Inspection on 27/02/06 for Healy Drive ,3

This inspection was carried out on 27th February 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 16/10/06

Healy Drive ,3 22/06/05

Healy Drive ,3 15/03/05

Healy Drive ,3 23/09/04

Similar services:

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

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 Announced Inspection 27th February 2006 9.30 Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 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) ** Post Vacant *** Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 6 Adults of either sex with learning disabilities over the age of 19 years within the category mental handicap 22nd June 2005 Date of last inspection 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. Building works has increased the number of beds from six to eight and has given the home an additional communal room that will be used as an activity room and the Service Users will also benefit from a new toilet downstairs. The two extra rooms have been filled by woman and that has changed the makeup of the house as it was previously an all male house. Each of the service users have 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.V275655.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced Inspection, the newly Registered Manager was present and had an open and helpful manner, the Inspector was able to speak to one of the Service Users during her visit and the Management Officer who oversees the running of the house and manages the finances. The home was clean, comfortable and well decorated. Recent building work is still being completed and there are still open ditches outside and finishing work to be done inside, however the overall effect has been established and the new rooms have been finished to a high standard. The two new bedrooms are large and both have en-suit facilities. Established Service Users were given the option of moving into the new rooms and one of them took advantage of the offer and did move, there was also the chance to choose the colour scheme. The new Service Users were also able to chose their bedroom colour, one of the rooms were decorated prior to them moving in and the other will be done while the Service User is on holiday. The Registered Manager has put the practice and procedures in order and appears to be getting settled in the job. She appears to be knowledgably about the Service Users and their needs. What the service does well: What has improved since the last inspection? The newly Registered Manager has entrenched herself and has started to update house and the Service Users files as well as undertaking a review of the polices, procedures and guidelines. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 6 The new building work has been done to a high standard and the Service Users have benefited from two new bedrooms, a new games room, there is an extra toilet to the ground floor and a bathroom that now has wheelchair access. 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.V275655.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All these standards have been assessed on this occasion Two new Service Users have moved into the home since the last inspection so the inspector was able to view evidence pertaining to these Standards. EVIDENCE: The home’s Statement of Purpose gives any prospective Service User and other interested people enough information to enable them to make an informed decision about what the house has to offer and whether it’s Aims and Philosophies match their expectations. Each of the new Service Users had their needs and aspirations assessed prior visiting the house via their care manager and assessment meetings that the home attends. During this assessment the dynamics of the present Service Users are also considered, it is a longstanding and stable group. The new Service User is assured that the home would be able to meet their needs and were given the opportunity to stay in the home before making a final decision to stay. The final decision will be taken at a review meeting. All Service Users have been given a statement of terms and conditions. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 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 the following standard(s): All the standards in this section were assessed on this occasion. The Inspector was given access to all the Service Users files and looked closely at three of them. EVIDENCE: The Inspector was able to find evidence that the Service Users have care plans that are detailed and give enough information to reflect their needs and personal goals. The care plans had been updated recently and the Registered Manager has undertaken to review them on a regular basis. The Service Users in this home are encouraged and supported to make decisions about their lifestyles; the home is decorated in a contemporary style and the Service Users have been encouraged to choose the colour of their own room and the communal areas. They were also consulted on what to use the newly created communal room for. There are regular House Meetings where the Service Users discuss and plan outings, activities and what is happening in the home. As a group they will also discuss disputes amongst their peers. In the past the home have been a close knit, all male community that has been together a long time, the dimensions have changed since two woman have moved in and some of the unwritten rules that have developed over time Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 10 will now need to be formalised to keep the peace, for example: making sure that no one minds if an individual wants to watch a DVD on the communal television. It is intended that the Service Users will discuss and develop house rules during house meetings. The Service Users are encouraged to live an independent life style and all take part in the running of the home; each person takes it in turn to choose and prepare the evening meal. A timetable is kept that sets out chores within the house and all Service Users take turns in helping out. Two of the Service Users are in paid employment, one travels independently to West Kent Collage and one is working towards attaining an NVQ in catering. Relevant risk assessments are in place. Service Users can be assured that their personal information is stored in way that will protect their privacy; it is stored in the office in a locked cupboard Each of the Service Users has a document on file that sets out what access they can have to their files. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 11 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): Standards from 11 to 17 have been assessed during this Inspection The people living in this home have the opportunity to live a full and active life. EVIDENCE: The Service User largely determines their own lifestyle in this home, they are able to attend the local collage and a daycentre, either the one within Cabrini situated between 1 and 3 Healy Dive or another of their choice. Two of the Service Users are in paid employment. Local clubs are available and the home supplies transport to those that want to attend and ay trips are organised to London and other places of interest, Service Users attend a night club that is run for and by people with learning disabilities and some attend church. The local community is accessed for shopping, eating out, renting videos and visits to the cinema. Family and friends regularly visit the home and are welcome at any reasonable time. Service Users are supported in choosing their own menus that are healthy and varied and take turns to cook the meal and shop. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 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 standard were assessed during this inspection. Service Users benefit from a home that enables them to decide how they will receive support and that attends to their emotional and health needs. EVIDENCE: The Service Users are able enough to decide how they want to receive personal support; their preferences are sought and recorded in each individual care plan. Individual needs are reflected in the number of staff on duty. Extra staff have been employed due to the recent increase in beds. Each of the Service Users is registered with a local doctor and other specialist input such as psychology, speech and language, occupational health and physiotherapy are assessed through the Bassett Centre. Medication is stored appropriately and the home has recently had a medication audit carried out by their supplier and no issues were raised. Three staff members are attending a training course on administering medication at Orpington Collage. One of the Service Users manages his own medication keeping it in a locked cupboard in his room. His GP has assessed his ability and has given written approval. A risk assessment regarding him self-medicating has also been carried out. The Statement of Purpose says that the home is committed to offering a home for life unless it is unable to properly meet the individual’s needs. If it becomes necessary for some one to move on it will be done in a planed and timely manner. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 13 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 were assessed during this visit. Systems and policies are in place that should make sure peoples concerns are heard and that they are protected from abuse and neglect. EVIDENCE: The house Complaints and Representation Procedures sets out how a complaint can be made and how it will be managed. Contact details for the CSCI are also included in this document as required. No complaint have been recorded by the home or received at the Commission since the last Inspection. The home has policies in place to protect the Service Users from abuse and staff receive training on Adult Protection. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 14 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 standards were examined on this occasion. The Service Users benefit from living in a house that is homely, clean, comfortable and suited to their needs. EVIDENCE: 3 Healy Drive is a homely and comfortable environment, the bedrooms are individual to each service user with personal belongings that reflect the occupant’s character and lifestyle, the decoration is chosen by the Service User. Three of the bedrooms have en-suit facilities and the rest of the toilets and bathrooms provide privacy and meet individual needs; the toilet on the ground floor is being rebuilt to become assessable to wheelchair users, another bathroom has a raised toilet seat and a bath chair. The home is clean and hygienic, the Service Users are encouraged to keep their own rooms tidy and domestic staff are employed from Tuesday to Friday. Cabrini has a maintenance person. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 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 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): Standards 32, 34, 35 and 36 were assessed on this occasion. Staff team is well trained and supervised. EVIDENCE: There is a staff team of six and two volunteers all working full time. Four of the permanent staff have attained NVQ at various levels and all are offered regular training including Adult Protection, Health and Safety, Moving and Handling, Risk Assessing, Administering Medication and Basic Food Hygiene. Extensive training records are kept. The Inspector was able to see evidence that supervision was offered on a regular basis and was told that each staff member has a Personal Development Interview annually. Cabrini’s Policies and Procedures are being reviewed and updated by the Team Leaders and the Management Officer. The Inspector was unable to view staff records on this occasion, as they are not stored locally. She was informed that if she had requested to see them in advance of the Inspection they would have been bought to the home. However the Inspector fells that, as this was an announced Inspection, it could have been reasonable be assumed that they would have been required and should have been made available. During a discussion with the Management Officer he explained that he was in possession of some of the required information but not all, but steps were being taken to make all required information available for inspection at all times. This is an area that the Inspector will be examining in detail during the next Inspection and will expect to view all required staff information. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 16 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 these on this occasion Service Users benefit from a well run home with good leadership. EVIDENCE: The Manager has recently successfully undertaken the process to become registered. During discussion with her the Inspector was able to form the opinion that she was knowledgeable about the Service Users and their needs and also that she was organised and competent to manage the home. Camrini has a Quality Management System that allows the Service Users and their families to have their say in the running of the home through regular and ongoing monitoring and auditing with remedial action being taken as necessary. A random selection of the Health and Safety records were seen and no areas of concern were found. The Fire Officer last visited the house on 18/01/06 and the Environmental Health Officer visited on 11/04/05. Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 17 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 X 32 3 33 X 34 2 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.V275655.R01.S.doc Version 5.1 Page 18 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. 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. Refer to Standard Good Practice Recommendations Healy Drive ,3 DS0000006946.V275655.R01.S.doc Version 5.1 Page 19 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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