Inspection on 15/09/05 for Laurel Gardens, 14

This inspection was carried out on 15th September 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

Laurel Gardens, 14 02/10/06

Laurel Gardens, 14 23/01/06

Laurel Gardens, 14 14/02/05

Laurel Gardens, 14 28/09/04

Laurel Gardens, 14 06/02/04

Similar services:

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Edenvale

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Chatsworth Care - Dawson House

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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 Laurel Gardens, 14 Hanwell London W7 3JG Lead Inspector Jean Bovell Unannounced 15th September 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. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Laurel Gardens, 14 Address Hanwell, London, W7 3JG 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) 020 8579 6869 Ealing Consortium Limited Mrs Ursula McGinty Care Home 3 Category(ies) of Learning disability (0), Learning disability over registration, with number 65 years of age (0) of places Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2005 Brief Description of the Service: 14 Laurel Gardens is a residential home for three service users with learning disabilities. The home was registered in 1991. Acton Housing Association owns the home and the care provider is Ealing Consortium Limited. The home is located in Hanwell and is within walking distance to the local shops and cafes. West Ealing and Ealing Broadway shopping centres can be accessed by public transport facilities. Hanwell mainline station is located nearby. The lounge, kitchen/dining area, a laundry room, an ensuite shower room and one of the three service users bedrooms are situated on the ground floor. There is small rear garden with wood covered patio. Two service users bedrooms, a staff sleeping-in room, an office and an ensuite bathroom are on the first floor. The home is not accessible to wheelchair users. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out between 10.45 am and 4.45 pm on Thursday 15th September and was unannounced. Three members of the care support staff and two service users were present at the beginning of the inspection. The Inspector was advised that the Registered Manager was attending a meeting elsewhere. However, the Registered Manager returned to the home after a short period and provided appropriate assistance to the Inspector. Discussions were held with three members of staff and the Inspector spoke to two service users. A tour was conducted throughout the home and garden. The home’s records and written policies and procedures were examined. Observations were carried out. The Registered Manager reported that there was one service user vacancy at the home. This was due to a service user being transferred to an establishment suitable to meeting his/her changed needs. Overall, the home was found to be hygienically clean and essentially well maintained. The health and safety records were satisfactorily kept and up to date. The service users appeared comfortable and content. The atmosphere within the house was calm and caring. What the service does well: The home was successful in maintaining a permanent staff group. The Registered Manager reported that there was additional staff cover at the time of the inspection. This ensured that the needs of service users were being fully met while one staff member focused on administration. Members of the care support staff who were present at the time of the inspection were observed to be caring and attentive in their interactions with the service users and responded competently to their individual needs. Staff members expressed satisfaction with the working conditions and the level of support they received within the home. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 6 The service users appeared well cared for and appropriately dressed. They related in a friendly and spontaneous manner with the care staff and moved freely and comfortably around the house. The service users told the Inspector that they were happy and well treated at the home. The home’s policies and procedures were in place and health and safety records were up-to-date. Overall, the home was found to be organised, well run and maintained, and committed to meeting the specific needs of the service users. The environment was safe, pleasant and homely. 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. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 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 Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 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 individual needs and aspirations of prospective service users are appropriately assessed prior to admission. EVIDENCE: The personal files of the service users were examined during the inspection. These indicated that individual needs, interests and aspirations were included within the initial assessment. The home, prospective service users, family members, social workers and medical professionals – where appropriate, were involved in the assessment process and in determining the home’s capacity to meet the specific needs, interests, and aspirations of the service users. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 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) 6,7,8,9 and 10. Service users are able to participate in the drawing up of individual care plans and they are encouraged and supported in pursuing preferred lifestyles. Personal documents and information regarding the service users are held confidentially. EVIDENCE: The service users’ care plans were examined during the inspection. These indicated that personal and health care needs were assessed and that separate interests, aspirations, activities or hobbies were identified. Action plans were put into place and goals and objectives were set. All care plans and related risk assessments were reviewed every six months. The Inspector was advised that service users are able to decide when to get up in the mornings or retire at night. Service users were given choice in relation meals and clothing. They also received a daily or weekly allowances that they were able to spend at will. One service user indicated satisfaction with the money that was held in his/her purse. Staff members reported that service Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 10 users participated in the home’s food shopping and made decisions regarding preferred purchases. Although they were able to carry their individual travel passes and purses, service users were escorted and/or supported during separate outdoor activities of their choosing. This was observed at the time of the inspection. The Registered Manager confirmed that personal and confidential matters regarding the service users were appropriately handled and respected. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16 and 17. Service users rights are respected within the home. They receive opportunities for personal development and are able to participate in activities of their choice within the community. Friendships and family contact are encouraged and facilitated. Varied and nutritional meals are provided. EVIDENCE: The Registered Manager confirmed that where possible and with minimum supervision, service users were encouraged to bathe or dress themselves, tidy their bedrooms, lay the table or prepare snacks. Service users also received support in pursuing personal interests and aspirations such as college courses, art, music, reading, writing or caring for pets. Daily outdoor activities seen on individual care plans and activity sheets included shopping trips, meals out and visits to the cinema. Service users also attended Church Services on Sundays and Annual holidays were organised. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 12 Service users were observed being involved in separate activities of their choice such as viewing magazines, writing and watching TV and being escorted to individual shopping trips. The home had an open visiting policy and contact with family and friends were encouraged and facilitated. This included home visits and outings. It was indicated on the menu that service users varied and nutritious meals were provided at the home. Service users received choice and snacks and drinks were readily available. This was observed at the time of the inspection. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 and 21. EVIDENCE: The service users require supervision or assistance with every aspect of their personal care. However, those who wished to be independent would be prompted where appropriate. It was indicated on service users’ care plans that individual health care needs such as physiotherapy, chiropody and dental Care were being met at the home. GP services were accessed when required. The home’s medication policy was in place. The Registered Manager confirmed that medication training based on the Boots system were included within induction training delivered to all care support staff members. Medication at the home were appropriately stored and properly administered and recorded. None of the service users were self-medicating at the time of the inspection. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 14 The home’s policy and procedures in relation ageing, illness and death, were satisfactory. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 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 standard(s) 22 and 23. The home’s policy and procedures in relation to complaints are satisfactory and service users are being protected from abuse. EVIDENCE: The home’s complaints procedure was clearly stated and accessible to service users and their relatives. No complaints had been made since the last inspection. The London Borough of Ealing Guidelines on the Protection of Vulnerable Adults was in place. Service users’ financial records were examined. These were satisfactorily documented and there was no evidence of discrepancies. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27 and 30. The home is essentially well maintained and there is pleasant and comfortable atmosphere. However, attention should be given to the garden at the rear of the house. EVIDENCE: A tour was conducted throughout the home and garden. The house found to be well maintained, hygienically clean and attractively furnished and decorated with framed photographs of the service users on display. However, the back door and garden surrounds were in need of attention. Service users were observed to freely spend periods of time in individual bedrooms that were suitably fitted and reflected personal choices and interests. The toilet and bathroom facilities were sufficient for meeting the needs of the service users. The atmosphere within the home was calm, pleasant and homely. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35 and 36. Service users benefit from being supported by trained and qualified care support staff. However, documented evidence of regular supervision was not available at the time of the inspection. EVIDENCE: The Inspector was informed that the home operated a key worker system. Records and documents viewed at the time of the inspection indicated that all new staff members were inducted and were required to read the home’s policies and procedures. Subsequent training delivered included Fire Safety, Autism, Protection of Vulnerable Adults and Rectal Diazipam. The Inspector was informed that all staff training was based on the Learning Disability Award Framework. The Registered Manager confirmed that one member of staff had obtained Level 2 and 3 NVQ qualifications. Two were currently being trained and one was scheduled to commence training this year. Awareness of physical and emotional abuse was included within NVQ training. Supervision records were examined. These were not found to be clearly documented or indicative of regular staff supervision. However, members of Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 18 the care support staff expressed satisfaction with the level of support they received from within the staff team and also from the Registered Manager. The number of care support staff on duty during the inspection was appropriate for meeting the individual needs of the service users. Staff members were observed to be competent and attentive. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health and safety of the service users are safeguarded at the home. EVIDENCE: The home’s policies and procedures on health and safety were in place and environmental risk assessments had been appropriately undertaken. Health and safety records were viewed. These included maintenance checks in relation to fire safety, emergency lighting, portable appliances, gas appliances, electricity supplies and water systems and temperature. All were satisfactory and up to date. Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 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 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 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Laurel Gardens, 14 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 21 No 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 30 Regulation 23(2)(O) Requirement The Registered Person must ensure that external grounds which are suitable for, and safe for use by, service users are provided and appropriately maintained. The Registered Person shall ensure that persons working at the care home are appropriately supervised. Timescale for action 1/11/05 2. 36 18(2) 30/10/05 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 Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 Page 22 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 Laurel Gardens, 14 G61-G10 s27734 Laurel Gardens v214271 150905 Stage 4.doc Version 1.40 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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