Inspection on 03/08/05 for Huguenot Place

This inspection was carried out on 3rd August 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Huguenot Place 06/02/09

Huguenot Place 06/02/07

Huguenot Place 23/02/06

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 Announced 3rd August 2005 9:30am 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. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Huguenot Place Address 6 Huguenot Place London SW18 2EN 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) 020 8877 0518 020 8871 2684 Riverhaven Ms Sharon Smith Care home only (PC) 5 Category(ies) of Mental disorder excluding learning disability or registration, with number dementia of places Sensory impairement (SI) Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1- One named service user aged over 65 years of age. Date of last inspection 17th and 18th February 2005 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 G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day for approximately 7 hours. An interpreter was present for 2.5 hours to assist the inspector, where appropriate, when communicating with residents and staff. A tour of the premises took place and staff and care records were inspected. Four of the staff on duty and four of the residents were spoken to during the inspection. Five comment cards were received in respect of the service. One of these was from a General Practitioner and four were received from residents of the home. These are referred to throughout the report. What the service does well: What has improved since the last inspection? Refurbishments have been made to the kitchen and bathroom areas to a good standard, which enables residents to use modern facilities in a nice environment. At the previous inspection there had been five areas where the home had to improve. The home has taken action on all these areas, which represents a Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 6 very positive response to the findings of the previous inspection, and good developments to the service. 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 G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 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 Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 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) 2 and 4 The process of people moving into the home is well-structured and dependent on the needs of the individual. This enables residents to be confident that Huguenot Place is an appropriate home for them. EVIDENCE: Four of the residents were spoken to with the assistance of a British Sign Language interpreter. Three said that they enjoyed living at the home and thought that their needs were being met. One resident said that they did not like some of the other residents, but was happy to stay at the home, stating positive aspects such as, “…food is good…”, “…privacy is respected…”. The manager spoke about the process of new people moving to the home, describing how this is planned based upon the needs of the potential resident. There is an organisational policy in place that further describes the stages of admission to the home and the involvement of the health and social care professionals in this. Most residents have been at the home for a number of years, however the newest residents’ file was observed to maintain a record of their admission/ assessment process. From this a plan of care setting out how this resident’s needs and wishes are to be met by the home had been put in place. An initial risk assessment had also been completed to ensure that any risks identified could be managed by the home. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 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) 6 and 9 The care plans are in a format that enables residents and staff to jointly plan work to progress towards meeting needs. This ensures that the residents get care and support that they want. The risk assessments would be improved by ensuring that they are reviewed and updated after any incident involving the resident. EVIDENCE: The records for two residents were looked at and indicated that for each one there was a current plan of care which set out the needs of the resident and how they were to be met by the home, with evidence that these were being reviewed regularly. The format of the care plans is easy to follow and easy to recognise the actual care received by each resident. The residents are involved in reviewing their care plan monthly with their keyworker to ensure that it is up-to-date and covers their needs and wishes. In addition each file contained an assessment of any areas where there was considered to be any risk to the resident, along with how these risks were to be dealt with and reduced as far as possible. However, an incident had occurred with one resident recently where they had become aggressive towards another resident, yet this was not written in the risk assessment and therefore it was not clear how this is being managed by the home. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 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) 14 and 17 Residents benefit from the input of a full-time activities co-ordinator who supports their personal development and leisure interests. Residents have good food in nice and homely surroundings. EVIDENCE: All the comment cards received from the residents stated that they feel the home provides suitable activities. 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 trips to the seaside, Kew Gardens, attending the Deaf Club or out for lunch at local cafes/ pubs. One-to-one activities are also available for people who are unable to go to group events, although this is dependent upon the availability of the activities co-ordinator. Each resident at the home is involved in some form of activity, with some having a very active programme throughout the week, including going to work and college courses. Other residents said that they prefer more one-to-one time with the activities co-ordinator, one stating that “…(the activities coordinator) is great…”. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 11 Another resident said “…I don’t get involved in activities…”, where they spoke about how they prefer to spend their time carrying out domestic work around the house. One resident took great pride in showing various pieces of artwork that they had done, also discussing an art course that they are starting soon. The resident talked about how they had been supported by staff and the activities co-ordinator to join this art class. The home is very fortunate to have an activities co-ordinator who is so committed and enthusiastic about his work and who is supportive to the interests of the residents. The manager stated that a volunteer is currently being recruited to assist the activities co-ordinator and it is hoped that this will enable more one-to-one work with residents to occur. Four comment cards were received from residents living at the home. In response to the question: “…Do you like the food? …”, all said “…yes…”. During the inspection a variety of foods was observed to be available for residents to prepare their own breakfast and lunch. Residents spoke about being involved in preparing the evening meal with the staff on duty. Since the last inspection the kitchen has been completely re-furbished to create a modern, comfortable and homely environment for residents to enjoy their meals. