Inspection on 16/10/06 for Healy Drive ,3

This inspection was carried out on 16th October 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

Healy Drive ,3 09/10/08

Healy Drive ,3 11/09/07

Healy Drive ,3 27/02/06

Healy Drive ,3 22/06/05

Healy Drive ,3 15/03/05

Healy Drive ,3 23/09/04

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Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

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

CARE HOME ADULTS 18-65 Healy Drive ,3 Healy Drive Orpington Kent BR6 9LB Lead Inspector Ann Wiseman Unannounced Inspection 16th October 2006 08.30 Healy Drive ,3 DS0000006946.V309225.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 ,3 DS0000006946.V309225.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 ,3 DS0000006946.V309225.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Healy Drive ,3 Address Healy Drive Orpington Kent BR6 9LB 0168 9891401 0168 9891401 cabrini@cathchild.org info@cathchild.org The Catholic Children’s Society 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) Mrs Nicola Caroline Johnson Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Healy Drive ,3 DS0000006946.V309225.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 Brief Description of the Service: 3 Healy Drive is part of the Catholic Childrens Society and provides care and accommodation for six adults with a learning disability. The home is a detached house situated in a cul-de-sac as part of a complex with another home and a day centre. The number of beds has recently been increased from six to eight. Each of the service users has their own spacious bedroom. The communal areas are of a good size and include a lounge with an area for making snacks and drinks, a large kitchen with dining area and laundry facilities. The home has a link worker system and members of staff are available to assist and support the service users at all times when required. The home encourages and enables service users inside the home to develop and maintain their social and domestic skills, to develop their independence to their own ability and to take advantage of a range of recreational activities in the wider community. Healy Drive ,3 DS0000006946.V309225.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 and the Inspector arrived while the Service Users were still getting up and having breakfast so she had an opportunity to speak with them before they left for their daytime activities. The Service Users were happy to talk and all wanted a chat. None had a complaint to make and said they were happy living in the home and that they liked the staff. The atmosphere of the house was calm and well ordered despite being a busy time of day. The Registered Manager has recently left and the Manager of I Healy Drive is overseeing number 3 until a new manager has been appointed. The acting manager is experienced, well organised and skilled so neither service should suffer in the short term. The eight-bedded unit had two staff members on duty and one volunteer who is an Australian gap year student. It is normal for there to be three people on duty each shift. 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 ,3 DS0000006946.V309225.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 ,3 DS0000006946.V309225.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): Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. All prospective Service Users are given enough information to enable them to make an informed decision about the home. Everyone has their needs assessed before moving into the home, are able to test drive the home before deciding to move in permanently and each service user has an individual written contract and statement of terms and conditions. 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 and information gathered since moving in. Any new Service User is given the opportunity to visit before they decide to move into the house. The last people to move in were the two ladies after the completion of the extension, they had visits before they moved in and reviews before the moves were made permanent. Healy Drive ,3 DS0000006946.V309225.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 of the above standards were examined during this visit Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Care plans are detailed and informative, Service Users are supported to make decisions about their lives and are consulted on all aspects. Risk assessments are in place that enables the Service Users to lead an independent like style. Staff are trained to respect confidences and to handle personal information in a way that will maintain confidentiality. EVIDENCE: All Care Plans examined were well set out in an attractive format and reflected the needs and aspirations of the Service User and have been updated since the last Inspection. They are reviewed at regular intervals. There was evidence the Service Users 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 ,3 DS0000006946.V309225.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 lying around in communal areas. Healy Drive ,3 DS0000006946.V309225.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 these standards have been 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. Service Users have opportunities for personal development, take part in appropriate activities and are part of the local community. Family and friends are welcome in the home and the Service Users are supported to take responsibilities in their daily lives. Service Users chose the menus and are assisted in making healthy meals. EVIDENCE: Service Users in this home are supported and encouraged to develop personally; one person works in a local charity shop another is working towards attaining an NVQ in catering and others attend collage and a day centre, either the one attached to the project or another of their choice. Trips are made to the amenities within the local community such as the cinema, restaurants and pubs. The Service Users also enjoy bowling, visiting museums and day trips out to the seaside or local attractions. They also access clubs and activities arranged for their peer groups including the Octopus Club. Healy Drive ,3 DS0000006946.V309225.R01.S.doc Version 5.2 Page 11 Family and friends are welcomed at the home and in-house activities such as coffee mornings and BBQ’s are organised to which they are invited. Some of the Service Users visit their family’s home for day visits and overnight stays. Service Users are able to entertain their friends at home. Service Users who talked with the Inspector told her that they felt that their rights were respected and that they were able to make decisions for themselves, as well as being expected to take responsibility for respecting the rights of those that live with them by not entering their room uninvited or touching others belongings without permission. There are rotas so that everyone take it in turn to carrying out chores. Menus are on display, which is chosen by the Service Users, supported to make healthy choices by the staff. The dinning area is in the large kitchen. It is clean and pleasantly decorated. Service Users are able to eat together or separate, as they desire. Healy Drive ,3 DS0000006946.V309225.