Inspection on 23/02/06 for Huguenot Place

This inspection was carried out on 23rd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Huguenot Place 06/02/09

Huguenot Place 06/02/07

Huguenot Place 03/08/05

Huguenot Place 17/02/05

Huguenot Place 24/06/04

Huguenot Place 04/12/03

Similar services:

Foxley Lane (121a)

Avenues (The) (Neave Crescent)

Banstead Road South (21)

Rela Goldhill Lodge

RNID

Therapia Road, 26

Annaly House

Wick Road ( 302, Flat 1 & 2)

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

CARE HOME ADULTS 18-65 Huguenot Place 6 Huguenot Place London SW18 2EN Lead Inspector Louise Phillips Unannounced Inspection 23rd February 2006 10:00a Huguenot Place DS0000010195.V283944.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 Huguenot Place DS0000010195.V283944.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. Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Huguenot Place Address 6 Huguenot Place London SW18 2EN 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) 020-8877 0518 020 8871 2684 ssmith@riverhaven.org.uk Riverhaven Ms Sharon Smith Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5), Sensory impairment (5) of places Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named male service user aged over 65 years Date of last inspection 3rd August 2006 Brief Description of the Service: Huguenot Place is a registered care home for five adults with mental health problems and hearing impairments. The home is situated on a main road within walking distance of Wandsworth shopping centre and the public transport links served by the area. Accommodation at the home is provided over three floors, with individual bedrooms, laundry area, lounge and kitchen/ dining area. There is also a wellmaintained patio garden to the rear of the property. Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day with time spent talking to residents, staff and viewing paperwork and care records. A British Sign Language interpreter was present for a majority of the inspection to assist the inspector when communicating with residents and staff. During the inspection two residents and three staff were spoken to. 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. Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 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 Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 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): These standards were not assessed on this occasion. EVIDENCE: Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 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): 6, 7 and 9 The home continues to work well to meet the needs of each resident and ensure their safety. EVIDENCE: The care plans for two residents were looked at. These are very much ‘working files’, providing up-to-date information about the residents needs, interests and how staff support the resident. The care plans are individualised and focussed on maximising each residents’ independence. Some residents have support needs around daily living skills such as personal hygiene, domestic skills or taking medication, which are all planned for. In contrast the care plans for other residents have been developed around their social needs, budgeting and support with cooking and preparing their own meal. In some cases the psychiatric history of a resident has been incorporated into a care plan, such as where there are particular concerns about their mental health or any inappropriate behaviours they have that staff need to be aware of. Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 Page 9 Where there are more specific risks or as a result of an incident, a risk assessment and management plan details the current safety needs of the resident. These include the using of sharp knives when cooking, road safety and aggression towards other residents. Huguenot Place DS0000010195.V283944.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): 11, 12, 13, 14, 15 and 16 Residents have the opportunity to be involved in a variety of activities that are planned around needs, interests and community living. Residents rights are respected in their daily lives, where the routines of the home are flexible and they can choose whether they wish to be involved in activities or not. EVIDENCE: On arrival at the home the residents were each carrying out their individual daily lives at their own pace and with the support of the staff member on duty. One resident was still in bed, two were out, one waiting for a taxi to take them to a hospital appointment and another said that they were due to go out soon to work. The home has an activities co-ordinator who works with residents across three homes run by the organisation. Residents are able to join group activities such as holidays, card games, ten-pin bowling, lunch at the café, horse riding or one-to-one activities. A volunteer has also recently been recruited to assist with activities. Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 Page 11 Residents spoke enthusiastically about the activities they get involved in, discussing the holiday last year and how they are looking forward to a trip to Paris next month. One resident discussed at length about how they enjoy doing art and that they were looking forward to this being shown at an art exhibition soon. They also spoke about how their family can visit at any time, stating “…I visit them and they can come here…”. The home has a system of quality assurance that monitors the activities that each resident is involved in and where they have declined to attend. The manager stated that this information is used by the activities co-ordinator to plan future activities or one-to-one work and discuss with residents what other activities they would like. Huguenot Place DS0000010195.V283944.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): 18 and 19 Support with personal care is offered in a way that promotes independence. EVIDENCE: Where necessary, residents at the home are supported with their personal care needs and this is detailed in individual care plans. Most residents are independent in this activity and support offered is by way of prompting only. At the time of inspection all the residents were observed to be well-kempt and appropriately dressed. One resident spoken to stated that “…I have a bath everyday…”. The home maintains a record of all healthcare visits attended by residents in their individual care files, such as doctor or dentist appointments. The manager discussed that the home also maintains good links with community mental health team that specialises in residents with a hearing impairment and mental health needs. Huguenot Place DS0000010195.V283944.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): 22 and 23 Residents have the opportunity to raise any concerns about the service. EVIDENCE: The home provides residents with a monthly questionnaire where they are able to feedback on any issues relating to their environment, the staff, food, activities, etc. Residents are also able to raise issues at a monthly house meeting or on a one-to-one basis with their keyworker. All residents spoken to said that they felt able to complain about anything they are unhappy with and that they would discuss this with their keyworker or the manager. The manager stated that the residents are able to contact a local advocacy service if they wish. All staff who work at the home have received recent training in the Protection of Vulnerable Adults. There have been no complaints or allegations of abuse at the home since the last inspection. Any physical or verbal aggression of a resident is managed appropriately through the risk assessment and risk management plans discussed earlier in the report. Huguenot Place DS0000010195.V283944.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): 24 The home is spacious, homely and well-maintained for the residents comfort. EVIDENCE: Huguenot Place has a warm, comfortable atmosphere that is enhanced by the homely décor and spacious communal areas. Since the last inspection all the bedrooms and communal areas have been repainted and new flooring to the bathroom areas. The manager stated that new furniture is currently being ordered for all the resident’s bedrooms. During the inspection a flood occurred in the laundry area on the first floor. This was dealt with promptly by the manager contacting the maintenance department who attended and resolved the issue within an hour. Huguenot Place DS0000010195.V283944.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): These standards were not assessed on this occasion. EVIDENCE: Huguenot Place DS0000010195.V283944.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): 38 and 39 There is sound management and leadership at the home that creates an open and positive atmosphere for the residents. EVIDENCE: “…she’s a fantastic manager…so supportive…it doesn’t feel like she is above me…” “…she treats me as an equal…” “…I love living here (the manager) is great…” These were comments received about the manager from the residents and staff. The manager conveys a very competent and professional approach to her work, which is evident by the systems in place at the home and attitude of the staff team. The management of the home has ensured that the home continues to maintain a high standard of service for the residents. The home has a good quality assurance system where such areas as complaints, resident’s involvement and activities are all monitored. In addition, there is monthly and quarterly monitoring to ensure that care plans Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 Page 17 are up-to-date, one-to-one support time with residents has been provided, that there is an adequate level of hearing and deaf staff in post at each home, etc. Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 Page 18 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 3 29 X 30 X STAFFING Standard No Score 31 X 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 4 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 4 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X X 4 3 X X X X Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 Page 19 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. Refer to Standard Good Practice Recommendations Huguenot Place DS0000010195.V283944.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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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