Inspection on 13/10/05 for Huntley Close (7)

This inspection was carried out on 13th October 2005.

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 found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Huntley Close (7) 14/09/06

Huntley Close (7) 06/05/05

Huntley Close (7) 12/01/05

Huntley Close (7) 06/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Huntley Close (7) 7 Huntley Close Stanwell Middlesex TW19 7DD Lead Inspector Helen Dickens Unannounced Inspection 13th October 2005 2:00 Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 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 Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 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 Older People and 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. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Huntley Close (7) Address 7 Huntley Close Stanwell Middlesex TW19 7DD 01784 254322 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) Owl Housing Limited To be confirmed Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: 35-65 YEARS. ONE MAY BE OVER THE AGE OF 65. Date of last inspection 6th May 2005 Brief Description of the Service: 7, Huntley Close is a purpose built house. Providing accommodation for up to 6 residents with a learning disability. All resident’s bedrooms are single occupancy and located on the ground floor. The office and staff facilities are on the first floor of the house. The resident’s communal areas consist of a large lounge, a quiet room and a large kitchen/dining room. There is an enclosed garden, accessible from the lounge. The home is located on the edge of a residential housing estate and has its own vehicle to provide transport for residents and staff. Owl Housing are the registered provider for this service. The current Manager, Anita Mundra, is finalising her registration with CSCI. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four and a half hours and was the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. The home was inspected using the National Minimum Standards for Younger Adults only. Helen Dickens, Lead Inspector for the service, carried out this inspection. Josephine Garlick, Deputy Manager, represented the establishment. A tour of the premises took place. The inspector met all the residents and staff on duty, and spent some time with three particular residents. All residents have difficulties with communication so other means of ascertaining their views, such as observation of body language and staff/resident interaction, were also used. A number of documents and files were also examined as part of this inspection. This was a very positive inspection. The inspector would like to thank the residents, staff and deputy manager for their time, assistance and hospitality. What the service does well: What has improved since the last inspection? There were six requirements made at the last inspection and these have all been carried out in a timely fashion. Risk assessments for the use of cot sides, and for night-staff cover have been carried out; care plans are now regularly reviewed and up-dated; water temperatures are regularly monitored; storage of the keys to the medication cupboard was reviewed; and a business plan covering the viability of the home was forwarded to CSCI. One Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 6 recommendation was also made regarding the marks on a resident’s bedroom wall – this room has been completely re-decorated. In addition, most of the other bedrooms have been re-decorated to a good standard – residents now also have new blinds at their bedroom windows which look good both from the inside and from the outside of the property. Some residents also have new beds. As the kitchen/diner and living rooms were also decorated in the last year, the home is currently decorated to a very high standard with a bright and cheerful feel overall. The showerhead has also been replaced in the main bathroom. There have been big improvements in the care plans and essential life plans and this is detailed later in the report. Staff were commended for the innovative methods they have used to make these documents residentfriendly. All residents have been away since the last inspection and photographs of the three different holiday experiences were framed and displayed in the hallway for residents to enjoy. 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 Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 7 contacting your local CSCI office. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA2 and YA3 Prospective residents can be confident that their needs and aspirations will be properly identified and met at Huntley close. EVIDENCE: The file on the most recently admitted resident showed a good overview of the residents needs, including the social services community care assessment and input from other professionals, family and friends. The residents care plan was developed using these assessments together with input from the resident. Relative’s interests and needs were very clearly assessed and taken into account. Specialist needs are met at this home in a variety of ways. Staff have had specialist training in supporting people with learning disabilities and some have had specialist training in conditions such as autism. Staff were observed to communicate very well with residents and were knowledgeable about Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 10 resident’s personal and social care needs. The home has obtained up-to-date information on advocacy services for people with learning disabilities and would help residents access these services if required. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 11 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA6 and YA7 Individual care plans are extremely well done at this home so residents can be sure that their assessed and changing needs will be properly identified and met. Residents are supported to make decisions in their daily lives. EVIDENCE: The essential life plans and care plans at this home are excellent. Not only do they contain an essential overview and the detail of resident’s needs, they do it in such a way that resident’s can take a real part in the process. For example, in the section where one resident’s support needs (with regard to mealtimes) are documented, there is a scanned-in picture of the actual resident, being supported during their mealtime, with their key worker. Another has a photograph of their relative’s house which they visit regularly, and the resident at the pub with fellow residents, to highlight this resident’s outside activities. Other sections are in a similar format and show a great deal of work on the Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 12 part of staff to convert these documents to a very resident-friendly format. Three residents have chosen to keep their plans in their rooms, the others prefer to have theirs kept in the office. As mentioned at the previous inspection, these plans are also transferred onto the computer so that residents can see themselves (and their activities) on-screen, which has also proved very popular. Plans were regularly reviewed and the transfer of all resident’s plans into this new format is ongoing. Residents are assisted to make decisions in their daily lives. For example, there are no set times for breakfast and lunch – residents choose to have these meals when they themselves are ready, and choose what they would like to eat. Another example was the recent decorations where residents had been supported to make choices on décor and colours within the home generally, and especially within their own bedrooms. The home has a variety of ways to ensure resident’s wishes are sought and taken into account including residents meetings and one-to-one sessions with their key workers. Residents are supported to manage their own finances, for example by doing their own banking, with the support of a member of staff who goes with them to the bank. The amount and nature of assistance needed is clearly documented on resident’s care plans. