Inspection on 06/05/05 for Huntley Close (7)

This inspection was carried out on 6th May 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 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

Huntley Close (7) 14/09/06

Huntley Close (7) 13/10/05

Huntley Close (7) 12/01/05

Huntley Close (7) 06/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Huntley Close (7) 7 Huntley Close Stanwell Middlesex TW19 7DD Lead Inspector Helen Dickens (with Sandra Holland) Announced 6 May 2005 10.00 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. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 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 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 Anita Mundra (application in progress) Care Home 6 Category(ies) of LD Learning Disability (6) registration, with number LD(E) Learning Disability - over 65 (1) of places Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 35-65 years. 2. One may be over the age of 65. Date of last inspection 12 January 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 residents bedrooms are single occupancy and located on the ground floor. The office and staff facilities are on the first floor of the house. The residents 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 providers for this service. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 8 hours and was the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. The inspection was carried out by Helen Dickens, Lead Inspector for the service, with Sandra Holland as the second Regulation Inspector. Ms. Anita Mundra was present representing the establishment. A tour of the premises took place. In addition to the manager and her deputy, six other staff were spoken to. Five of the six residents were spoken to. All residents have difficulties with communication so other means of ascertaining their views, such as observation of body language, talking to staff, reading the notes of the residents meetings, and asking relatives to complete comment cards were also used. This was a positive inspection. The inspectors would like to thank the residents and staff for their assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? Most of the requirements and recommendations from the last report had been completed including the requested decoration to a resident’s bedroom and one of the bathrooms. Replacement bedroom furniture for one resident has now been acquired. In addition, some of the communal parts of the house have recently been decorated giving a fresh look to those areas. The information contained in staff files had improved since the previous inspection and there continues to be an improvement in the range and level of activities for residents. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 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 Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 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) These standards were not assessed during this inspection. EVIDENCE: Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 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 Information contained in service user plans is extensive and the move towards user accessible lifestyle plans is good. The systems for the up-dating of resident’s individual care plans needs to be strengthened as this shortfall could potentially have a negative impact on resident’s welfare. EVIDENCE: The individual plans examined contained a good range of information in an easily readable format for staff. This would give an essential overview of each residents’ needs. There was also evidence from talking to staff that residents had opportunities for useful and enjoyable activities and were encouraged to be as independent as possible. However, the plans examined had not been regularly reviewed and up-dated. One resident who showed the inspectors evidence of a hobby which gave a lot of pleasure, did not have this recorded on the plan. There also needs to be consistency in deciding what information is recorded on the individual plan and what is contained in the other main record, the Essential Lifestyle Plans (ELP). Another resident was very pleased to show the inspectors their personal ELP; despite limited communication skills, it enabled this resident to highlight enjoyable activities on a computer screen with photographs and attractive graphics. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 10 Residents are encouraged to be as independent as possible and to assist with household activities. Risk assessments are in place to identify areas of concern and ensure that safety of residents is taken into account. An additional risk assessment is needed for the kitchen to identify safety issues in respect of the hot water. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 11 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) 12, 13 and 16 Progress has been made with regard to supporting residents to have a wider range of interests and activities. This enables them to have a better and more fulfilling quality of life. EVIDENCE: There was evidence that residents were taking part in a wider range of activities and encouraged to have their own hobbies. One resident showed us a collection of photographs and digital camera. Another resident was approaching a special birthday and staff and resident had identified a restaurant in Windsor where residents would go for a celebratory meal. Links with family were encouraged and the manager said one resident whose relative was in a care home was taken to visit on a regular basis. Some residents had the opportunity to take part in community activities but some were more limited and tended to have one to one activities like going for a drive. Some residents had limited input into their activities, for example where to go for a drive is often decided by the driver according to the time available. Daily routines looked flexible on the day of the inspection with residents moving around freely and being offered drinks and snacks when required. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 12 Residents were able to have something different from the planned lunch menu if they wished. The notes of the resident’s meetings over the last three months showed only limited input from the residents and it was difficult to ascertain what actions came out of each meeting. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 13 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) 18 and 19 Staff have a good understanding of resident’s support needs and this increases the likelihood that health and personal care will be provided in an appropriate way. EVIDENCE: The care plans for residents contained comprehensive information on how individuals preferred to receive their personal care. Details such as when and how they liked to bathe or shower were noted. The keyworker system enables continuity and consistency in giving support to residents. There was evidence of access to healthcare provision via local GP’s, and the community nurse supported the home with incontinence supplies. All residents had visited the dentist and there was evidence from the care plans that specialists such as the dietician were involved as required. