Inspection on 22/06/05 for Healy Drive ,3

This inspection was carried out on 22nd June 2005.

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 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 16/10/06

Healy Drive ,3 27/02/06

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 Healy Drive 3 Orpington Kent BR6 9LB Lead Inspector Monica Hanscomb Unannounced 22 June 2005 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 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 Stationary 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. Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Healy Drive Address Orpington, Kent, BR6 9LB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01689 891401 02689 891401 The Catholic Childrens Society Ms Nicola Johnson Acting Manager Care Home 6 Category(ies) of Learning disability registration, with number of places Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 6 Adults of either sex with learning disabilities over the age of 19 years within the category mental handicap. Date of last inspection Brief Description of the Service: Three 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 ina cul-de-sac as part of a complex with another home and a day centre. Each service user has their own spacious bedroom. The communal areas are of a good size and include a lounge and separate dining area, kitchen and laundery facilities. The home has a linkworker 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 skillls, to develop their independence to their own ability and to take advantage of a range of recreational activities wider community. Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours as part of the statutory inspection programme. The inspection included a tour of the premises, inspection of some records, care plans and safety systems. Four members of staff care staff present during the day spoke with the inspector and the inspector was able to observe staff interactions with the service users. The inspector would like to thank all who participated with the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home needs to keep all the records required by Schedule 4 of the Regulations in the home at all times. Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 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 standard(s) 1,2,5 The home produces information to enable the service user and their relatives/advocates to make an informed choice as to whether they want to live in the home. EVIDENCE: The home has an up-to- date statement of purpose setting out the aims, objectives and philosophy of the home and includes all the other requirements of the legislation. There is also a service user guide and this is given to each service user and explained individually to them. Every service user placed in the home has a full assessment of their needs undertaken by their care manager. The home has a contract/statement of terms and conditions and this is explained to the service user before they are admitted to the home. . Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9,10 The home makes sure the service users develop their own lifestyle by supporting them to make individual choices according to their abilities and the care plans are continually updated as new information becomes available. EVIDENCE: Staff members always keep service users informed of all matters pertinent to their care and lifestyle by communicating with them using Makaton sign language and the widget communication format if they are unable to communicate by speech The home has developed risk management strategies for each service user and the outcomes are recorded on their careplan, this is undertaken before the service users undertakes any activities. Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,14,15,16. Service users are encouraged to develop their lifestyle and reach their full potential by all the members of staff EVIDENCE: Service users are given every opportunity to undertake practical skills which some of them take forward and use in work placements, They also undertake tasks within the home according to their assessed abilities. Some of the service users attend the local church on a regular basis and staff help facilitate those who require assistance to attend. The staff, also, assist service users to integrate into the local community e.g. going out for a meal, visiting the pub and attending their clubs and any social activities the clubs organise. All staff treat the service users with respect and their privacy is protected as far as possible. Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 11 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 standard(s) 18,21. The home provides support where the service users are unable to carry out personal tasks for themselves, but when service users need specialist care they and their families are supported to find a placement to suit their increased needs. EVIDENCE: All personal and healthcare are undertaken in the service users own bedroom so as to allow them their privacy, dignity, independence and control over their own lives within their assessed potential. The carers ascertain the service users preferences about the way they are lifted and transferred. if required. The carers will encourage them to undertake their own personal care if they are able and if it is not possible the carers undertake these tasks. The service users sit on the interviewing panel when new staff are recruited. All the service users have access to specialist care if needed. The organisation has a comprehensive policy on bereavement. When service users require more care than the staff can provide the service users have to move to a home, specialising in high dependency care. The service users families are always involved in the decision process with the service users permission. Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 12 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 standard(s) These standards were not assessed at this unannounced inspection EVIDENCE: Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 13 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 standard(s) 25,27,28,30 The service users live in a pleasant environment which is homely, clean and pleasant, however attention must be given to hazards which could cause an accident. EVIDENCE: Each service user has their own bedroom which meets the requirements of the standards. The home has toilets and bathroom facilities for all types of need and disabilities. All toilets and bathrooms are lockable, but in an emergency can be unlocked from both sides. The home has a homely appearance and service users appeared very relaxed and friendly. The standard of furnishing is of a high standard, but some concern was felt about the settees which had “throws” over them, were potentially a hazard as they were draped over the floor and service users could trip on the excess material. The acting manager was advised of the risk. Staff have adequate facilities for their own personal belongings when sleeping in. The premises at the time of the unannounced inspection were clean and tidy. The home has a well- equipped laundry which has a sluicing facility. Hand washing facilities were prominently sited. The services and facilities comply with the Water and Supply (Water Fittings)Regulation 1999. Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 14 Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,36. All the staff on duty spoken with knew about the services users needs and potential. The service users were confident and knew where they were going for their activities and who were accompanying them. Staff were supporting them where needed but allowing them to make their own decisions. EVIDENCE: The staff on duty at the time of the unannounced inspection were pleasant and knowledgeable about their care of the service users. They knew the service users likes and dislikes and how much they were able to achieve. Some service users were waiting to go out and staff were prompting them gently to make sure they had all their processions they needed to take with them. Staff receive induction training when they are employed, which includes going through the policies and procedures and the aims and objectives of the home. Staff all have job descriptions which are linked to achieving the service users individual goals. Staff members were seen to have very good relationships with the residents. The acting manager stated she would obtain copies of the General Social Care Council (GSCC) code of practice for all members of staff. When the staff members were spoken with it was clear they all had a good understanding of all the services users needs and abilities. The staff all receive one to one supervision from the acting manager, who is qualified to undertake supervision. The personnel records were still not seen, as requested at the last inspection, Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 16 Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38,40,41,43 The acting manager was unable to give any assurance about the management of the home as she has only been in post for a week, but in that time she knows the assessed needs of all the service users and has enabled the staff to continue caring for the service users to a high standard. EVIDENCE: The home has appointed new manager and at the time of the unannounced inspection Nicola Johnson had started less than a week ago. Nicola showed she had already assimilated information about all the service users and the running of the home, which is much to her credit. All the staff group responded to her requests to undertake tasks readily and this created an open, positive and inclusive atmosphere. The homes’ written policies and procedures had not been updated since 2003, the acting manager stated she would undertake a review within the next three months and would make sure the staff and service users (Widget communication system) have access to the updated policies and procedures. The service users records had not been updated nor stored in a locked cabinets in accordance with the Data Protection Act 1998, again the Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 18 acting manager stated she would make sure the service users records were stored in a secure cabinet. The acting manager was unable to state the financial systems are in place as she did not know anything about them. Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 2 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Heaky Drive Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 2 2 2 G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 20 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. 2. Standard 42 34 Regulation 13.4a 17(2)sch4 Requirement The registered person shall ensure all parts of the home are free from hazards The registered personshall maintain in the care home, records specified in sch.4 Timescale for action 3months 3months 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 Good Practice Recommendations Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Sidcup Area Office River House 1 Maidstone Road Sidcup Kent 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 Heaky Drive G51-G01 S6946 Healy Drive V225198 22-06-05 Stage 4.doc Version 1.30 Page 22 - 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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