Inspection on 29/12/05 for Huddleston Close (34-35)

This inspection was carried out on 29th December 2005.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Huddleston Close (34-35) 10/12/07

Huddleston Close (34-35) 27/07/06

Huddleston Close (34-35) 29/06/05

Huddleston Close (34-35) 18/03/05

Huddleston Close (34-35) 18/10/04

Huddleston Close (34-35) 02/01/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

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 Huddlestone Close (34-36) 34-36 Huddlestone Close Parmiter Street Bethnal Green London E2 9NR Lead Inspector Sarah Greaves Unannounced Inspection 29th December 2005 15:00 Huddlestone Close (34-36) DS0000010298.V274335.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 Huddlestone Close (34-36) DS0000010298.V274335.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. Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Huddlestone Close (34-36) Address 34-36 Huddlestone Close Parmiter Street Bethnal Green London E2 9NR 020 8983 3515 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) h3m055sewell@mencap.org.uk Mencap Miss Sophia Cheryl Sewell Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: 34-36 Huddleston Close is a care home registered to provide care, support and accommodation for up to seven adults with a learning disability. The service is managed by MENCAP and the premises are leased from the Bethnal Green and Victoria Housing Association. The premises are three ordinary domestic properties located within a short walking distance of the shops, cafes and other amenities at Bethnal Green High Street. In addition to the underground and overground stations, frequent buses operate to East London districts and central London. The home contains one house, which is occupied by three service users, a house accommodating two service users and a flat for one service user. Each property has its own front door and separate rear garden. Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An announced inspection was conducted on the 29th June 2005. Thirty-eight of the applicable forty-three National Minimum Standards were assessed at the announced inspection. The purpose of this inspection was to assess the remaining five standards and to check the home’s compliance with the five requirements and three recommendations issued in the June 05 report. The inspector met all of the seven service users, spoke to staff and reviewed specific policies and procedures. What the service does well: What has improved since the last inspection? Five requirements and three recommendations were issued in the previous inspection report. The inspector found that two of the requirements and all of the recommendations had been satisfactorily met at this inspection visit. A major improvement was noted in the care planning at the last inspection report (the home achieved person centred planning for all of the service users); it was encouraging to note at this inspection that these relatively new care plans, inclusive of risk assessments, were being monitored and reviewed in a timely fashion. Staff demonstrated that a more creative approach was being employed to access community events and facilities for service users, including visits to local places not previously explored by service users and their key workers. Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 6 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. Huddlestone Close (34-36) DS0000010298.V274335.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 Huddlestone Close (34-36) DS0000010298.V274335.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): Standards 1,2,3,4 and 5 were assessed and met at the previous inspection visit. There had not been any new admissions to the home since the last inspection. EVIDENCE: Huddlestone Close (34-36) DS0000010298.V274335.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): 6 and 10 Service users are assured a service that appropriately maintains confidentiality. The need to carefully consider the content of any information displayed on communal notice boards had been identified at a previous unannounced inspection; it was therefore pleasing to note that staff had incorporated this practice within their daily routine. EVIDENCE: The care plans have been assessed within Standard 41 of this report. The inspector found that confidential information regarding service users was stored in a locked office at the time of this inspection. Staff demonstrated an awareness of ensuring that any letters or notices displayed on the communal notice board were of a general nature and did not disclose confidential information relating to specific service users. The home’s confidentiality policy and the pictorial information documents designed for service users clearly explained how staff would maintain confidential information, unless it was necessary to inform other people (such as social workers) in order to protect a service user. Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 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): 14 and 17 The differing recreational needs of service users are addressed, and the home offers healthy and balanced meals and snacks. EVIDENCE: A recommendation was issued in the last inspection report for the home to develop activities and outings that would appeal to service users who would benefit from a more interactive/visual stimulation approach that mainstream theatre and cinema does not offer. The inspector had originally suggested activities such as visits to the nearby Museum of Childhood, and trips to local street festivals and fetes. The local museum had been closed for renovations; however, service users had undertaken activities such as a visit to a museum in Kingsland that displays historic house designs, music at the Kit Kat Club and fetes. A meal and disco were arranged for Christmas. A requirement was issued in the last inspection report for the home to ensure that detailed records were maintained regarding the meals provided for service users. Staff demonstrated that full records were completed, which evidenced the daily choices of fruits and vegetables. Service users accessed beverages and light snacks during the inspection. It was noted that ‘healthy’ biscuits were available for snacking between meals (caramel flavoured low fat rice cakes). Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 11 One of the service users informed the inspector that she had eaten out for lunch (café trip organised by a day centre). Huddlestone Close (34-36) DS0000010298.V274335.