Random inspection report
Care homes for adults (18-65 years)
Name: Address: Hazelwood Lodge 148 Chase Road Southgate London N14 4LG two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: User doesnt belongs to any group Date: 0 7 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Hazelwood Lodge 148 Chase Road Southgate London N14 4LG 02088869069 02088826215 sudi@hazelwoodlodge.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hazelwood Lodge Limited care home 10 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 10 The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home Hazelwood Lodge is a care home registered to provide care for a maximum of ten younger adults with learning disabilities. The home is owned by Hazelwood Lodge Limited. The home is situated in a pleasant residential area and within walking distance of the shops, underground station and other transport links of Southgate, North London. The home is a detached house divided into two floors. On the ground floor, there are four single bedrooms, a kitchen, lounge, dining room, laundry room, a toilet and a shower room. On the first floor, there are six single bedrooms (one with
Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home ensuite facilities), a bathroom, a separate toilet and the staff office. Washbasins have been provided in all bedrooms without ensuite facilities. The front of the building is paved and there is parking for cars. The large back garden is partly paved and accessible to service users. It is attractive and contains a variety of trees and shrubs. The registered provider stated that the fees for the home are from nine hundred and seventy pounds per week depending on the assessed needs of people wishing to use the service. The registered provider also stated that information about the home, including the commissions inspection reports, are shared with stakeholders and inspection reports are available on request from the home. The stated aim of the home is to meet the different and individual needs of service users and to maximise their potential for independent living. Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
I am writing following the above inspection. We visited the service having received some information in relation to a safeguarding matter that the Care Quality Commision had been informed about. The Commission wanted to obtain information from the service about this situation. We visited the service to ensure that the needs of people living at the service were being met. We looked at and requested specific information which the management team provided to us. During the visit we also followed up on requirements that were made on the previous random inspection on the 12th of November 2008. I was accompanied by another inspector to complete this unannounced random inspection visit at Hazelwood Lodge. The outcomes were as follows: We spoke with some of the people that live in the home and no concerns were expressed by the people that live at Hazelwood Lodge at the time of the inspection. We completed a tour of the home and the inspection took approximately three and a half hours to complete. The proprietor and acting manager assisted us throughout the inspection. We looked at the homes documented assessment and admission information. Limited information was recorded for one person. Having had a discussion with the acting manager and proprietor we were informed that limited information had be provided during the period that the person was placed at the home for what the management team believed was going to be a limited period of time. We were further informed that detailed information was provided to the home in relation to the particular persons needs after they had been placed at the service for a period of two weeks. A discussion took place with the management team about this limited information as it is essential that adequate information is provided to the home before any individual moves into Hazelwood Lodge, only by obtaining this information will the service ensure that peoples individual and specific needs can be fully met. We looked at an identified persons care plan. This needs to be more detailed in relation to all of the areas identified in the detailed assessment information that the service now has available. This must also include the persons specific health care needs.The care plan should also evidence and identify the persons wishes and preferences in relation to how their personal care needs are met. They care plan needs to be updated if the persons specific needs change. This will ensure that the persons needs can be fully met during their stay at Hazelwood Lodge. The current risk assessments need to be reviewed and updated and include any further information requested as a result of the inspection taking place from relevant professionals which can then be linked to their care plan. This will ensure that the persons health care needs are met and any identified risks are minimised. The risk assessments need to expand on the action taken to include the interventions and imput from any relevant professionals and any ongoing support that is being provided to minimise identified risks. The risk assessment needs to be signed and dated and agreed by all professionals involved in the persons care. Having discussed peoples health care needs a discussion took place and it was agreed that although the service had obtained health information from peoples general practioner it was essential for the primary care trust to be contacted to obtain further