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Staff were knowledgeable about adult protection issues which helps protect residents from abuse. EVIDENCE: The Owl adult protection procedure advises managers to use the policy in conjunction with the local policy for each area. The February 2005 version of the Surrey County Council multi-agency procedures for the protection of vulnerable adults was available in the staff area downstairs and the notes from the staff meeting recorded that the new policy had been discussed. A member of staff questioned about actions to be taken in the case of suspected abuse told the inspector they had had training (had been on the Owl Protection Of Vulnerable Adults course) and they were clear about what to do. The deputy manager confirmed that all staff had either been on the Owl course or the Surrey County Council course, and some had been on both. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,26,27 and 28 The overall décor and furnishings in this home provide a well-cared for and homely environment for residents. EVIDENCE: The premises were generally safe and accessible and furnishings and fittings were of good quality – the appearance was domestic and homely. All residents had their own rooms with hand basin and personal belongings, and in some cases including their own beds and other furniture. One resident’s bedroom needed some minor decoration. The temperature of the water available to service users in their rooms (and in the communal bathrooms) was a cause for concern and is discussed later in the report There were sufficient bathrooms with special shower and bathing facilities. As well as their own rooms, residents could also use the quiet room for private use. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 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) 32,33 and34 Staff morale was good and the staff team work well together to continue to improve the quality of life for residents. EVIDENCE: Staff were observed to have positive attitudes to residents and those spoken to had a good understanding of their needs. One key worker questioned had a good understanding of body language and other non-verbal communication with the resident she worked with. Morale was good and staff members were working well as a team. The availability of training via Owl Housing was also good though there were difficulties accessing NVQs. The Manager could not be certain that 50 of staff would have NVQ 2 or above by end of 2005. Some staff files did not have a photograph. The staff rota reflected the situation during the inspection and by day there were sufficient staff for the number and needs of residents. At night, one waking staff covered the whole home and there was some concern about whether this would be sufficient in some circumstances. A risk assessment should be carried out on the issue of night time cover. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 17 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) 42 and 43 Policies and practices in the home go some way to promoting the health, safety and welfare of residents but there needs to be further work carried out to properly protect residents. EVIDENCE: The inspectors viewed a number of risk assessments and policies which would address health and safety issues within the home. These covered all aspects of residents daily lives, for example the extent to which one service user was able to assist with meal preparation in the kitchen. However, there were a number of safety concerns and the inspectors made an Immediate Requirement to have the water temperatures regulated correctly in residents rooms and other areas to which they have access. This was actioned immediately by the manager. A risk assessment on the hot water available in the kitchen needs to be carried out. Water temperatures should be monitored regularly for the safety of residents. A second Immediate Requirement was made to secure the medicines in the home as keys to the medicine cabinet were left in a draw in an unlocked room. This was also dealt with immediately. A risk assessment to Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 18 cover the night shift to be carried out, especially with regard to one resident who needs two people to assist them to get out of bed. A risk assessment on the use of cotsides should also be carried out. The information on hazardous materials needs to be stored with these materials and the home should consider having the information in typed form; unclear handwritten information might delay action in an emergency situation. A business plan available on the day of the inspection did not cover the viability of the home. Other documents including notes from the quarterly performance review goes some way to meeting this standard but further information needs to be made available to CSCI in order to satisfy this requirement. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 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 x x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 3 3 x x Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x 3 3 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Huntley Close (7) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 1 2 H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 20 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. 2. Standard 6 24 Regulation 15(2)(b) 13(4)(a) Requirement Service user plans should be regularly reviewed and up-dated Water temperatures must be regulated and monitored to protect service users. A risk assessment for the hot water in the kitchen should be carried out. Keys to the medication cupboard should be secure at all times. Risk assessments should be carried out in respect of staff cover at night, and also for the use of cotsides. All items listed in Sch. 2 must be obtained in respect of staff working in the home. (From 12.01.05) A business plan covering the viability of the business for 2005/06 to be forwarded to CSCI. (From 30.09.04) Timescale for action 06.07.05 Immediate as from 06.05.05 3. 4. 24 24 13(4)(a) 13(4)(c Immediate as from 06.05.05 06.06.05 5. 34 19(b) Sch.2 17(2) 06.06.05 6. 34 06.06.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 21 No. 1. Refer to Standard 24 Good Practice Recommendations One service users bedroom required some minor attention to the walls. Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 Huntley Close (7) H58-H09 s13531 7 Huntley Close v215779 060505 Stage 4.doc Version 1.30 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!