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 in the above area was examined for this Inspection. 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 managed 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, dislikes and plans for the future. There is evidence that the Service User’s needs are reviewed regularly. All of the service users are registered with the local doctor and receive medical care as needed. There was evidence on file that indicated they accessed dentists, opticians and attended hospital appointments for specialist treatment. They also access the community nurse and other specialist services such as psychology and speech and language. They are accessed through the local central learning disability team based at the Bassett Centre. Healy Drive ,3 DS0000006946.V309225.R01.S.doc Version 5.2 Page 13 One Service User was supported to access bereavement counselling after the death of a close family member. Two of the Service User files contained an assessment from the Doctor stating they were able to manage their own medication and they are assisted to do so. The medication is stored in the office and is securely locked away, on examination the medication was found to well maintained. The Inspector did no find any medication that was out of date and all of it was labelled correctly using a pharmacist Labelle with all required information included. The recording sheets were completed without unexplained gaps. One Service User is taking the contraceptive pill and to avoid it being taken out of sequence the sheet of pills in use is stored out of the properly labelled box, which is kept to one side until needed, in the past the tablet has been be taken randomly from any sheet in the box. It is not safe to keep medication in the cabinet unlabelled. It is recommended that the home keeps the medication in an appropriately identified box, possibly the home could ask the chemist to provide an extra labelled box to store it in. Please see recommendation 1 The home 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 ,3 DS0000006946.V309225.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 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. Service Users can be confident that their concerns will be listened to and that action will be taken. They can also be confident that they will be protected from abuse. 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 Service Users who spoke with the Inspector voiced any concerns or complaints. When asked, they felt able to approach staff if they had any issues or worries and 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 offences that may make them a threat to this vulnerable group of people. 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 and during their NVQ assessments and it is updated throughout their service. Staff receive training to help them to understand, avoid or diffuse situations around verbal and physical aggression. 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. Healy Drive ,3 DS0000006946.V309225.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 the above have been 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. This home is homely, comfortable, clean and safe to live in. It suits all aspects of the 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 some of the communal areas and some of the carpets are showing signs of wear but overall the home is well maintained and the furniture and carpets are replaced as necessary. The Service Users are encouraged to choose the style and colours when the house or their bedrooms are being decorated. The Sitting room overlooks the garden and has French windows that open onto it. The Garden 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 ,3 DS0000006946.V309225.R01.S.doc Version 5.2 Page 16 requirement. The windows are large, so the rooms have a bright airy appearance. Some of the bedrooms are part of the extension and new and but some of the carpets in the old rooms need replacing, this has already been identified as evidenced in a recent Regulation 26 report. Bathrooms and toilets offer adequate privacy and are adapted to suit the needs of the Service Users. The home is clean and hygienic, cleaning staff are shared with it’s sister house 1 Healy Drive. There is also a handyman who is responsible for maintaining the house, decorating and carrying out small repairs. Healy Drive ,3 DS0000006946.V309225.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 these standards were examined 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 staff photographs. Included were copies of the job specification and 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 three 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 its staff having attained the NVQ 2 in care or it’s equivalent. An ongoing program of staff attending NVQ training and assessment is proposed. Healy Drive ,3 DS0000006946.V309225.R01.S.doc Version 5.2 Page 18 Levels of staffing is adequate to offer the seven 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 indicated 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 candidate’s 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 ,3 DS0000006946.V309225.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 of the above standards were assessed. 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 by the acting manager who is supporting the home until a new manager is appointed, she, in turn, 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. House meetings are held and outcomes are taken to staff meetings if necessary. Healy Drive ,3 DS0000006946.V309225.R01.S.doc Version 5.2 Page 20 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, 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 March 2006, and the fire officer last visited on 18th January 2006. Portable Electrical Equipment was last tested on 27th February 2006. Fridge and freezer temperatures are taken and recorded daily, the last environmental health officer last visited in June 05; there were no areas of concern. Healy Drive ,3 DS0000006946.V309225.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 ,3 DS0000006946.V309225.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. 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. 1 Refer to Standard YA20 Good Practice Recommendations A Service User is taking the contraceptive pill and to avoid it being taken out of sequence the current sheet of pills are stored out of the properly labelled box, it is not safe to keep medication in the cabinet that is not labelled, it is recommended that the home keeps the medication is not appropriately identified, possibly the home could ask the chemist to provide an extra labelled box to store it in. Healy Drive ,3 DS0000006946.V309225.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. Extracts may not be used or reproduced without the express permission of CSCI Healy Drive ,3 DS0000006946.V309225.R01.S.doc Version 5.2 Page 24 - 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. 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