Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Healy Drive ,3 Healy Drive ,3 Orpington Kent BR6 9LB The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Janet Pitt Date: 1 7 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Healy Drive ,3 Healy Drive ,3 Orpington Kent BR6 9LB 01689891401 01689891401 cabrini@cathchild.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Kathleen Coles Type of registration: Number of places registered: The Catholic Children`s Society care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 8 Over 65 0 Conditions of registration: The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 8 Date of last inspection Brief description of the care home 3 Healy Drive is part of the Catholic Childrens Society and provides care and accommodation for eight 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 people living in this home has their own spacious bedroom. The communal areas are of Care Homes for Adults (18-65 years) Page 2 of 10 a good size and include a lounge, a large kitchen with dining area, a games room with a snooker table and laundry facilities. The home has a link worker system and members of staff are available to assist and support people in the home at all times when required. The home encourages and enables people 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. The fees in this home range from 727.00 and 850.00 a week. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This unannounced inspection took place over two site visits and lasted a total of eight and a half hours. One visit was made to the head office of the organisation on 9/10/08. A site visit was made to the service on 17/10/08. The inspector was accompanied on the site visit to the service by a member of CSCIs media team. Information was gathered from user and staff surveys, discussion with staff and people that live in the home. Records relating to staff recruitment and care planning were examined. The home provided us with an Annual Quality Assurance Assessment (AQAA), which was also used to inform this report. We found that care plans were person centred, but more work is needed to make sure they are completed fully and are reviewed regularly. There needs to be evidence of the person or their representatives involvement in the process. Staff recruitment was satisfactory with necessary checks being carried out, such as Criminal Records Bureau checks and references being taken up. There needs to be more concentration on making sure that staff are trained appropriately for their roles. Mandatory training was noted to be in place, but training in specialist areas such as care of people with Downs Syndrome and communication with person with learning disabilities is needed. This will make sure that staff have a good understanding of differing conditions. People who live in the home were spoken with at the time of the site visit and they were satisfied with the care they received. Care is needed to make sure that equality and diversity needs are addressed. A persons religion was not always documented. Individuals and staff spoke of being able to develop relationships, but although there was information on staying safe, there was limited information on health needs and same sex relationships. People live in a home that is maintained and clean, however attention to detail is needed in making sure shower areas are in working order and clean. Extractor fans were seen to be clogged up with dust, this presents as a fire hazard. We have received one complaint regarding various aspects of the running of the home. This was discussed in detail with personnel at head office. There needs to be clarity on roles within the organisation and the day to day management of the home. Recent changes has meant that the home is managed separately from its sister home and the day centre, as geographically they are separate. Clear lines of accountability and responsibility are needed between the manager of the home, the service manager and head office. This has lead in the past to staff not being appropriately supported to improve their practice. Although there have been no Safeguarding issues reported, we are concerned that lack of Internet access for people who live in the home are unable to pursue interests and download music onto their iPods. At present staff are taking home individuals iPods to Care Homes for Adults (18-65 years) Page 4 of 10 download music. There is no system in place for showing who is taking responsibility for the equipment. The people that live in Healy Drive are vulnerable due to their condition and can be trusting in nature. Even though checks have been carried out it is not acceptable for staff to be taking a persons belongings home. It is expected that suitable Internet and satellite television services will be installed as soon as possible. This will make sure that individuals are able to access the Internet when they want, as requested in their surveys and have a choice of programmes that reflect their interests. Medication was found to be handled correctly, but one person was noted to require an inhaler occasionally. The inhaler was locked in the medicine cabinet, a process needs to be put into place to make sure it is readily available at all times. A review of the policies and procedures is needed to make sure that information in then is current. As stated in the Annual Service review an full key inspection will be undertaken by 30th June 2009, when the requirements made in this report will be checked upon. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 10 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 2 14 Evidence of the person or their representative is needed in the formation of assessments. This will make sure that individuals views and wishes are recorded. 27/02/2009 2 6 15 Care planned for must be given consistently. This will make sure that people do not become confused about their plans for the day. 27/02/2009 3 9 12 Risk assessments must take 27/02/2009 into account individual preferences. Health aspects of safe relationships must be addressed within a suitable framework, with access to appropriate information. This will make sure that if a person choses to have an intimate relationship, they are able to keep themselves safe. 4 15 12 More training and support is needed for staff and people who live in the home to 27/02/2009 Care Homes for Adults (18-65 years) Page 7 of 10 become aware of differing relationship needs. This will make sure that equality and diversity is promoted within the service. 5 20 13 Appropriate procedures need 27/02/2009 to be in place for people who self medicate. This will make sure that as required medications are available when needed. 6 23 13 There must be suitable Internet and satellite television to the home. This will make sure that vulnerable people are not placed at risk of harm 7 24 23 All areas of the home need to 27/02/2009 be properly maintained and cleaned. This will make sure that there are no fire associated risks and people are living in suitable accommodation. 8 35 18 Staff must receive training 31/03/2009 appropriate to the work they are to perform. This will make sure that individuals specific needs can be identified and met. Staff will also have an understanding of specific conditions that a person might have. 9 37 10 There must be clear lines of accountability between the manager of the home and head office support. This will make sure that the service is run in the best interests of the people that Care Homes for Adults (18-65 years)
Page 8 of 10 31/03/2009 31/03/2009 live there. 10 42 13 Policies and procedures 30/06/2009 relating to the running of the home must be reviewed every two years. This will make sure that practice is current and safe. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
