Inspection on 06/02/07 for Huguenot Place

This inspection was carried out on 6th February 2007.

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 23/02/06

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 6th February 2007 10:20a Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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.V329762.R01.S.doc Version 5.2 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.V329762.R01.S.doc Version 5.2 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.V329762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named male service user aged over 65 years Date of last inspection 23rd February 2006 Brief Description of the Service: Huguenot Place is a care home for up to five adults who have a mental health problem and also a hearing impairment. 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.V329762.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. Time was spent talking to three staff, three residents and the manager. A British Sign Language interpreter was present for some of the inspection to assist the inspector when communicating with the residents. A tour of the premises was carried out and care records were inspected along with other relevant paperwork. Information has also been gained from the inspection record for the home. 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. The summary of this inspection report can be made available in other formats on request. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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.V329762.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is excellent. There is up-to-date, accessible information about what residents can expect from the service. Residents are assessed appropriately to ensure the service can continue to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection the Statement of Purpose has been updated to provide good information about what residents can expect from the service, admission criteria, room sizes, typical activities that are offered and photos of these that residents have been involved in. This has also been produced in WIDGET format to ensure it is accessible to all residents living at the home. The residents have all lived at Huguenot Place for a number of years and there have been no new admissions to the service since the last inspection. There is an original assessment for each resident. In mid-2006 the residents were involved in re-assessing their needs in a number of areas of their life. This included their rehabilitation towards greater independence, insight into their mental health problems and medication issues. This information has been used to enhance the care plan of each resident. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. Needs and preferences are well met by the service through residents working closely with their keyworker in the development and review of their care plan. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Following the re-assessment of all residents needs last year the core care plans were updated to reflect any significant changes and plans of individuals. These continue to be reviewed monthly between the resident and their keyworker. This ensures that the residents receive support that is relevant to what they want and need, and that the plans for these are flexible and can be changed as necessary. Care plans are based on the assessed needs of each individual, such as support with budgeting, domestic skills, social and mental health needs. Residents talked about seeing their keyworker regularly, being involved in their care planning and in the review of this. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 Page 9 Since the last inspection a video format of the care plans has been implemented. These were carried out between the keyworker and the resident where they discussed and made agreements around medication management, increasing activities, budgeting, daily living skills, personal hygiene and maintaining contact with relatives. During the inspection the keyworker for one resident described their role in depth, this including supporting the resident to visit their relative, taking them shopping, having one-to-one keywork sessions and helping them with washing their hair. When discussing their work, the keyworker demonstrated a genuine caring commitment to their work and to ensuring that the residents’ needs and wants are met wherever possible. Staff meetings at the home are the opportunity for keyworkers to update the team and make them aware of developments and the current care plans for their key-resident, to ensure a consistent level of service is provided. In each residents’ care file a new ‘quick information’ sheet has been developed. The manager described that this summary of relevant information about the resident, their next of kin details, mental health history, medicines taking, etc. is useful if resident is admitted to hospital in an emergency. Residents said that they feel safe living at the home, and there are appropriate risk management plans for each residents for any areas where there is assessed to be safety issues. These were seen to include such areas as smoking, personal hygiene issues and aggressive behaviour. The risk assessments are read and signed by all staff at the service to ensure all are aware of any significant issues and any necessary actions to take. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. Residents are able to be involved in activities provided by the service that are planned around their needs and interests. Residents have the facilities to maintain independence in their daily lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: “…I am very happy living here…I go out whenever I want to…” This was a comment from a resident living at Huguenot Place who spoke at length about how they enjoy living there and how they feel they can do what they like at the home. Residents spoke about what they like to do, such as art, going out for walks, going to the deaf club or spending time alone. One resident said they are able to contact their family via the mini-com at the service, whilst another spoke about how they like that their friends can visit. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 Page 11 The residents also talked about how they enjoy spending time with the activities co-ordinator, and with the various activities and trips that the coordinator arranges, such as going to Hever castle, Buckingham Palace and also the weekly deaf club. Residents that they are happy with the level of activities provided, one stating “…nothing can be improved…”. The activity co-ordinator works across three similar care homes in the organisation, all of which are situated in South London. Activities are provided on a group and one-to-one basis, dependent on the level of need and care plan of the resident. To ensure activities are relevant and current the co-ordinator carries out a three monthly ‘residents satisfaction questionnaire’, with the feedback from these used to inform future activities. Throughout the year a newsletter is published by the activity co-ordinator to keep the residents informed of up-and-coming activities they can get involved in and details of recent trips and individual activities that residents are involved in eg. barbeques. The most recent newsletter is dated November 2006 and includes staff update, informing all residents of the current staff team at each service, along with their photo. A majority of the newsletter is done in WIDGET format, in addition to writing and photos. All residents have a key to the front door and are able to lock their room, where they were observed coming and going from the home throughout the day. The resident said that they are able to make a sandwich or snack when they like and that they can help the staff cook the meals if they want, such as preparing vegetables. They spoke about being fully involved in choosing what they like to eat and the menu planning, with one resident commenting that: “…the food is good…really nice…”. