurring for one resident. This includes increasing the right fluids and decreasing the use of bubble bath, whilst at the same time altering the sleep-pattern of the resident to enable them to start having fluids earlier in the day. The manager described that this process was done gradually and with the agreement of the resident, with the effects being monitored by the home. Harvey Road, 36 DS0000017371.V264913.R01.S.doc Version 5.0 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 the following standard(s): 22 and 23 The home has a comprehensive complaints procedure. The staff team are aware of issues surrounding the Protection of Vulnerable Adults. EVIDENCE: The home has policies and procedures in place in relation to adult abuse awareness and the procedures to follow in the incidence of this happening at the home. The home has the Owl Housing ‘Whistleblowing’ policy and it is recommended that this include the CSCI contact details. The home maintains a comprehensive record of all staff that have received training in the Protection of Vulnerable Adults (POVA). The records indicate that the training is carried out as part of the induction process for new staff. The records show that staff received POVA training in March 2005. The complaints procedure for the home has been developed to include the contact details of the CSCI local office. A record is maintained of compliments and complaints received at the service, this indicating that no complaints have been made since 2001. Harvey Road, 36 DS0000017371.V264913.R01.S.doc Version 5.0 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 the following standard(s): 24, 26 and 27 The home has a number of improvements to make to ensure that the environment is safe, and comfortable for those who live and work there. EVIDENCE: The previous inspection required that dedicated sleep-in facilities are provided for staff. This requirement has not been met, and the office is still used as the sleep-in room. The use of the office in this way creates a safety issue for staff, particularly where they need to stand on the sofa bed to reach the medication cabinet. The manager stated that there are plans to turn the office into a relaxation room for residents use during the day, where this will become the staff sleepin room during the night. In addition there are plans to move the office upstairs and the laundry to the shed outside. The current situation is as per the previous inspection and therefore the requirement for dedicated sleep-in facilities is restated. In addition, separate shower facilities should be provided for the use of staff, particularly for those having worked a sleep-in shift. The blinds in one resident’s bedroom were seen to be in need of repair/ replacement to make the room more homely. The manager stated that these Harvey Road, 36 DS0000017371.V264913.R01.S.doc Version 5.0 Page 14 are shortly due to be replaced by curtains. It was also observed that some curtains were missing from the windows in the lounge. Harvey Road, 36 DS0000017371.V264913.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): 32 and 35 Residents benefit from a committed and experienced team of staff at the home who have the right approach and skills to meet their needs. EVIDENCE: Observations of the staff interactions with residents throughout the inspection were positive and respectful. This gives the impression that the residents’ experience of the home is of a caring environment where they feel looked after. Staff have worked at the home for a varying lengths of time, and have built up a good knowledge and understanding of the needs of the residents. Staff files showed that most staff had done training in essential areas, such as first aid, abuse awareness and valuing diversity. Some staff are undertaking NVQ Level 2/ 3 in Care training to improve their competences further. As a result residents get a good quality of support and care from the staff at the home. Harvey Road, 36 DS0000017371.V264913.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): 38, 39 and 42 Residents really benefit from living at Harvey Road because the home is run well and in the best interests of the residents. EVIDENCE: Earlier on this year a new permanent manager joined the home. She has recently been approved by the CSCI as the registered manager for the service. The manager stated that she gets “…good support…” from her line manager, and she spoke positively about the staff team. The manager works well to achieve high standards for the home. Her management approach and style of leadership is positive and she works proactively to empower the team by encouraging staff to take on new roles to develop themselves. Since the last inspection the home has implemented a quality assurance system to seek the views of relevant people involved with the service. This is called the ‘quality review questionnaire’, which the manager said was sent to relatives and relevant healthcare professionals. Harvey Road, 36 DS0000017371.V264913.R01.S.doc Version 5.0 Page 17 The feedback was seen and was generally positive, with the manager commenting that any concerns that were written were raised as a general issue with staff at the monthly team meeting. The records at the home demonstrate that routine checks are carried out on fire, electrical and gas appliances to ensure the safety of residents. Harvey Road, 36 DS0000017371.V264913.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 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 2 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Harvey Road, 36 Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X 3 3 X X 3 X DS0000017371.V264913.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 YA24 Regulation 23(3)(b) Requirement The Registered Persons must ensure that adequate, dedicated sleep-in facilities are provided at the home for staff. (Previous timescale not met) The Registered Persons must ensure that good quality curtains are installed in the lounge area and all bedrooms. Timescale for action 31/01/06 2. YA24YA26 23(2)(b) 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA1 YA23 YA27 Good Practice Recommendations The Registered Persons should ensure that the Service Users Guide contains the qualifications of all the staff working at the home. The Registered Persons should ensure that the Whistleblowing policy includes the CSCI contact details. The Registered Persons should ensure that separate shower facilities are provided for staff. Harvey Road, 36 DS0000017371.V264913.R01.S.doc Version 5.0 Page 20 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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