Inspection on 02/12/05 for Kingsway, 83a

This inspection was carried out on 2nd December 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingsway, 83a 30/11/07

Kingsway, 83a 09/10/06

Kingsway, 83a 14/07/05

Kingsway, 83a 23/02/05

Kingsway, 83a 12/08/04

Kingsway, 83a 14/08/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Kingsway, 83a Hayes Middlesex UB3 2TX Lead Inspector Ged Durkin Unannounced Inspection 2nd December 2005 4:10 Kingsway, 83a DS0000027068.V268278.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 Kingsway, 83a DS0000027068.V268278.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. Kingsway, 83a DS0000027068.V268278.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsway, 83a Address Hayes Middlesex UB3 2TX 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) 020 8813 7828 kingsway@lifeopportunitiestrust.co.uk Life Opportunities Trust Mrs Alison Hill Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Kingsway, 83a DS0000027068.V268278.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th July 2005 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 DS0000027068.V268278.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 between 4:10 pm and 6:00 pm. The Inspector met all four service users, and the 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 one service users saw his bedroom. In addition, a number of records and documentation were also viewed. 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. Kingsway, 83a DS0000027068.V268278.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 Kingsway, 83a DS0000027068.V268278.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): 2 and 3 The home ensures that prospective service users have appropriate assessments undertaken and are aware that the service will be able to meet their needs. EVIDENCE: There have been no new admissions since the last inspection. The home has an appropriate assessment process in place that ensures service users and their families can be sure the home will meet their needs. Kingsway, 83a DS0000027068.V268278.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): 6, 7, 8, 9 and 10 Service users are actively involved in their plans of care but this is not reflected in the documentation. There is a high degree of consultation with, and decision making by, service users over all aspects of the home and they are supported to take risks as part of an independent lifestyle. EVIDENCE: The Inspector also viewed two service user plans of care one of which had not 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 still to be completed for the most recently admitted service user. This is particularly relevant in view of independent travelling skills training this service user is undertaking. The Inspector was informed by the staff member on duty that all the service users were consulted about for example, what they wanted to do and where they wanted to go. Service users were encouraged to have as much freedom as they wanted within the confines of communal living. Kingsway, 83a DS0000027068.V268278.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): 11, 12, 13, 14, 15, 16 and 17 The home encourages all the service users to participate in a variety of activities in the local community and have opportunities for personal development. The service users have appropriate relationships with friends and family and have their rights respected and recognised in their daily lives. A good quality of meals and snacks are offered in the home. EVIDENCE: All the service users attend a variety of day care settings and evening and week-end activities. On their arranged days off in the week from the day care settings efforts are made by staff to ensure the service users are suitably occupied. On the day of the inspection one service user had been out with a staff member doing Xmas shopping. Another service user is building up his/her independent travelling skills. This activity is supported by staff from another agency. All the service users have varying degrees of family contact and staff ensure such contact is facilitated appropriately. Staff were observed to have open and positive relationships with service users that help ensure that their rights are recognised and respected. The Inspector was able to view that the there was more than sufficient food stocks in the home and witnessed staff preparing, with assistance from some service users, an attractive and well prepared evening meal. Kingsway, 83a DS0000027068.V268278.R01.S.doc Version 5.0 Page 10 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 and 20. The home continues to ensure service users receive all appropriate personal support and have their physical and emotional health needs met. The systems for the administration of medication are satisfactory. EVIDENCE: There is no significant change from the last inspection regarding the personal and healthcare needs of the service users. 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 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 DS0000027068.V268278.R01.S.doc Version 5.0 Page 11 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 and 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 staff on duty. From conversation with this staff member it was apparent that staff knew the service users, some of whom are non-verbal, well enough to understand their views and ensure they were acted upon. This staff member demonstrated a clear understanding about the company “Whistle Blowing” policy and how they would respond if they had any concerns about service user treatment. There have been no ongoing complaints about the home. Kingsway, 83a DS0000027068.V268278.R01.S.doc Version 5.0 Page 12 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 and 30. Although the home is comfortable, clean and is well suited to communal living there is an ongoing issue about the suitability of service user bedroom windows and their ability to retain heat. EVIDENCE: The home is domestic in its setting and well furnished with all the necessary aids and adaptations to meet the needs of the service users. On the day of the inspection the home was clean and tidy. There is still an issue highlighted in the last two inspection reports around the suitability of service user bedroom windows and their ability to retain heat. The staff on duty informed the Inspector that contacts with the Housing Association about this issue were still on going and as a result was still unresolved. Staff were recording room temperatures to demonstrate to the Housing Association that the present windows were inadequate. Additional heating must be installed if this problem is not resolved. Kingsway, 83a DS0000027068.V268278.R01.S.doc Version 5.0 Page 13 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 and 36 Service users benefit and are supported by an effective and trained staff team who ensure that all the service user’s needs are met. EVIDENCE: The Inspector saw evidence of staff training that included Pova training, food hygiene training, first aid training and moving and handling training. The Inspector spoke with the designate manager at a later date, who confirmed that a previous requirement relating to staff records had been met. No new staff have began work at the home since the last inspection in July. Staff on duty also told the Inspector that staff receive regular formal supervision and there are regular staff meetings. Kingsway, 83a DS0000027068.V268278.R01.S.doc Version 5.0 Page 14 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 and 42 The permanent management arrangements for the home are still unclear because of the lack of a registered manager. The home is well run with the health, safety and the welfare of service users is promoted and protected. EVIDENCE: The home has not had a registered manager for the last eighteen months. The home has a designate manager who provides good leadership but the home must now put forward a nomination for registration. 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 friendly and convivial. The staff member on duty interacted well with all the service users as supper was being prepared. Health and safety records examined were generally satisfactory except that the weekly monitoring of water temperatures in the home were not up to date. Kingsway, 83a DS0000027068.V268278.R01.S.doc Version 5.0 Page 15 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 3 x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 x x 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME x 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 2 3 x x 2 x DS0000027068.V268278.R01.S.doc Version 5.0 Page 16 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. 2. 3. Standard YA6 YA9 YA24 Regulation 15 (2) (b) Requirement Timescale for action 30/01/06 30/01/06 23/01/06 4. YA24 5. 6. YA38 YA42 Service users plans must be kept under review. 15 (2) (b) Service users risk assessments must be updated. 23 (2) (p) 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 5/9/05 not met). 23 (2) (p) Additional heating must be provided in bedrooms if heat is still being lost through inadequate windows. 8 (1) (a) The home must put forward a named individual to apply to be registered manager. 13 (1) (c) Records of water temperatures must be kept up to date. 19/12/05 30/01/06 30/01/06 Kingsway, 83a DS0000027068.V268278.R01.S.doc Version 5.0 Page 17 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 Kingsway, 83a DS0000027068.V268278.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection West London Area Office 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 DS0000027068.V268278.R01.S.doc Version 5.0 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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