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): 19 and 20 Service users were safely supported with their health care and medication needs by staff who received appropriate training and guidance in these important areas of practice. EVIDENCE: On the day of this inspection, two service users were supported to attend medical appointments. Via discussion with the staff who were escorting the service users, the inspector observed that staff were competent in their knowledge of the service users health care needs and confident about their role of reporting observations to doctors and specialist nurses. The inspector spoke to a member of staff upon their return from accompanying a service user to a health/medication review and was provided with a detailed account of the service user’s health needs and the home’s liaison with a specialist nurse practitioner. A requirement was issued in the previous inspection report for the home to ensure that any prescribed items without a comprehensively detailed pharmacy label must be promptly returned to the pharmacist for re-labelling. The inspector checked the storage and recording of medication in one of the houses, which accommodates three service users. Medications were appropriately stored and any medications that needed to be returned to the pharmacist (for a variety of reasons) were placed in a designated area of the medication cabinet, apart from the actively used medications. A Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 13 recommendation had been issued in the previous inspection for the home to record that service users had been offered their prescribed ‘as required’ pain killers; this recommendation had been fully complied with. Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 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): Standards 22 and 23 were assessed and met at the previous inspection. EVIDENCE: Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 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): 24,26 and 30 The home offered a comfortable and clean environment. Service users were provided with pleasant and cosy bedrooms. EVIDENCE: A recommendation was issued in the previous inspection report for the home to improve upon the garden areas and replace a table with a scratched surface in one of the lounges. It was noted that a new table had been purchased. Due to the weather conditions and lack of daylight, the inspector could not fully assess the garden areas, although it was observed that the home had acquired an outdoor trampoline since the last inspection. The front and rear gardens were tidy and it was observed that the manager was continuing her attempts to prevent people (not connected to the home) from dumping unwanted items in the front garden. The recommendation for garden improvements has been temporarily deleted; however, the home is advised to continue developing the gardens when the weather improves so that service users can enjoy activities such as barbeques and light gardening. One of the service users took the inspector to look at her bedroom, which was very tidy and tastefully decorated. The room contained personal items (ornaments, pictures etc). The service user was keen to display that her clothes were laundered and neatly arranged in the wardrobe. The home was found to be hygienic and free from any offensive odours. Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 16 Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 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): 31 Staff were well prepared for the responsibility of discussing the needs of service users and representing the aims of the service provider. EVIDENCE: At the time of this inspection the registered manager and deputy manager were not on duty. The home was fully staffed for the afternoon/evening shift but was quite busy as staff were allocated to escort service users to their medical appointments. The inspector found that staff were able to smoothly respond to the expectations of an unannounced inspection (such as answering questions about previous requirements and recommendations, locating office based documents, and providing information regarding vacancies and recruitment). The good performance of staff at this inspection demonstrated that key information was shared in team discussions and staff were encouraged to regard liaison with external individuals and organisations as an essential part of their role. Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 18 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): 40,41,42 and 43. Record keeping was good. The home must focus upon rectifying the repeated issues of health and safety. EVIDENCE: The inspector read a random sample of policies and procedures (moving in procedures, management of service users personal records and the support for service users with terminal illness); these documents were found to be satisfactorily maintained. It was noted that the home possessed a policy regarding notifications that referred to the Registered Homes Act 1984. Since the home fully complied with notifications required by the Care Homes Regulations 2001, the inspector would advise that this redundant policy should be removed in case it caused any confusion for new staff. The home’s record keeping was found to be well maintained and up-to-date. The inspector looked at two care plans; the six monthly reviews had been conducted within the specified timescales. A requirement was issued in the previous inspection report for the home to ensure that the first aid equipment was valid. The inspector looked at the contents of a first aid box with a member of staff; although the equipment was Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 19 in date it was observed that some standard items were missing. A requirement was issued in the previous report for the home to ensure that all opened refrigerated items were labelled with the date of opening. Staff must be very rigorous in checking all products as the inspector found an item that needed to be disposed of within a specified time after opening and was expired. It was also observed that a dried food item (pepper) in the cupboard had been transferred into an unmarked jar; staff disposed of this item as the date of expiry could not be established. The records for daily refrigerator and freezer temperatures were satisfactorily maintained. A requirement was issued in the previous inspection report for the home to ensure that consistent records of water temperatures were maintained. The inspector found that there were gaps in these recordings since the last inspection. The home produced valid and appropriate public liability insurance. No issues of concern regarding the home’s financial viability were identified. Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 20 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X X X X 3 3 2 3 Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 21 YES 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. Standard YA42 Regulation 13(4) Requirement The registered person must ensure that the first aid boxes are properly stocked and regularly checked to identify when items need replacing. The registered person must ensure that consistent records of water temperature checks are maintained. The registered person must ensure that all opened refrigerated items are labelled with the date of opening. Attention must be applied to specific products that expire within a set period of openingthese items should be marked with date of required disposal. Monitoring of cupboard food items must be undertaken. Timescale for action 15/02/06 2. YA42 13(4) 28/02/06 3. YA42 13(4) 15/02/06 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 Good Practice Recommendations DS0000010298.V274335.R01.S.doc Version 5.1 Page 22 Huddlestone Close (34-36) Standard Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Huddlestone Close (34-36) DS0000010298.V274335.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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