Inspection on 17/08/06 for Huntley Residential Care Home

This inspection was carried out on 17th August 2006.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Huntley Residential Care Home 14/11/05

Huntley Residential Care Home 16/05/05

Huntley Residential Care Home 15/11/04

Huntley Residential Care Home 16/07/04

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Insight - Eastchurch

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33 St John`s Church Road

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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 Key Unannounced Inspection 17th August 2006 13:20 Huntley Residential Care Home DS0000014580.V307006.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 Huntley Residential Care Home DS0000014580.V307006.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. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 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.V307006.R01.S.doc Version 5.2 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 14th November 2005 Brief Description of the Service: Huntley is registered to provide care and accommodation for up to 11 adults with a learning difficulty between 18 - 65 years of age. A condition of the registration enables one person over the age of 65 years to remain accommodated there. It is converted detached house in a residential area within walking distance of the town of Worthing, therefore close to all amenities. Resident accommodation is 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 is well maintained. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 1.15pm over four and a half hours. During the inspection all of the residents were spoken to in communal areas. One visiting relative shared his views about the home and three staff were interviewed. A discussion was held with manager and a number of records were seen. None of the residents were able to express their views directly to the inspector although all of them were relaxed in their environment. They engaged well with staff who had created an atmosphere which enabled residents to communicate in their individual ways. One requirement has been made to draw up a plan of minor works to improve the decoration and maintenance of the property. What the service does well: What has improved since the last inspection? What they could do better: General wear and tear on the premises means that some areas of the home are in need of attention. It is therefore required that a plan be drawn up of minor works to improve the home’s décor and maintenance. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 6 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.V307006.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 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 the following standard(s): 2 The outcome for residents is good. Prospective residents needs are assessed. EVIDENCE: Whilst there have been no new residents admitted to the home recently, all those currently living there had their needs assessed prior to moving in. the written assessment is kept on their personal file. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 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 the following standard(s): 6, 7 & 9 The outcome for residents is good. Their needs are reflected in their individual plan. They are assisted to make decisions about their lives and are supported to take risks as part of an independent lifestyle. EVIDENCE: A sample of care plans showed that resident’s needs were recorded. They gave comprehensive details including guidelines on how to manage communication and behaviour difficulties. Care plans were reviewed on a regular basis and this reviewing process is being developed to ensure that resident’s lives move forward. In order to do this the manager is due to meet a representative from a voluntary organisation which specialises in enabling people with a learning difficulty to develop. The daily notes and discussion with staff demonstrated that resident’s needs were met. A visiting relative confirmed that the staff understood his sons needs and that he was satisfied that they do all they can to meet them. Despite the limits of residents communication staff have developed strategies to ensure that they make decisions about their lives. Examples given included choosing what clothes to wear, how to spend their leisure time, when they go to bed and how they spend their money. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 10 The company is the appointee for seven of the residents. Three relatives administer residents money and staff look after some spending money on residents behalf. Good records are kept and everything suitably accounted for. There is a good system of risk assessments at the home, which ensures residents can take responsible risks. These include going out, taking part in social events as well as the management of epilepsy and poor mobility. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15, 16 & 17 The outcome for residents is excellent. They enjoy appropriate activities and are part of the local community. They have appropriate relationships and their rights are respected. A good diet is provided and residents enjoy their meals. EVIDENCE: Residents enjoy are range of activities. One person attends a day centre where he has the opportunity to participate in their independent living skills training. Another person goes to college on a part time basis. Everyone is part of the local community in that they use the services on offer. Staff have researched those establishments which are wheelchair friendly and residents use the local library, restaurants, pubs and cafes and other places of interests. They maintain an activities record so that information is readily available which will suit their resident interests. An Activities Co-ordinator works at the home and devises a weekly programme for all of the residents in liaison with care staff. Activities include horse riding, art and craft, sensory sessions, aromatherapy and swimming. They also have the use of an activities centre with it’s own staff team run by Corrich Community Care. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 12 Staff ensure that residents maintain links with their family and friends. Some people go home regularly, whilst other have limited contact. Working closely with relatives is important to staff and they work hard to ensure good communication. The visiting relative confirmed that he is always kept informed of important matters and promptly contacted should any problems arise. Staff gave examples of how they ensure residents rights are respected. They included getting to understand their means of communication so that they knew their likes and dislikes. They said they always knocked on doors before entering residents private space, they have recorded their preferred form of address and use it and they allow residents to be alone if they wish, although they can provided discreet observation if this is necessary for that persons safety. Meals are offered three times a day. The menu reflects residents likes and dislikes and alternatives are available. Special diets are catered for including no salt and low fat. Meals are taken in a small, but brightly decorated dining room and staff support residents throughout their meal if necessary. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 & 20 The outcome for residents is good. They receive personal support in the way they prefer and require. Their health care needs are met and they are protected by the homes medication procedures. EVIDENCE: Staff were able to describe how they support residents. For example, how they move them whilst enabling them to retain any mobility skills they have and how they ensure that the men at the home are shaved before they start their day. Special equipment is provided such as pressure relieving mattresses, handrails and a hoist. Advice is sought from specialists as required such as physiotherapists, continence advisers and speech therapists. Good records are kept showing that the health care of residents is good. They have regular appointments for the dentist, optician, chiropodist as well as support from community nurses and the GP when necessary. The home has good links with the local Community Team for People with a Learning Disability. Good systems are in place for the administration of medication which is only carried out by staff when they are trained and competent. Accurate records are kept of current medication and when it is administered and a pharmacy Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 14 agreement is in place to oversee the service provided. All medication is safely stored and disposed of. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 15 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): 22 & 23 The outcome for residents is good. Their views and those of their relatives or representatives are listed to and acted upon. They are protected from abuse. EVIDENCE: There is a simple written complaints procedure and any complaints are recorded. One relative is currently following up concerns with the home and this is being managed satisfactorily. The home has it’s own policy and procedure on adult protection which is in line with that drawn up by the local social services department. All staff have received training in this area of their work and were able to describe how they would deal with any allegation. They were also confident about how to raise any concern through the homes management system or the helpline ‘Public Concern at Work’. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 16 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 & 30 The outcome for resident is adequate. They live in a homely environment although it needs some attention to décor and maintenance. The home is clean and hygienic throughout. EVIDENCE: The premises are suitable for it’s purpose and provide satisfactory communal space. The home is situated near to the local town and is in keeping with the local community. All communal areas are accessible to residents some of whom live on the ground floor. Furniture and equipment is good and the home is brightly decorated. The kitchen has recently been upgraded. However, some areas of the home need attention. For example, radiators are rusting in the bathrooms, some radiator covers in bedrooms and communal areas are damaged, the flooring in the kitchen is lifting and many areas of the paintwork are chipped. The manager confirmed that a meeting had been arranged for early September to plan the ongoing maintenance of the home. The premises are clean and suitable laundry facilities are provided away from food preparation areas. Staff receive training in infection control. Wash-hand basins are available in all areas where there may be a risk of infection. Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 17 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, 34 & 35 The outcome for residents is excellent. They are supported by competent and qualified staff who are trained to do their job. Residents are protected by the homes recruitment procedures. EVIDENCE: Staff went about their duties in an enthusiastic manner. They engaged well with residents by listening, encouraging and motivating them. They had a good understanding of their needs and behaviour as well as their communication which was often non-verbal. There is a training co-ordinator employed by Corrich Community Care and a good training programme in place. This provides a thorough induction for new staff to the Learning Disability Award Framework standard followed by mandatory training in such areas as food hygiene, infection control, first aid and adult protection. Further training is identified through the staff supervision process and this has lead to seven staff having achieved a National Vocational Qualification (NVQ) to either level 2 or 3. A thorough recruitment procedure is followed before staff are appointed. This includes two references and a Criminal Records Bureau check. Huntley Residential Care Home DS0000014580.V307006.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The outcome for residents is good. They benefit from a well run home. Their views and those of their representatives inform the development of the home. The health, safety and welfare of residents are promoted and protected. EVIDENCE: The manager has been at the home for some time and is therefore experienced. She has the Registered Managers Award and NVQ Level 4. She recently had some time away from the home during which suitable alternative arrangements were put in place. An appointment of a Clinical Adviser has recently been made to support the managers in all of the homes owned by Corrich Community Care. Her role will focus on the needs of residents in order for them to achieve their maximum potential. An annual development plan is drawn up for the home although it was not available during this visit. Quality assurance systems have been further developed and will now include obtaining the views of all people in contact with the home such as health professionals. Meanwhile, questionnaires will continue Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 19 to be sent to relatives for their comments. In addition, the views of those who represent residents are sought at every review, which are held each year. A member of staff has designated responsibility for the health and safety of staff and residents. She carries out monthly checks and reports to senior managers if any funds are required to maintain standards. Staff are required to attend training in, for example, safe lifting techniques, fire safety, infection control and food hygiene. Hazardous substances are safely stored and contracts are in place for the maintenance of boilers, hot water systems etc. Tests are regularly carried out on small electrical items and the fire fighting equipment. Window openings are restricted on the first floor when necessary, radiators are covered and water delivered at a safe temperature. All accidents are recorded and monitored by the management of the home. Risk assessments are carried out, for example, on lifting and handling and these are recorded. Huntley Residential Care Home DS0000014580.V307006.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 X 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 4 23 4 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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 YA24 Regulation 23 Requirement A plan must be drawn up of minor works to improve the home’s décor and maintenance and this must be implemented Timescale for action 31/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Huntley Residential Care Home DS0000014580.V307006.R01.S.doc Version 5.2 Page 22 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.V307006.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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