Inspection on 31/08/06 for Healy Drive , 1

This inspection was carried out on 31st 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Healy Drive , 1 13/12/05

Healy Drive , 1 15/02/05

Healy Drive , 1 01/07/04

Healy Drive , 1 19/02/04

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Norbury Crescent (30)

Edenvale

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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 Healy Drive , 1 1 Healy Drive Orpington Kent BR6 9LB Lead Inspector Ann Wiseman Unannounced Inspection 31st August 2006 08.30 Healy Drive , 1 DS0000006947.V299854.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 Healy Drive , 1 DS0000006947.V299854.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. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Healy Drive , 1 Address 1 Healy Drive Orpington Kent BR6 9LB 01689 870216 01689 891407 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) info@cathchild.org The Catholic Children’s Society Miss Joanna Tripp Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 8 Adults of either sex with a learning disability to include 2 young females whose dates of birth are 6/11/80 and 2/01/80 within the category of LD 13th December 2005 Date of last inspection Brief Description of the Service: Cabrini, 1 Healy Drive is part of the Catholic Children’s Society and provides care for eight young Adults with Learning Disabilities. The home is a modern, large, detached house situated in a quiet cul-de-sac and is part of a group of three houses, two group houses and a day centre for the residents to attend if they choose to. All the residents have their own spacious bedroom, there is a comfortable sitting room, large dining room and the garden is attractive and well maintained, it has a sensory area with easy assess and an area of decking by the French windows enabling outside dinning. The house has its own transport so the service users have trouble-free access to the community. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection, starting at 8.30am and the Inspector was able to talk to Service Users while they prepared and ate their breakfast together and individually before they went to the day centre. The Manager was not at the house when the Inspection started but came on duty soon after. The Inspection was carried out over two days, four hours were spent at the home talking with the Manager, Service Users and staff and at a later date the Inspector visited the area office to examine the staff files for both 1 and 3 Healey Drive. User surveys were sent to all of the people living in the house and their families. The atmosphere was busy but calm as everyone was getting ready to go out. The house was clean, tidy and well decorated although it will soon be time to decorated the communal areas, the Service Users rooms were individual to each and were decorated to their choice, furniture was appropriate and appeared comfortable. 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. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 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 Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 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): All the above standards were assessed on this occasion Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Prospective Service Users are offered enough information to enable them to make an informed choice about moving into the home and everyone’s needs are assessed before they move in. EVIDENCE: The home’s statement of purpose is available in a clear and comprehensive format and the Service Users are provided with a contract that sets out the terms and conditions of the placement. Three Service Users files were looked at during this inspection. They contained community care assessments, written contracts and Care Plans derived from the assessments. Any new Service User is given the opportunity to visit before they decide to move into the house. The last person who moved into the house was a year ago and he had three visits before he moved and had a review before the move was made permanent. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 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): All standards in this area were examined during this Inspection Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. All of the Service Users have care plans and are assisted to make decisions about their life and are consulted about the way they want to live. People who live in the house are enabled through risk assessments to take some risks as part of an independent lifestyle. Staff are trained to respect confidences and to handle personal information in a way that will maintain confidentiality. EVIDENCE: All Care Plans examined reflected the needs and aspirations of the Service User and have been updated since the last Inspection and will be reviewed at regular intervals. People who live in the home make decisions about the home and the things they do. The menus are chosen by the Service Users who take it in turn to prepare and cook the food assisted by the staff. House meetings are held where everyone gets a chance to make suggestions for what they would like to do within the house and when they go out. Risk Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 9 assessments are developed to minimise risk of harm in every day activities in and out of the home. Induction training includes keeping confidences.When not in use private information is stored in a locked cupboard in the office and is not left laying around in communal areas. Healy Drive , 1 DS0000006947.V299854.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): All of this area was inspected during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Service Users are able to advance personal development by attending a day centre and Adult education classes. A full range of activities are offered in and out of the house that are appropriate for them and makes them a part of the local community. Friends and family are welcomed in the home and Service User rights and responsibilities are recognized and upheld. Food offered is varied and Service Users take it in turn to help prepare the meal. EVIDENCE: The Service Users enjoy using the homes computer, reading, cooking and attending classes at the local education centre. They go to a day centre where they are able to mix with their peers. They enjoy eating out as a group or individually, they also visit the local pub and going to the cinema. Other activities offered include rides out to the coast in the house mini bus, swimming, gym club and horse riding. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 11 Friends and family are welcomed in the home and often visit or are invited to help celebrate special events. Some of the Service Users visit their families at home. Service Users help to keep their rooms clean and tidy and choose and prepare the evening meal, there is a rota of chores that each Service User is responsible for within the home. The menu is varied and offers a balanced diet, the food cupboards freezers and fridge were well stocked with fresh, tinned and frozen food as well as snacks and treats. Healy Drive , 1 DS0000006947.V299854.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): All standards were assessed on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. All the care plans have been recently reviewed and were detailed enough to enable the Service Users to receive support in a way they prefer, everyone is registered with the local doctor and medication is dealt with appropriately. EVIDENCE: Care Plans have been reviewed recently and those examined held enough information to enable staff to offer support to the Service Users in a way that they preferred. They hold an overview of the person and information about personal preferences, likes and dislikes and plans for the future. All of the service users are resisted with the local doctor and receive medical care as needed. They also access the community nurse and other specialist services such as psychology and speech and language are accessed through the local central learning disability team based at the Bassett Centre. None of the Service Users living at 1 Healy Drive manage their own medication. The medication cabinet is in the office and is secured to the wall, it is kept locked and on examination it was found to well maintained. The Inspector did no find any medication that was out of date and all of it was Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 13 labelled correctly using a pharmacist Labelle with all required information included. The recording sheets were completed without unexplained gaps. The homes hopes to care for the Service User as they age and during terminal illness, but if anyone’s care needs are outside the capabilities of the staff they will have to be reassessed and moved to a home that will be able to manage their care. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 14 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): Both standards in this section were assessed during this inspection. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Service Users feel that their views are listened to and they are protected from abuse by the homes recruitment policy and training program. EVIDENCE: The home has not received any complaints since the last Inspection and none have been received at the Commission. The homes complaints policy and procedures meet requirement and none of the returned surveys voiced any concerns about their handling of complaints. Service Users said that they would approach staff if they had any issues or worries and that they believed they would be listened to. All staff files inspected were ordered and easy to read, they showed that the staff had been checked for any criminal records that may make them a threat to this vulnerable Service User group. Files also contained proof of identity and evidence that references are checked prior to employment. Protection of vulnerable adult training is given to all staff during induction, while they complete their NVQ assessments and it is updated throughout their service. Staff receive training to help them to understand, to avoid or diffuse situations around verbal and physical aggression from Service Users. Service Users monies are protected by the homes system of recording and checking transactions. Money kept in the home is stored in individual purses that is protected by a numbered tag, each time the purse is opened the tag will be changed and it’s number recorded. At each handover the purse and the tag number is checked. The Inspector counted the contents of three purses and checked receipts against recorded spending. All those checked were in order. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 15 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): All areas of this section were examined. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. This home is homely, comfortable, clean and safe to live in. It suits all aspects of Service User’s life and promotes independence by the supply of specialist equipment if needed. EVIDENCE: This home has a homely atmosphere with domestic style furniture. There are pictures on the walls and ornaments around the house. The decoration is a little worn and shabby in places and some of the carpets are showing signs of ware but overall the home is well maintained and furniture and carpets are replaced as necessary. The Service Users are encouraged to chose the style and colours when decoration is renewed. The Sitting room overlooks the garden and has French windows that open onto a raised decking area with tables ad chairs, where Service Users like to have their meals in fine weather. The Garden also has a pond and a sensory area. It is well maintained and an attractive extension to the homes living space. All of the bedrooms are individual to the occupant with personal items that reflect their personalities. They are nicely decorated and furnished to Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 16 requirement. The windows are large, so the rooms have a bright airy appearance. Some of the bedroom carpets need replacing, but this has already been arranged. A flashing light has been installed in the bedroom of one of the Service Users who has a hearing impairment so she will be alerted in the event of a fire. Bathrooms and toilets offer adequate privacy and are adapted to suit the needs of the Service Users. The refurbishment of the toilet downstairs has been completed and it is now a disabled access shower room and toilet. The home is clean and hygienic, cleaning staff are shared with it’s sister house 3 Healy Drive. There is also a handyman who is responsible for maintaining the house, decorating and carrying out small repairs. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 17 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): All the above standards were inspected during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Service Users benefit from a staff team that is committed, well trained and supervised. EVIDENCE: During this Inspection a random selection of staff files were examined in detail, they were found to contain all the required information and documents, apart from photographs. Included were copies of the job specification and job description that clearly indicated the roles and responsibilities of each staff member. The home has volunteer workers, that are foreign students on a gap year. Each volunteer undergoes CRB checks in both their own country and this, they are supervised and receive training. The volunteers supplement and do not replace paid staff. The Inspector was able to talk to two staff members who appeared competent and knowledgeable about the needs of the Service Users. The home is working towards meeting the requirement of having the minimum of 50 of it’s staff having attained the NVQ 2 in care or it’s equivalent. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 18 Two staff members have their NVQ3 in care and three others are attending collage to attain theirs at present. An ongoing program of staff attending NVQ training and assessment is proposed. Levels of staffing is adequate to offer the eight Service Users individual uninterrupted time, continuity of care and to be able to manage emergency situations. The rota shows there are always three staff members on duty each shift, including one volunteer. Records show that there is a low staff turnover and sick leave, the home does not use agency workers. The organisations recruitment policy and procedures protect the Service Users and inspection of staff files proved that the procedures are followed. Two references are obtained for each recruit, including the last employer, and they are followed up with a phone call to check authenticity. CRB and POVA checks are carried out and all staff work a six month probation period. Probation reports were stored on file as were the candidates application form and interview questions and answers. Photographs were not included in the staff files and the personnel officer has undertaken to collect photos for all staff. The files otherwise were well ordered and tidy making the job of Inspecting them an easy one. The home offers a wide range of training, in the last year staff have received training in Managing Challenging Behaviour, Health and Safety, Midas Minibus Training, Manual handling, Protection of Vulnerable Adult, Basic Food hygiene, Risk Assessments and Communication and Signing. Staff have reported that they receive supervision although the supervision notes were not seen by the Inspector on this occasion. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): All standards in this area were inspected. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The home is run in a well ordered and organised way, the Manager is reported as being well liked and approachable. Service Users feel that they are listened to and the random health and safety record that were inspected were in order. EVIDENCE: The home is well organised and managed, the Registered manager is working towards obtaining her NVQ4 in care and her Registered manager’s Award and has managed the home since 2001, she is supported by cleaning staff and a handyman as well as the Care Staff, there is Line Management and Admin support on site. Staff have stated that the Manager is easy to approach, will listen to suggestions and is supportive. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 20 User surveys returned suggested that they believed that their views were taken into account in the running of the house, house meetings are held and outcomes are taken to staff meetings if necessary. The organisations polices and procedures are comprehensive and are in the process of being reviewed and updated. Records are kept up to date and are stored appropriately, with personal details are stored in a locked cupboard and are not left unattended. Service Users can have access to their files but they are kept confidential from others, staff are asked to read and sign the organisation policy on confidentiality when taking up post. A sample of health and safety records were inspected and were found to be in order. A fire risk assessment has been carried out and the fire folder contains a floor plane showing where fire points, extinguishers and sensors are placed. Fire points are tested weekly and fire equipment was tested on 23rd February 2006, the last fire drill was on the 16th June 2006. However information supplied to the Commission indicates that the last fire training was held in April 2003. It will be a requirement that all staff receive relevant fire safety training at least twice a year. Please see Requirement 1 Fridge and freezer temperatures are taken and recorded daily, the last environmental health officer last visited in August 05, there were no areas of concern. Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 YA42 Regulation 23 (4.d) Requirement All staff must receive Fire safety training. Timescale for action 01/03/07 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 Healy Drive , 1 DS0000006947.V299854.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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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