Care Homes for Adults (18-65 years) Page 4 of 11 guidance and information. This would ensure that detailed information is available to the people living and working in the home. This would assist to ensure that peoples individual health care needs are met and promote their health and wellbeing. During the inspection it was noted that the enviromental improvements identified at the time of the previous inspection had been completed. The shower has had the necessary work completed to ensure that water from the shower drains away effectively. This ensures that peoples health is not put at risk by stagnant pools of water forming on the shower floor. The heater pipes in the identified persons shower room had been blocked in.This ensures that the persons well being is promoted and protected. One identified persons bedroom has been painted and decorated. This assists the environment to be maintained to a good standard. At the time of the inspection we inspected all of the bedrooms as well as the communal parts of the home.The bedrooms were pleasantly decorated and were furnished with some personal possessions. There is a shower room on the ground floor as well as a bathroom on the first floor and are suitable to meet peoples needs.There are two communal rooms a living room and a dining room. None of the people using the service have physical disabilities and there are few adaptions in the home.There is a level access shower and a ramp for access to the front door. The laundry is located on the first floor with a washing machine and dryer. At the time of this inspection it was noted that not all of the colour codded chopping boards were available for use at the time of the inspection.The acting manager agreed to obtain new chopping boards to resolve this matter. The associated chart to identify what chopping boards are to be used with identified food items was not on the wall. The acting manager immediately printed another copy of the chart of of the computer and put this on the kitchen wall during the time of the inspection. At the time of this inspection it was noted that all chemical items had been stored in a locked cupboard and were not identified as being left out in areas of the home. This means that people living in the home do not have access to harmful substances and protects their health and wellbeing. At the time of the last inspection a number of staff posts were vacant and staff were working exceptionally long hours. We were informed at this inspection that all vacant posts had been recruited to. This means that people living in the home are not being put at risk due to the fact that they are working long hours and are tired. This improves the quality of care for people living in the home. The service provided records of staff training and the service needs to ensure that all staff undertake training in first aid, manual handling, adult protection, fire safety,food hygiene, infection control, adult protection training, medication training and epilepsy training. This will ensure that the staff have the knowledge and skills to meet the needs of the people living and working in the home. At the time of the inspection the records of incidents were inspected and there were incidents had not been reported to the Care Quality Commission. This matter was discussed with the acting manager and provider at the time of the inspection. It was confirmed that the Commission has to be informed in writting of incidents within 24 hours of them taking place. This would ensure that professional practice is followed. What the care home does well:
Care Homes for Adults (18-65 years) Page 5 of 11 The service has completed a redecoration programme including the refurbishment of the bathrooms and kitchen which means modern facilities are provided and the home is well maintained. This improves the quality of care for the people living in the home.The service and management team responds positively to requirements and recommendations that have been made by the Care Quality Commission. This indicates that the inspection process is taken seriously by the service. People living at the home have the opportunity to atend college and are supported with regard to job opportunities. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 2 14 The Registered Person must ensure that detailed assessment information has been obtained by the home before any person moves into the service. This will ensure that the service can fully met the individual persons specific needs. 10/06/2009 2 6 15 The Registered Person must 20/06/2009 ensure that care plans are fully detailed and contain all information that the service has available to them to ensure they are up to date. This must include the persons complex health care needs. This will ensure that consistant support can be provided to the individual person to ensure their individual needs are met. 3 9 15 The Registered Person must 20/06/2009 ensure that the identified risk assessment is reviewed and
Page 8 of 11 Care Homes for Adults (18-65 years) Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action updated to include any information obtained as a result of the inspection. The risk assessment needs to be expanded in relation to the action taken to include any interventions and ongoing imput from relevant professionals. This will ensure that the persons needs can be met and contribute to ensuring that identified risks are minimised. 4 19 12 The Registered Person must 06/06/2009 ensure that the primary Health care trust is contacted to obtain guidance and information in relation to health care information. This will ensure that the persons specific health care needs can be met. 5 35 23 The Registered Person must ensure that all staff undertake training in first aid, infection control, medication, adult protection training, epilepsy, manual handling and fire safety. This will ensure that staff are provided with the updated knowledge and skills to ensure that peoples individual needs can be met. 6 37 37 The Registered Person must 07/06/2009 ensure that the Care Quality Commission is informed of all
Page 9 of 11 20/07/2009 Care Homes for Adults (18-65 years) Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action notifiable incidents in the form of a notification within twenty four hours of the incident taking place. This will ensure that professional practice is followed. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 17 The Registered Person should obtain a complete set of colour coded chopping boards. This will prevent the cross contamination of food during food preparation. Care Homes for Adults (18-65 years) Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 11 of 11 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