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. Support with personal care is offered in a way that promotes independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans detail the level of personal care, if any that residents are supported with by the staff at the home. One resident spoke about being supported to have a bath and change their bedding, with staff reminding them to do this only. Care files contain relevant information and correspondence regarding health checks that residents have with various care professionals such as the doctor or optician. The manager spoke about the positive links that the service has with the community mental health team (CMHT) that work specifically with people with a hearing impairment and mental health need. She also spoke about the recently installed video phone in the office which enables enhanced contact with the CMHT. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 Page 13 Since the last inspection some of the medication recording forms have been improved, to enable a more specific record of medications received and returned by the home and more information about the use of medications held by the home to be maintained. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Residents feel able to raise areas of concern about the service. Staff training reduces risks to residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has the Servite Houses complaints policy that is available in the Statement of Purpose in WIDGET format for the use of residents. There are also policies in whistle-blowing and confidentiality. There have been no formal complaints received by the home since the last inspection, although the home does maintain a ‘complaints monitoring form’ for one resident which lists complaints received from a neighbour about one of the residents and the actions taken to manage this. Residents are aware of who they can raise issues or concerns with both in and outside of the home. Residents comment that if unhappy with anything they would discuss this with their keyworker, manager or their social worker. However, one resident stated: “…there’s nothing to complain about, I like living here…”. Most of the staff have undertaken recent training in the Protection of Vulnerable Adults. One staff member demonstrated a good awareness and understanding of abuse issues and the actions to take in the event of an allegation of this at the home. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26 and 30 Quality in this outcome area is good. The staff and residents make the environment welcoming and the environment is modern and homely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The environment at Huguenot Place is welcoming, bright, spacious and homely. One resident commented that: “…its nice here…very comfortable…”. Bedrooms were observed to be personalised with residents’ own belongings and the lounge and dining room/kitchen modern and well-maintained. One resident spoke about the bedrooms having recently been refurbished and redecorated, and how they liked being able to choose the colour of this, their carpet and curtains. Residents are positive about hygiene at the home, saying that the environment is always fresh and clean. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. Staff have appropriate training for their work, and relevant recruitment checks are carried out to protect the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files for two members of staff were looked at and contain the required recruitment information such as references, photo, application form, copy of identification, interview notes and a copy of their contract of employment. All staff starting at the service have a six month period of probationary period, which is reviewed at regular intervals throughout the period to review the work of the employee and look at training needs. There is ongoing one-to-one staff supervision provided by the manager and senior staff at the home, where issues such as developmental needs and issues concerning the residents are discussed. The newest member of staff spoke about having regular supervision, approximately every fortnight that they said they appreciate with being new to the role and work involved. They also spoke about the training they had already been on since joining the service, which included infection control and Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 Page 17 medication awareness, and that they were booked to training in mental health awareness, Protection of Vulnerable Adults (POVA) and risk assessment. All staff have an individual training profile detailing the courses undertaken and a copy of the certificate to evidence this. In past year staff have undertaken courses in supervisory skills, infection control, mental health awareness and fire safety. A majority of the staff are studying for the NVQ level 2 or 3 in care, and all staff have achieved the British Sign Language (BSL) level 1 as a minimum, with three staff currently training for the BSL level 2. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is excellent. The service is managed well and in the best interests of the residents. Relevant health and safety checks are carried out to maintain the safety of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of Huguenot Place is also the Registered Manager of an identical service situated close to the home. She has a number of years experience in health and social care, has a diploma in social work and has achieved the Registered Managers Award amongst other qualifications. The manager also attends regular training to ensure she is up-to-date in such areas as first aid and health and safety. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 Page 19 The manager continues to demonstrate a competent and professional approach to her work and the progression of the service to ensure that a high standard of service is maintained. Staff spoke positively about the manager and how they feel able to approach her with any relevant issues regarding their work and the home. Residents also spoke respectfully of the manager, where although working between the two homes felt that: “…the manager is very good…always available if I need to talk to her…” Staff said that the manager is at the service more or less everyday throughout the working week, and that if she is not around then the deputy manager is always available. They said the manager also telephones the home regularly throughout the day to ensure that everything is okay. The deputy manager spoke about weekly feedback sessions between her and the manager to discuss the current situation at the home and any developments needed. At the time of inspection the organisation was running an advertising campaign to recruit a manager for the other service that the manager of Huguenot Place also oversees. Residents are encouraged to complete an anonymous quality assurance questionnaire monthly to say if they are happy with aspects of the service such as the food and environment. Since the last inspection the home has progressed the format of these questionnaire to allow more space for comments from residents. In addition, where residents state they are not happy with something, this is followed-up in the residents meeting to discuss. Health and safety checks at the service are managed well, and there are certificates and records to demonstrate that the fire alarm system, fire equipment, gas safety and electrical checks are all up-to-date. In January 2007 the home updated the assessments for all COSHH (Control Of Substances Hazardous to Health) products used in the home, which provide guidance on the safe storage, use and disposal of these. Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 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 4 2 3 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 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 4 3 X X 3 X Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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.V329762.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG National Enquiry Line: 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 © 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 Huguenot Place DS0000010195.V329762.R01.S.doc Version 5.2 Page 23 - 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. 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