Inspection on 14/07/05 for Kingsway, 83a

This inspection was carried out on 14th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kingsway, 83a 30/11/07

Kingsway, 83a 09/10/06

Kingsway, 83a 02/12/05

Kingsway, 83a 23/02/05

Kingsway, 83a 12/08/04

Kingsway, 83a 14/08/03

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Chatsworth Care - Tudor Lodge

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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 Kingsway 83A 83A Kingsway Hayes Middlesex UB3 2TX Lead Inspector Ged Durkin Unannounced 14 July 2005 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. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingsway 83A Address 83A Kingsway, Hayes, Middlesex, UB3 2TX 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) 0208 813 7828 Life Opportunities Trust Mrs Alison Hill Care Home 4 Category(ies) of Learning Disability registration, with number of places Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23/2/05 Brief Description of the Service: 83a Kingsway provides accommodation and personal care for three female and one male adult with learning disabilities. The home is registered for four placements. The home is a detached house in a residential area of Hayes. It is close to local amenities and transport links. Shepherds Bush Housing Association owns the building and the organisation Life Opportunities Trust provides the care.The environment is homely and comfortable. There is a front and rear garden. The front garden has grass and flowerbeds and the rear garden is mainly laid to lawn. There is a small patio area.The home aims to provide a range of high quality services for people for learning disabilities, which reflect and respect their individuality and wishes. The home seeks to promote active participation in the local community. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours between 3pm and 5:20 pm. The Inspector met all four service users, the manager designate and the other staff member on duty. Some of the service users are non-verbal in communication and therefore it was difficult for the Inspector to seek their views. The Inspector toured the house and, with the permission of the two service users saw both their bedrooms. In addition, a number of records and staff documentation was also viewed. The majority of previous requirements had been met, a number had not been and are therefore repeated. The manager designate had just returned to the home on a full time basis having spent some time at another Life Opportunities home providing managerial cover. What the service does well: What has improved since the last inspection? What they could do better: More needs to be done to make the Housing Association who own the building more responsive to maintenance issues in the home. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 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. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 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 Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 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) 2 The home ensures that prospective service user’s aspirations and needs are assessed. EVIDENCE: The home has recently admitted a new service user. All appropriate assessments had been undertaken by the home. There has been on gong liaison between the new service user’s family and the home to ensure he/she settles into their new environment. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 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, 7 and 9 The home tries to ensure that service users receive assistance in decisionmaking and are supported to take risks as part of an independent lifestyle. EVIDENCE: The staff group at the home is a settled one. As a result they have got to know the service users and formed supportive relationships with them. These supportive relationships enable staff to help service users to engage in activities/pursuits that they enjoy. Staff are encouraged by the manager designate to interact as much as possible with service users which supports/encourages them in individual decision-making. The manager designate informed the Inspector that she intended to update with service user’s key workers individual aspects of their care. The Inspector also viewed two service user plans of care neither of which had been updated for over a year. The Inspector also viewed risk assessments for three service users all were current and up to date. Risk assessments had yet to be completed for the recently admitted service user. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16 The homes ensures all the service users engage in appropriate community based activities, have appropriate relationships and have their rights respected and recognised in their daily lives. EVIDENCE: All the service users attend a variety of day care settings and evening and week-end activities. On their prescribed days off in the week from the day care settings efforts are made by staff to ensure the service users are suitably occupied. Staff rotas are organised so as to ensure staff are allocated effectively to ensure that service users are able to engage in activities outside the home. All the service users have varying degrees of family contact and staff ensure such contact is facilitated appropriately. Staff are also aware of service user’s likes/dislikes and ensure these are recognised in their daily lives. Three of the service users are going on holiday in the UK very soon while the fourth service user is going abroad with his/her family. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 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 standard(s) 18, 19 20 The home ensures service users receive personal support and have their physical and emotional health needs met. The home also ensures that medication for service users is administered correctly. EVIDENCE: Service users need varying degrees of support and staff ensure that all the service users receive appropriate personal support. All the service users have a local GP and are able to access all appropriate health care as needed. Emotional support is given on an ongoing basis by staff. Appropriate referrals have been made to external professionals should an individual service user have an identified need. Medication is administered via a monitored dosage system. All staff are trained in medication administration. The Inspector examined the medication administration sheets and found they were all in order. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 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 standard(s) 22, 23 Service users views are listened to and acted upon. The home has its own company complaints procedure on display in the home. EVIDENCE: The Inspector spoke with one service user who clearly indicated that his/her views were listened to. This service user was also very clear that he/she could go to staff if he/she had any worries or concerns. In discussions with staff it was clearly indicated that staff knew the service users, the majority of whom are non-verbal, well enough to understand their views and ensure they were acted upon. In addition, the Inspector spoke to staff on duty who demonstrated a clear understanding about the company “Whistle Blowing” policy and how they would respond if they had any concerns about service user treatment. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 29, 30 The home is comfortable, clean and is well suited to communal living. EVIDENCE: The Inspector toured the house and, accompanied by the two service users, saw their bedrooms. Each was homely and reflected the service user’s own personal tastes. The communal areas in the home were spacious and well furnished. All areas of the home appeared clean. There were railings on the stairs to assist one service user with his/her mobility problems. Similarly, specialist adhesive non-slip adhesive tape had been applied to the bath to aid this service user when he/she takes a bath. There is still an issue highlighted in the last report around the suitability of service user bedroom windows and their ability to retain heat. The manager designate informed the Inspector that contacts with the Housing Association about this issue were still on gong and as a result this issue was still unresolved. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 14 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) 31, 32, 33, 34, 36 Service users benefit and are supported by an effective and competent staff team who try to ensure that all the service user’s needs are met. Not all aspects of the home’s recruitment policy meet legislative requirements. EVIDENCE: The staff team is an established one. The manager designate is now, once again, working full time in this home. In discussions with staff and the manager designate both were clear about roles and responsibilities and demonstrated a commitment to meeting the service user’s needs. Staff rotas are organised to ensure staff are effectively utilised and teamwork and communication appeared to be well established. Training records were not inspected at this inspection but will be at the next inspection. The Inspector viewed two staff files and for one there was no recent photo available and there were no full CRB checks although CRB reference numbers were evidenced. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 15 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) 37, 38, 39, 41 The home is run and managed in a positive and safe manner with the service users interests at the centre of the ethos of the home. EVIDENCE: The manager designate appeared to provide leadership and direction toward staff and their interaction with service users. Discussions with staff indicated that they felt supported by the manager designate. The Inspector spoke with one service user who said that he/she likes the home and felt confident to be able to approach the manager designate if he/she had a problem. The Inspector saw all the service users as they came from various day centre activities, (one service user was in the home already), and the atmosphere was lively and bright. The Inspector noted that service users on the day of the inspection interacted well together. The manager designate informed the Inspector that the organisation was in the process of reviewing its policies and procedures through management meetings on an ongoing basis. There were no health and safety issues identified during this inspection. Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 16 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingsway 83A Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x 3 x x G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 17 Yes 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. Standard 24 Regulation 23 (2) (p) Requirement The windows must be assessed to ascertain whether they are suitable and if they adequately retain heat in the service users bedrooms(previous timescale of 1/4/05 not met) Staff records in the home must contain full CRB check and include a recent photo Timescale for action 5/9/05 2. 34 19 (1) Schedule 2 5/9/05 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. Refer to Standard Good Practice Recommendations Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Ground Floor 58 Uxbridge Road Ealing London W5 2ST 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 Kingsway 83A G61-G10 S27068 Kingsway V229480 140705 Stage 4.doc Version 1.30 Page 19 - 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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