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 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 standard(s) 20 Huguenot Place has a good medication system that ensures residents receive their medicine safely. EVIDENCE: The systems in place for the administration of medication are good, where staff can clearly identify each medication before being given to the resident. There is also an up-to-date medication policy that outlines safe procedures for staff to follow when giving out the medicines. The comment card received from a General Practitioner states that they feel that medication is managed appropriately at the home, with staff having a clear understanding of residents needs and that they are satisfied with the overall care provided by the home. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 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 standard(s) 23 The home does not demonstrate that all staff have received training to recognise signs of abuse and how to act upon these findings to ensure the protection of residents. EVIDENCE: The home has policies and procedures in place in relation to adult abuse awareness and the procedures to follow in the incidence of this happening at the home. However, it is not clear if all staff have received training in this and it is required that up-to-date training is provided. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29 and 30 Residents at Huguenot Place enjoy a very homely and comfortable living environment which, along with the good standard of cleanliness and hygiene, adds considerably to their quality of life. EVIDENCE: On entering the home the inspector was immediately struck by how homely the atmosphere in the home was, which was enhanced by the layout, decor and easy access to all communal areas. The completion of refurbishments to the kitchen and bathroom areas has resulted in a more modern and refreshing living environment and much improved facilities for residents. One resident spoken to about this said “…its okay, has everything I need…”. Two residents were happy to show the inspector and interpreter their bedrooms. The chests of drawers in each bedroom were observed to be in a poor state, with broken drawers and chipped surfaces and these must be repaired or replaced. Both bedrooms were observed as being slightly untidy, but hygienically clean throughout. The manager stated that residents are encouraged to keep their own bedroom clean, but they can use the support of Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 15 staff if they need to. The manager also said that if a residents’ room does become unhygienic then staff will provide full support to cleaning the room to ensure it does not become a health and safety risk. Throughout the inspection the home was found to be clean and decorated to a good standard in all areas. An area of concern was noted, where the ‘stand alone’ glass-fronted cupboard in the kitchen/ dining area was quite unsteady and propped up with various pieces of wood, and it is required that this is replaced. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 16 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) 35 and 36 Residents benefit from a committed and experienced team of staff at the home who have the right approach and skills to meet their needs. All staff are well supervised by the manager. EVIDENCE: A good deal of positive feedback about the staff at the home was received from the residents during the inspection and from comment cards provided to the CSCI. A typical statement being: “…staff really good…”, “…good team…” with comment cards stating that the residents feel well cared for and well treated. As a result the residents’ experience of the home is of a caring environment where they feel they will be looked after and allowed to make choices. One resident said they liked to spend time watching television and in their bedroom, where they commented that this wish was respected by staff, adding: “…I can do my own thing, like getting up when I want to…”. Most staff have worked at the home, or within the organisation for a number of years and have built up a good knowledge and understanding of the needs of the residents. Staffing levels were discussed with residents, who said they felt there was enough staff on duty, one stating “…there is always someone around if I need them…”. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 17 Staff files showed that most staff had done training in essential areas, such as infection control, first aid, mental health awareness and British Sign Language. Some staff are currently undertaking NVQ Care Level 3 / NVQ Level 4 Management training to improve their competences further. As a result residents get a good quality of support and care from the staff at the home. All staff have the opportunity to discuss work-related issues with their manager on a regular basis during supervision sessions. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 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 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) 37 and 38 Residents really benefit from living at Huguenot Place because the home is run well and in the best interests of the residents. EVIDENCE: The manager works very well to achieve high standards for the home. Her management approach and style of leadership is positive and she works proactively to empower the team. Feedback from staff is that she “…shows all staff how to do things…” and that she is a “…good developer…”. A further comment is that “…she always sorts out disagreements straight away, instead of letting things brew…”. Comments from residents are that “…I like (the manager), she sorts things out…”, “…easy to approach…”. Discussion with staff and the manager convey that there is a good team working at Huguenot Place who are committed to supporting the needs and interests of residents at the home. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 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 x 3 x 3 x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x x x 4 x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Huguenot Place Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 20 NO 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 YA9 Regulation 12(1) & 13(6) Requirement The Registered Persons must ensure that risk assessments are reviewed regularly and updated following any incident involving the resident The Registered Persons must ensure that all staff receive upto-date training in abuse awareness, and a record is maintained of all staff who have attended. The Registered Persons must ensure that the stand alone cupboard in the kitchen area is replaced. The Registered Persons must ensure that the chests of drawers in all residents bedrooms are repaired or replaced. Timescale for action 30/09/05 2. YA23 13(6) 30/11/05 3. YA24 23(2)(c) 30/09/05 31/01/06 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 Standard Good Practice Recommendations G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 21 Huguenot Place 1. YA14 It is recommended that an additional actitivties worker is employed to support the activities co-ordinator in their work. Huguenot Place G54-G04 S10195 Huguenot Place V235416 030805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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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