Inspection on 23/08/06 for Haydock House

This inspection was carried out on 23rd August 2006.

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

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Haydock House 89 Rockingham Road Kettering Northants NN16 9HX Lead Inspector Stephen Hunnybun Unannounced Inspection 23th August 2006 10:30 Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 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 Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 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. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haydock House Address 89 Rockingham Road Kettering Northants NN16 9HX 01536 517080 01536 518182 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) www.consensussupport.com Consensus Support Services Limited Vacant Post Care Home 8 Category(ies) of Learning disability (8), Mental disorder, registration, with number excluding learning disability or dementia (5) of places Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within the category of MD, Mental Disorder excluding Learning Disability or Dementia, may be admitted to Haydock House unless that person also falls within the category LD, Learning Disability ie. Dual Disability The maximum number of persons to be accommodated within Haydock House is 8 No 2. Date of last inspection Brief Description of the Service: Haydock house is a large well-appointed property in the town of Kettering. It is registered to support up to eight people. Residents at the home all have Prader Willi syndrome, which is characterised by a range of symptoms including a compulsion to eat. The home has eight single rooms, all with en’suite showers, a pleasant lounge and dining room and a communal bathroom. Located close to the town centre the home is convenient for all transport networks and a range of facilities. A comprehensive statement of purpose is made available to prospective residents, as are inspection reports. Current fees are within the range £1686 to £2085 with extra charges being made for hairdressing, newspapers and entrance fees. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home has recently had a change of ownership and this was the first inspection under the current registration. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussions with two of them and observations of care practices. Two residents spoke with the inspector and both were positive about the care they receive, the food and the staff. Comment cards were received from residents; one commented that ‘All staff are nice and Haydock is nice also residents’. A plan was made prior to the visit in which available information from the service history and pre inspection questionnaires, including residents comment cards, was summarised. The inspection was positive indicating good outcomes for residents. No requirements or recommendations were made. What the service does well: What has improved since the last inspection? What they could do better: No recommendations or requirements were made at this inspection. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 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. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personalised needs assessment ensures that prospective residents’ diverse needs are identified and planned for before they move into the home. EVIDENCE: Gretton homes have produced a statement of purpose that has been updated to include the address of the new owner. An assessment is completed as part of the referral process, which enables staff to identify residents’ individual needs. New referrals are able to visit the home as well as other homes in the group. They can then have a five-day stay at the home to help them make a decision about moving in. A three-month assessment then takes place so the resident can be sure that the home is right for them. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have care plans and risk assessments that cover all of their individual needs. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: Each resident has a care plan that enables many of his or her needs to be met. All had been reviewed and signed by the residents. Residents participate in the care planning process through key worker days and goal setting. In conversation with the inspector they stated that they are able to make choices. Risk assessments clearly set out activities that present risk to residents and strategies to minimise that risk. These are also reviewed and updated when necessary. Daily records indicated that risk assessments are used to enable residents to take part in activities. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The promotion of residents’ rights, provision of activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: Residents are enabled to take part in a range of activities; they all have an individual plan that sets out their preferences for day care and leisure. Regular key worker sessions enable residents to take part in individual activities, which included museums, garden shows and local attractions. On the day of the inspection a group went out bowling and a group went swimming. One resident works in a local shop and another has a paper round. All residents have a programme of college or day care placements. Residents who spoke with the inspector attend local churches and two sing in the choir. Residents are enabled to access the local community subject to risk assessments relating to their specific needs. Files contained a wealth of information about contact with families and friends. Residents stated that they are able to keep in touch Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 11 with their loved ones. Residents all sign behaviour contracts and have copies of house rules that set out their rights and responsibilities. They are enabled to carry out domestic tasks, again subject to risk assessment. Residents’ preferred form of address is used and they are able to open their own mail. Residents stated that the food is good and menus indicated a varied diet. Due to residents’ specific needs meals are strictly calorie and fat controlled. One of the symptoms of Prader-Willi syndrome is a compulsion to eat so residents do not have access to the kitchen. They are able to earn extra treats by carrying out an agreed programme of exercise. Those who spoke with the inspector stated that they appreciate the support they receive to manage their diets. The home is commended for providing residents with a positive lifestyle. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: Residents’ personal and healthcare needs are clearly recorded in their care plans. Medical appointments are recorded along with any advice or outcomes. Residents who spoke with the inspector stated that they are supported to attend appointments by staff. Information regarding medication is kept including homely remedies and medication that is only given when it is required. Medication is stored correctly and records were up to date and accurate. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The home has robust complaint and protection policies. Staff development records indicated that staff are trained in the protection of vulnerable adults. Residents who spoke with the inspector demonstrated that they know who to speak to should they wish to raise a concern. They stated that they would be confident to do so. Records of complaints are kept to monitor the effectiveness of the procedure. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a house that is homely, comfortable clean and safe. EVIDENCE: As all residents were engaged in activities the home was shown round the property by staff. All communal areas were pleasantly decorated and in good repair. All areas felt homely and comfortable. Residents’ bedrooms are personalised with décor and belongings. All rooms have en’suite showers and a communal bath is available. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: Staff files contained relevant references and Criminal Records Bureau checks. Residents who spoke with the inspector stated that staff are ‘nice’ and ‘helpful’. Staff training lists indicated that the majority of staff have NVQ awards. Training is focused on equipping staff with the skills necessary to meet residents’ needs. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, residents’ views are sought regarding the running of the home and their health and safety are protected. EVIDENCE: The home has no registered manager at present. A manager has been appointed and is currently undergoing training prior to registration. The home is being well managed by its former registered manager. Residents are given questionnaires to complete annually to ascertain their views of the home and the support they receive. Policies and procedures are being updated where necessary to reflect the new ownership. The home has in place useful health and safety risk assessments including those for fire safety. All documents relating to health and safety were up to date and accurate. Radiator covers were being fitted on the day of the inspection. Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 17 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 Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 X 3 X Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 18 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. 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. Refer to Standard Good Practice Recommendations Haydock House DS0000067634.V308541.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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. 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