Inspection on 24/01/06 for Haydon Park Lodge

This inspection was carried out on 24th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Haydon Park Lodge 25/02/09

Haydon Park Lodge 20/06/06

Haydon Park Lodge 31/08/05

Haydon Park Lodge 21/09/04

Haydon Park Lodge 06/05/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Haydon Park Lodge 7 Haydon Park Road Wimbledon London SW19 8JQ Lead Inspector Liz O`Reilly Unannounced Inspection 24th January 2006 02:00 Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 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 Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 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. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Haydon Park Lodge Address 7 Haydon Park Road Wimbledon London SW19 8JQ 0208 540 0172 0208 404 0260 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) Haydon Park Lodge Limited Mr Sinnathurai Sathananthan Care Home 11 Category(ies) of Learning disability (10), Learning disability over registration, with number 65 years of age (1) of places Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st August 2005 Brief Description of the Service: Haydon Park Lodge is a registered care home offering accommodation and care for up to eleven adults with learning disabilities. The home is situated in a residential area of Wimbledon. The leisure, shopping and public transport facilities of Wimbledon are close by as is a local train station. The property consists of two houses which have been joined together. The house is not identifiable as a care home. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by two regulation inspectors over four hours on 24th January 2006. The inspectors had the opportunity to speak with the registered manager and owner and six residents. A sample of records were also examined. What the service does well: What has improved since the last inspection? What they could do better: The Registered Persons must ensure that they abide by the conditions of registration for the home. Further work needs to be done on checking medication coming into the home. A programme of replacement of mattresses needs to be started. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 6 Further work needs to be done on care planning to make sure they are up to date and accurate. Suitable aids and equipment need to be available in the home to meet the needs of individual residents. The new bedroom needs to be finished. Staff need further training on medication and first aid. 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. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 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 Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 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): 3, 4 & 5 The needs and wishes of each person are assessed before they are admitted to the home. The Registered Persons have admitted to the home one person over the number agreed on the registration of this home. New residents can visit the home before making a decision about moving in. All residents are given a written contract. EVIDENCE: The home receives a copy of the care management assessment for each individual before they are admitted to the home. Staff from the home also carry out their own assessment to ensure that they can meet the needs and wishes of prospective residents. At this visit to the home the inspectors were informed by the Registered Person that twelve residents were living in the home. This home is registered to provide accommodation and care for up to eleven residents. The Registered Persons should have applied to the CSCI for a variation to their registration before admitting this resident. The inspectors did note that the home was able to meet the needs of this resident. However the Registered Persons must ensure that they comply with the conditions of registration for the home at all times. An application for variation of registration must be supplied to the CSCI as soon as possible. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 9 Prospective residents can visit the home to meet with staff and residents. The number and length of visits are arranged according to individual needs and wishes. Each resident is provided with a copy of their contract which sets out the terms and conditions of occupancy. Residents can choose whether to keep these documents themselves or have them stored on their file in the home. Residents are supported by family, friends, advocates and staff from the home to ensure that each resident understands the information. As noted in previous inspection reports consideration should be given to producing contracts in a format or language suitable for individual residents. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 10 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, 8, & 9 Each resident is provided with an individual care plan. Staff must take care to update care plans should the needs of any resident change. Risk assessments are in place but need to be reviewed should there be any changes for individuals. Residents felt they were consulted on the way the home is run and were supported to make their own decisions about their lives. EVIDENCE: Individual care plans are produced for each residents. It was noted that the care plan for one resident who’s needs have changed had not been updated. Staff must be supplied with clear details on any changes how the needs of each individual are to be met. Care plans were seen to be reviewed on a regular basis but must also be reviewed should the needs of anyone change. As noted in the previous inspection report care plans should be provided to residents in a more accessible format and consideration should be given to expanding the information available on residents previous history. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 11 Individual risk assessments must be added to or changed should the needs of any resident change. A moving and handling assessment must be available to staff where any resident needs assistance. Residents confirmed they made their own choices about their day to day lives and that staff support them in this. Residents are provided with information on and support in accessing independent advocacy services. Individuals said that they were consulted and asked their opinion on the way the home runs. They also said that if they had a problem they could easily speak with the home owner or manager as they see them on a daily basis. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 12 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, 14, 16 & 17 Residents are supported to take part in a range of activities of their own choosing. Residents felt their rights were respected and made very positive comments on the food provided. EVIDENCE: Residents are supported to attend day centres and or colleges according to their own wishes and needs. Residents who do not regularly attend centres or colleges are supported by staff within the home and in engaging in community activities. Staff help residents to expand their experiences and activities according to individual wishes. Activities are arranged around requests from residents. On the day of inspection three residents were going to see King Kong at the cinema with the home owner. Residents attend clubs and groups in the evenings and are supported to attend religious services of their choice. The home has good community links with friends and neighbours being invited to events in the home. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 13 The home has a snooker room which was seen to be well used. Televisions with cable channels are available in two of the communal areas. Individual interests and activities are encouraged. One resident was pleased to be going to Elvis weekends at a holiday camp. Residents confirmed that staff address them by their preferred name, that their privacy is respected by staff, that they can choose when to be in the company of others or alone, that the daily routines of the home are flexible and take into account individual activities. Residents help out around the home according to their wishes and abilities. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 14 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): 19, 20 & 21 Staff work hard to ensure that the health care needs of residents are met. Care must be taken to make sure that the changing needs of residents are reflected in the care plans and appropriate equipment is provided. Staff must take more care in checking medication received into the home. Further work needs to be done to make sure the wishes of residents will be met in relation to terminal care and death. EVIDENCE: Generally the health care needs of residents are met. Staff take care to monitor the physical and emotional health of individuals and seek professional advice should there be any concerns. Since the last inspection of the home the physical needs of one residents have increased significantly. The home owners have made major changes to the environment in order to allow this resident to remain in the home. The inspectors are aware that requests have been made by the home for appropriate moving and handling equipment however at the time of this visit such equipment had not been provided. The registered persons must make further requests for this equipment and appropriate training for staff to ensure the health and safety of the resident and staff. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 15 At the time of this visit the registered manager was advised to seek pressure relieving equipment from the community nursing service and advice on continence. This has been done. Medication is appropriately stored in the home. Regular checks must be made on the medication stored to ensure it is within its use by date. Staff must take care to check all medication and information coming into the home. Where there are discrepancies between the medication or records supplied and the prescribed medication these must be returned to the pharmacy for correction. The registered persons must ensure that the information on the boxes used for administration is supplied by the pharmacist. Any medication to be used “as required” must be accompanied by clear instructions for staff on the amount to be given, the maximum dose and in what circumstances. It is recommended that medication profiles are in place for each resident setting out all medication prescribed, when prescribed and if appropriate when discontinued. It is also recommended that a photograph of each resident is kept with their administration record. All staff who administer medication must be provided with accredited training on the management of medication. To make sure that staff are fully informed of the wishes of residents in relation to terminal care and any specific requests regarding actions to be taken following death the Registered Person should seek the views of residents or if appropriate their representatives. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 16 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 The home has an appropriate complaints procedure in place. EVIDENCE: The home have a written complaints procedure which they have supplied to residents in a more accessible format. Residents expressed confidence in the owner and manager to deal with any worries or complaints. Residents also said that they can talk about things they are not happy about in residents meetings and with other staff in the home. The home has a system in place to record any complaint along with actions taken and outcomes. The home has received no complaints. No complaints have been received by the CSCI about this service. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 17 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, 25, 29 & 30 Residents are provided with a well maintained and comfortable environment. The Registered Person needs to check all mattresses in the home and start a programme of replacement. The new bedroom on the ground floor needs to be fully completed. An assessment of the premises needs to be carried out by an occupational therapist. EVIDENCE: Generally the home is very well maintained with good quality furnishings and fittings. Residents have access to two lounge areas, two dining areas and a snooker room. Bedrooms have been personalised by residents reflecting individual interests and preferences. Since the last inspection a kitchen on the ground floor has been converted into a bedroom in order to accommodate a present resident who is no longer able to go upstairs. At the time of this visit the room has not been fully finished. The Registered Person informed the inspector that the room would be completed within the next two weeks. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 18 The home is close to transport, entertainment and shopping facilities. The building is in keeping with the local community and is not identifiable as a care home. Since the last inspection arrangements have been made for the safe disposal of clinical waste. Appropriate laundry facilities are available. The home was found to be clean and tidy. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 19 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): 33, 34 & 35 Sufficient staff were seen to be available to meet the needs of the residents in the home at the time of this visit. All staff must be provided with a statement of their terms and conditions of employment. An assessment of the training needs of the individuals and the staff group as a whole needs to be carried out. EVIDENCE: Haydon Park Lodge is a family run home where the owners and family members live on site. A minimum of two care staff are available on each shift during the day. Waking night staff are not at present employed in the home. Domestic staff and a cook are employed. Additional staff hours are provided to meet the social needs and wishes of residents. Agency staff are not employed at this home. The Registered Persons are aware of the need to keep these staffing levels under review particularly in response to the changing needs of individual residents. At the time of this inspection a review of the staffing was being undertaken. Residents made very positive comments on the approach and attitude of the staff group. The home has a stable staff group who know the residents very Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 20 well and have a good understanding of the needs and strengths of each individual. All staff must be provided with a statement of their terms and conditions of employment. The inspector was informed that two staff were on the waiting list to commence NVQ training. The manager needs to carry out a training needs assessment for individual staff and the staff team as a whole to make sure that the staff group have been provided with the skills and knowledge to meet the needs of the residents living in the home. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 21 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): 39 & 42 The views of residents have been sought on the home. Further work needs to be done to complete the quality monitoring and review of the service. Staff carry out regular checks on the building and equipment to ensure the health and safety of residents. EVIDENCE: The home has developed quality monitoring systems which include seeking the views of residents on the service they receive. However a report following an annual review of the service has not as yet been produced. The registered persons must carry out an annual review of the service and produce a development plan taking into account the views of residents and any other persons involved with the home. A copy of the report must be supplied to the CSCI. This will ensure that the views of residents underpin the development of the service. The manager must ensure that sufficient staff are provided with the appropriate training to make sure that at least one qualified first aider is available on each shift. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 22 The records of health and safety checks carried out on the building and equipment were up to date. Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 23 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 x 2 x 3 2 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 4 25 2 26 x 27 x 28 x 29 2 30 3 STAFFING Standard No Score 31 x 32 x 33 3 34 2 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 3 15 x 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 2 2 2 x x 2 x x 2 x Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 24 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 YA3 Regulation Requirement Timescale for action 10/02/06 CSA 2000 The Registered Persons must not Section 24 accommodate more residents than stated on the certificate of registration An application for variation of the conditions of registration must be made without delay. 15 The Registered Persons must ensure that care plans are reviewed should there be any changes in the needs of individual residents. The Registered Persons must ensure that individual risk assessments are reviewed should the needs of any resident change. Moving and handling risk assessments must be in place for any resident who requires assistance. 2. YA6 01/04/06 3. YA9 13(4) 01/04/06 4. YA19 13(4) (5) The Registered Person must ensure that appropriate aids and equipment are available in the home. 01/04/06 Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 25 5. YA20 13(2) 18 (1) The Registered Persons must ensure that checks are carried out on all medication and medication records received into the home. The Registered Persons must ensure that clear instructions are available to staff for any medication prescribed to be given as required. The registered persons must ensure that all staff who administer medication are provided with accredited training. The Registered Persons must commence the replacement of worn mattresses throughout the home. The registered persons must ensure that all staff are issued with a statement of their terms and conditions of employment. The Registered Persons must supply to the CSCI a copy of the report produced following the annual review of the service. The registered persons must ensure that sufficient staff are provided with first aid training to allow for a qualified first aider to be available on each shift. 01/04/06 6. YA24 16(2)(c) 01/04/06 7. YA34 17(2) Sch 4 (6) 24 01/04/06 . YA39 01/04/06 8. YA42 18(1) 13(4) 01/05/06 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. Refer to Standard YA5 Good Practice Recommendations The registered persons should ensure that residents contracts are produced in a format or language suitable to the individual resident. DS0000027209.V280523.R01.S.doc Version 5.1 Page 26 Haydon Park Lodge 2. 3. YA6 YA6 The registered persons should ensure that care plans are provided in an accessible format for individual residents. The registered persons should consider, where possible, expanding the information available with regard to residents social history. The registered persons should ensure that a training needs assessment is carried out for the staff team as a whole to ensure the planned training meets the needs of the home as well as the individual needs of staff members. 4. YA35 Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 27 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. Extracts may not be used or reproduced without the express permission of CSCI Haydon Park Lodge DS0000027209.V280523.R01.S.doc Version 5.1 Page 28 - 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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