Inspection on 14/11/05 for Huntley Residential Care Home

This inspection was carried out on 14th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 Residential Care Home 17/08/06

Huntley Residential Care Home 16/05/05

Huntley Residential Care Home 15/11/04

Huntley Residential Care Home 16/07/04

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 ADULTS 18-65 Huntley Residential Care Home 76 Richmond Road Worthing West Sussex BN11 4AF Lead Inspector Mrs K Allen Unannounced Inspection 14th November 2005 9:40 Huntley Residential Care Home DS0000014580.V265478.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 Residential Care Home DS0000014580.V265478.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 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 Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Huntley Residential Care Home Address 76 Richmond Road Worthing West Sussex BN11 4AF 01903 231931 01903 218959 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) Corich Community Care Limited Mrs Lisa Ford Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Up to 11 male and or female service users in the category Learning Disability may be accommodated. One service user over 65 years of age with a learning disability may be accommodated. No service users over 65 years of age may be admitted. The total of service users accommodated must not exceed 11. Date of last inspection 16th May 2005 Brief Description of the Service: Huntley is registered to provide care and accommodation for up to 11 adults with a learning difficulty between the ages of 18-65. A condition of the registration enables one person who has reached to age of 65 to remain living at the home. It is a converted detached property in a residential area within walking distance of the town of Worthing, therefore close to all amenities. The accommodation is situated on the ground and first floor although there is no lift between the floors. There are two double and seven single rooms, one of which has en-suite facilities. The owner has been granted planning permission to extend the property to provide all single bedrooms and improve the bathrooms. There is a good size rear garden which is accessible from the house and a front drive suitable for car parking. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place from 9.40 over five hours. During the inspection all of the residents were seen in communal areas. Staff were observed going about their duties and the acting manager was interviewed. In addition a number of records were seen. Residents were unable to communicate directly with the inspector however they were relaxed in their surroundings and responded well to staff who were better able to understand their needs. 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. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 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 Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14, 15 & 16 Residents are part of the community and engage in appropriate leisure activities. They are supported in maintaining family contact and their rights are respected. EVIDENCE: The home has it’s own vehicle so that residents can go out. Staff support them to access community facilities such as local places of interest, pubs and restaurants as well as leisure centres. Each resident has their own weekly activity programme which includes outings, aromatherapy, music, artwork and sessions at an activity centre. These sessions might include cooking or trampolining, for example. They have a choice of entertainment in the home including a video player and TV. A music session is held each week with a local musician. Residents have an annual holiday. Staff support resident to maintain family links. Over the weekend before the inspection two residents had been to stay with their family. A party has been arranged to celebrate the home being open for ten years and relatives have been invited. Visitors said that they were welcomed at the home. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 10 It was evident that two residents enjoyed each others company and this friendship was supported. Staff are careful to respect residents rights to privacy and this has been enhanced by the provision of suitable locks on bedroom doors. One resident enjoys using his room more now and feels more settled at night as he is confident that other residents will not enter his room uninvited. Staff are careful to involve residents in all aspects of their care. They make sure they understand what is going on in the home at any given time. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Residents are protected by the home’s policy and procedure for dealing with medicines. EVIDENCE: The consent of those who act on resident’s behalf has been obtained for the administering of medication. None are currently able to manage their own medication. Records are kept of all medicines received, administered and disposed of by the home. In addition, a record is kept of all residents’ current medication. Medicines are stored safely and senior staff receive training in the safe administration of medication. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 & 30 Residents live in a homely, comfortable and safe environment. Their rooms suit their needs and are well decorated. Bathrooms and toilets offer sufficient privacy and specialist equipment is in place to maximise resident’s independence. Shared space compliments resident’s own rooms and the home is clean and hygienic throughout. EVIDENCE: The home is in a residential area and in keeping with surrounding properties. There is satisfactory communal living space which consists of a large lounge, dining room and separate, small quiet room. All areas are brightly decorated, airy and free from any odours. The furniture and fittings are satisfactory as well as domestic in nature. A planned programme of re-decoration was due to start on the day of the inspection and this will improve the hall, staircase and landing. There is no passenger lift but those who need to can access the first floor independently. There are two double bedrooms at the home and the occupants have shared for a number of years without difficulty. All rooms are suitably furnished and the residents have their own belongings, which bring colour and interest to Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 14 their rooms. Locks are now fitted to each room which are accessible by staff should an emergency arise. There are sufficient toilets and they are fitted with suitable locks. Bathrooms offer provide a choice of bath or shower facilities. In some bathrooms the water outlets have been disabled in order to manage one residents obsessive behaviour. This does not however, affect other residents and staff know how to turn the water on when needed. There is a large rear garden which is accessible to residents. A gardener has just been employed. He has improved the front garden and it is intended that attention will now be given to the rear to ensure that the area is free from hazards. Staff have their own office suite and sleeping in area. A kitchen is located near to the dining room and only accessible to residents with staff supervision. The laundry is situated away from food preparation areas and is equipped with a washing machine with a hot wash and sluice cycle. Hand washing facilities are provided nearby. There is a hoist for staff to lift residents if necessary. Grab rails are placed around the home and supports fitted in toilets and bathrooms. Showers can be used whilst residents are seated. Listening devices are in place in resident’s rooms and some communal areas. Staff ensure that they are only operated to ensure the safety of residents, in particular those who are prone to seizures. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35 & 36 Residents are supported by competent and qualified staff. There is an effective staff team and they receive appropriate training and supervision. EVIDENCE: Staff are respectful to residents and listen carefully to them. They are motivated and committed to the resident’s wellbeing. They have a good understanding of the resident’s means of communication. They also know if residents are distressed or anxious. They take steps to alleviate this such as speaking reassuringly or quietly as well as encouraging them to participate in an alternative activity. A third of the staff team have a National Vocational Qualification (NVQ) and five others are working towards an NVQ Level 2 or 3. Sufficient staff are deployed for the needs of residents. They are able to work with individuals and to give them uninterrupted time. Some staff have left in recent months however new staff have been appointed. There is a dedicated training budget and a training officer for the home. Induction training is given to new staff and an ongoing training programme provided, covering such areas as adult protection, health and safety matters and medication. There is currently no training and development plan for individual staff or specific equal opportunities training. Staff and the acting manager receive individual supervision from a senior member of staff. This covers their training needs as well as any issues that arise during the course of their work. It is recorded. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Residents’ benefit from a well run home with good management and leadership. Their views are taken into account when reviewing the service. The health, safety and welfare of residents and staff is promoted. EVIDENCE: The registered manager is temporarily absent however suitable arrangements have been made to manage the home. The person currently in charge is competent and receives regular supervision. She has worked at the home for some time and is clear about it’s aims and objectives. She has shown good leadership particularly during staff changes. She has ensured that any concerns have been discussed and has provided time at staff meetings to do so. There is an annual development plan for the home and good monitoring by the owners. Questionnaires are sent to families each year to ascertain their views on the service provided and the owners of the home consider these. Currently no consultation takes place with others involved in the home such as visiting professionals. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 17 There is a written health and safety policy which staff familiarise themselves with during their induction period. They receive training in health and safety matters including infection control and fire procedures. Ongoing maintenance is carried out by a person employed for that purpose and annual maintenance contracts are in place for gas and electrical appliances. Accidents are recorded and reported. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Huntley Residential Care Home Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 2 X X 3 x DS0000014580.V265478.R01.S.doc Version 5.0 Page 19 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. 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. 1 2 Refer to Standard YA35 YA39 Good Practice Recommendations Staff should have a training and development plan and receive training in equal opportunities The quality assurance system should be developed to give more comprehensive information about the service. Huntley Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Residential Care Home DS0000014580.V265478.R01.S.doc Version 5.0 Page 21 - 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. 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