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA15 and YA17 Residents at Huntley Close are supported to maintain family and friendship links. They are also offered a healthy and nutritious diet and mealtimes are arranged to suit resident’s preferences. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 14 EVIDENCE: The staff at Huntley close support residents to maintain family and friendship links. Some residents receive support to make regular visits to family and friends and there is evidence form care plans and reviews that relatives make a significant contribution to resident’s care. The home has a policy, with information and specialist guidance available for staff, regarding residents who wish to be involved in intimate relationships. Mealtimes at the home are arranged to suit residents. Breakfast and lunch are taken when individual residents are ready, and they choose what they would like to eat. The evening meal is a more communal affair and residents decide a week in advance what food they would like; each resident has the chance to choose a favourite meal. Some residents need special dietary advice and this was documented on their care plans. Others who needed assistance to cut up their food or to eat, also had this documented on their care plans. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA18 andYA20 The staff work hard to ensure residents receive personal support in the way they prefer and require. The administration of medication at this home is well organised but some further work needs to be done to meet this standard in full. EVIDENCE: The care plans for residents at Huntley Close clearly document how residents prefer to be supported with their personal care. Times for getting up etc are flexible and routines are arranged to suit residents. Technical aids and equipment have been provided where appropriate and specialist advice taken when necessary. The key working system in the home ensures continuity and consistency for residents. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 16 None of the residents at Huntley Close administer their own medication. The home has just changed over to a different community pharmacy, which provides professional advice and support and also arranges the blister pack system of medication for the home. Only staff trained in the administration of medication are allowed to administer it. There was evidence on resident’s files that there was close liaison with each resident’s GP, particularly on medication to be given ‘as required’ and homely remedies. The medication administration records where properly completed, up to date, and with no unexplained omissions. On the day of the inspection the report from the community pharmacist’s visit the previous month, and the advice given, was not available to be inspected; the deputy manager was asked to follow this up and send a copy to CSCI. In addition, two areas of the home’s in-house medications policy needed reviewing, particularly the instructions regarding two staff administering medication, and the respective roles of each. This was highlighted to the deputy manager. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA21 and YA22. Residents at Huntley Close can be confident that their views and concerns are listened to and acted upon, and they are protected from abuse. EVIDENCE: There is a complaints procedure in place and there is a resident-friendly version available. The deputy manager said residents raised concerns in a variety of ways, depending on their communication needs, and key workers play a particular role in highlighting any such concerns. No complaints have been received since the last inspection. The home was asked to keep a central log of any complaints received, stating the details of the complaint and investigation, and any remedial action taken. This must be checked at least 3 monthly to fully comply with this standard. Residents are safeguarded from abuse and robust procedures are in place to protect vulnerable adults. At the previous inspection the manager stated that all staff had been on either the appropriate Owl course, or the Surrey County Council course. On the day of the inspection the deputy manager provided evidence that some staff were booked on a further course to update their training. However, it was not clear which staff had done the training and training records need further work to make this clear. A vulnerable adults issue raised within the year was appropriately highlighted by the home and the Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 18 correct procedure followed. The inspector wishes to commend the staff for the way they dealt with this matter. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 19 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA24 and YA30 Huntley Close provides a homely, comfortable and safe environment though some minor safety matters, mentioned in the final section of this report, will need further attention. The home is clean and hygienic, and free from offensive odours. EVIDENCE: Generally the home is safe and very well maintained. Recent decoration has added to the homely, bright and cheerful ambience within the home. Individual rooms and communal areas are comfortable and suitable for Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 20 resident’s needs. The home is near to local amenities and fits in well with its local surroundings. The new blinds in resident’s rooms not only look attractive from inside, but have made the outside of the home look much smarter in appearance than the previous arrangements. Those residents who have been assessed as needing privacy screening on their windows have had this fitted very tastefully. The replacement of this screening will need to be budgeted for as some small blisters are starting to appear; this will be unsightly for residents if it should get any worse. The home is clean and hygienic and laundry facilities are appropriately sited. A sluicing programme is available on the washing machine and foul laundry is washed at hotter temperatures. The inspector recommended that a notice stating the specific temperatures required should be available to staff. A risk assessment needs to be done on the accessibility of laundry liquids in the laundry room, and this is highlighted at the end of this report. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 21 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA35 Resident’s needs are met by appropriately trained staff though a training and development plan should be drawn up in order to meet this standard in full. EVIDENCE: The home has a structured induction programme for all new staff together with ongoing mandatory and specialist training. The staff are encouraged to attend training courses and the deputy manager said each member of staff has more than the five paid training days per year as set out in this standard. There was evidence of equality and diversity training. All staff have done autism training, and two are working towards a Learning Disability Award Framework accredited course, on working with people with learning disabilities. The deputy manager said all staff have initial learning disability training as part of their induction. The inspector asked for the training records to be organised in Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 22 a schedule or spreadsheet, which makes it easier to see which staff have done which training courses and when these will need renewing. The standard also requires a training needs assessment to inform future planning, and evidence of how this is linked to the home’s aims and to resident’s needs. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA39 and YA42 Effective quality assurance processes ensure resident’s views are taken into account in the development of the home. Health and safety is well managed at this home but some matters will require further attention in order to properly safeguard residents. EVIDENCE: Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 24 Resident’s meetings are monthly and held in the quiet room. This is the main way the home gets input from residents. Residents are consulted about agenda items in advance and outcomes of meetings are followed through with key workers and at staff meetings. The deputy manager frequently used the term ‘tenants’ but wasn’t certain if this is what the people who live at Huntley Close had chosen to be called. The inspector uses the word ‘residents’ throughout this report but suggested a future agenda item might be to consult with residents on this point. The inspector also showed the deputy manager an example of minutes from a resident’s meeting at another home; it was designed to include residents as much as possible and this was reflected in the format. The home also has Regulation 26 quality monitoring visits and organisationwide reviews of what does and doesn’t work in all the Owl homes. There is also a tenant participation policy which says residents are enabled to represent themselves at conferences and user forums. The quarterly monitoring of service performance is another quality assurance tool used by Owl Housing which includes resident’s welfare, staffing issues and training. There are many areas of good practice in this home regarding health and safety matters. The risk assessments are well done and thorough, they are clearly set out and regularly reviewed. An additional risk assessment should be done on the accessibility of laundry liquids in the laundry room. The hazardous substances cupboard was secure on the afternoon of the inspection. Some issues need further attention and these are highlighted below. Fridge temperatures are regularly recorded but usually higher than those recommended by the Chartered Institute of Environmental Health; the home must review this and ensure temperatures are maintained between 2-5C. The temperature of the water accessible to residents is also monitored but often too low – it should be maintained at around 43C. The water tanks are under review to correct the discrepancies regarding water temperatures and the inspector was concerned that there was no recent legionella safety certificate. The home should seek advice and an up to date safety certificate on this matter. A hoist was being stored and recharged in a resident’s room and this needs to be reviewed. This room also had sticky tape across the doorway as a decorative ‘join’ between the carpet and the corridor. Whilst this is not dangerous, it is a nuisance and spoils the otherwise well-maintained appearance of this area. The home should also seek advice from the fire officer on the safety of storing combustible material (e.g. coats) in the stairwell. The inspector noted that a number of organisational (Owl Housing) polices had not been updated for some time and this needs to be remedied as some of Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 25 these may have an impact on the safety and welfare of residents, e.g. the policies regarding sexual expression, and on the administration of medication. Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 26 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 2 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT 37 X 38 X 39 3 40 X 41 X 42 2 43 X Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 4 3 X X X X X X X 3 X 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 2 X Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 27 No Are there any outstanding requirements from the last inspection? Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 28 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 YA20 Regulation 13(2) Requirement The home must follow-up the written report from the community pharmacist and forward a copy to CSCI. They must also review aspects of the existing medication policy, as outlined it the report. The home must keep a central record of complaints, available for inspection, and reviewed at least 3-monthly intervals as per Standard YA22.7. The home must carry out a training needs assessment, and link training and development to the service’s aims and residents needs, as set out in YA35.6 /35.7 The home must review the following, as set out in the report, within one week; the fridge temperatures (2-5C); the water temperatures (around 43C); and the storage of laundry liquids. The home must seek further advice and review the following matters, as set out in the report, within one month; the legionella check and safety certificate; the storage and charging of the hoist in a resident’s room; and the storage of combustible materials in the stairwell. Timescale for action 28/10/05 2. YA22 22(8) 28/10/05 3. YA35 18(1)(a) 13/12/05 4. YA42 13(4)(a) (c ) 21/10/05 5. YA42 13(4)(a) (c ) 13/11/05 Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 29 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA24 YA30 Good Practice Recommendations The home should budget for the replacement of the privacy screening next year; tiny blisters are beginning to appear on some windows. The home may wish to highlight the correct ‘hot’ laundry temperatures in the laundry area; the machine does have a ‘sluicing’ programme but staff were not absolutely clear that foul laundry needs to be washed at a minimum of 65C. The home should replace the carpet sticky tape which is peeling off in one resident’s doorway. 3. YA42 Huntley Close (7) DS0000013531.V256574.R01.S.doc Version 5.0 Page 30 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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