Inspection on 23/01/06 for Laurel Gardens, 14

This inspection was carried out on 23rd January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Laurel Gardens, 14 02/10/06

Laurel Gardens, 14 15/09/05

Laurel Gardens, 14 14/02/05

Laurel Gardens, 14 28/09/04

Laurel Gardens, 14 06/02/04

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 Laurel Gardens, 14 Hanwell London W7 3JG Lead Inspector Ms Jean Bovell Unannounced Inspection 23rd January 2006 11:00 Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 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 Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 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. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Laurel Gardens, 14 Address Hanwell London W7 3JG 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 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 DS0000027734.V278018.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th September 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 en suite 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 DS0000027734.V278018.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 11:00 am and 4:15 pm on 23rd January 2006. Three members of the care support staff team were on duty and one service user were present. The Inspector was informed that the Registered Manager had taken one service user to a medical appointment and that there was one service user vacancy at the home. During the course of the inspection, records and procedures were viewed, a tour of the building was undertaken and observations were made. The Inspector spoke to three members of the care support team and two service users. The outstanding Standards from the last inspection and the identified requirements were examined. The Inspector received co-operation and appropriate assistance from the Registered Manager following her return to the home and also from a member of the care support staff team. What the service does well: The service users appeared well cared for, content and very much at home within their environment. They were observed to move freely and comfortably around the house and were friendly and spontaneous in their interactions with the care support workers that were on duty during the inspection. Service users who spoke to the Inspector reported being happy with the standard of care and support they received at the home. The home has maintained a small but permanent care support staff group who appeared committed to meeting the needs of the service users. The Registered Manager was observed being an integral member of the care support staff team who provided support and practical assistance to the service users. Members of the care support staff team expressed satisfaction with the level of support they received from the Registered Manager. Records, policies and procedures viewed were up to date, securely filed and indicated that the best interests of the service users were being safeguarded. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 6 Overall, the home was found to be clean, hygienic and well maintained. The atmosphere was calm, 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 DS0000027734.V278018.R01.S.doc Version 5.1 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 Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 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): 1, 2, 3, 4 and 5. The home’s Statement of Purpose and Service Users’ Guide are appropriately informative and the specific needs of prospective service users are satisfactorily assessed. EVIDENCE: The home’s Statement of Purpose and Service Users’ Guide were in place. It was evidenced on records viewed that prospective service users were referred to the home by local authority social workers and that background information relating to prospective service users were submitted. A needs led assessment was subsequently initiated by the home and relatives/advocates, previous carers, medical professionals and social workers participated in the assessment process of determining the home’s capacity to meet specific needs and inspirations. Prospective service users views and opinions were established during progressive periods of visits and overnight stays at the home. New service users and their relatives received written confirmation that separate assessed needs and aspirations would be met at the home and were required to sign the home’s written contract/statement of terms and conditions at the point of admission. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 9 A prospective service user was being appropriately assessed at the time of the inspection. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 10 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. The changing needs of the service users are appropriately assessed at the home. Standards 7, 8, 9 and 10 were examined at the last inspection and the minimum requirements were satisfactorily met. EVIDENCE: It was reflected on care plans viewed that the personal, social and health care needs of the service users were identified and that action plans for meeting set goals had been put into place. Appropriate risk assessments were also undertaken. Meetings for reviewing care plans and risk assessments were held on a six monthly basis. Service users, relatives/advocates, social workers and medical professionals, where appropriate, were invited to attend. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 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): 17. Standards 11, 12, 13, 14, 15 and 16 were examined at the last inspection and the minimum requirements were satisfactorily met. Service users receive a healthy and varied diet at the home. EVIDENCE: The menus indicated that a variety of nutritional meals were offered to the service users. One service user was observed being served with a cooked breakfast of his/her choice at the time of the inspection and healthy options were offered at lunchtime. All separate meals taken had been recorded. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 12 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. Service users receive appropriate support with personal care and their health care needs are being met. The administration of medication is satisfactory but the home should ensure that dates and signatures are documented on all opened bottled medication. Standard 21 was examined at the last inspection and the minimum requirements were satisfactorily met. EVIDENCE: The Registered Manager confirmed that the service users at the home received assistance, prompting or supervision in relation to their personal care. However, their privacy and dignity were respected and they were able to choose their own clothes, hairstyles and make up. Service users health care needs were reflected on their individual care plans and indicated that service users received access to chiropodist, physiotherapist and community psychiatric nurse. There were annual medical and dental checks. GP appointments were arranged as required and service users were escorted to hospital appointments. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 13 One service user was accompanied to GP and hospital appointments during the inspection. The home’s policy and procedures relating to medication were in place and the records indicated that training on medication and rectal diazepam had been delivered to all members of the care support staff team. The storage and administration of medicines kept at the home were satisfactory. However, dates and signatures had not been documented on all opened bottled medicines. None of the service users were self-administering their medication at the time of the inspection. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 14 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): 23. Standard 22 was examined at the last inspection and the minimum requirements were satisfactorily met. The home has taken appropriate measures to ensure that the service users are protected from abuse but occurrences of incidents and accidents are not being separately recorded. EVIDENCE: The home’s policy and procedures relating to complaints are clearly stated and accessible to service users and their relatives. A poster on health and safety law was on display and the London Borough of Ealing manual on the protection of vulnerable adults was in place. The home did not have an incident and accident book but the complaints book suggested that no complaints had been received since the last inspection. The Registered Manager confirmed that training on the protection of vulnerable adults would be delivered to care support workers on 28th February 2006. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 15 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): 28, 29 and 30. The home is clean and hygienic and the communal areas are adequate for shared and separate activities. Specialist equipment is not currently required. Standards 24, 25, 26 and 27 were examined at the last inspection and the minimum requirements were satisfactorily met. A requirement under Standard 30 at the last inspection relating to the garden had been complied with. EVIDENCE: The home has a kitchen diner and separate lounge which are suitable for shared activity and individual use. Service users were observed being involved in separate activities such as reading, writing and watching television. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 16 There is an easily accessible garden/patio at the back of the house and the laundry area is adequate. The sleep-in staff room is suitably furnished and there are spaces for storing personal belongings. The Inspector was informed by the Registered Manager that there is no specialist equipment at the home as the service users do not currently experience physical difficulties. If, however, there are significant physical changes, a needs led reassessment is undertaken and service users may be transferred to an appropriate home within the consortium. The Registered Manager confirmed that general tidying and improvements to the garden had been scheduled. This complied with a requirement under Standard 30 at the last inspection. Overall, the home was clean, hygienic and well maintained. The environment was safe, calm and homely. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 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): 34 and 36. The home’s recruitment policy and practices are satisfactory. A requirement made under Standard 36 relating to staff supervision at the last inspection, had been complied with. Standards 31, 32, 33 and 35 were examined at the last inspection and the minimum requirements were satisfactorily met. EVIDENCE: A number of personnel files were examined at random and were found to contain copies of all the required documents including application forms, two references, photo identification, written confirmation of CRB clearance and signed copies of contracts/statement of terms and conditions. The Registered Manager confirmed that the original documents were held at Head Office. It was evidenced on records viewed that regular staff supervision had been initiated. This complied with a requirement at the last inspection. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 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, 38, 39, 40, 41 and 43. The home is organised and well run and its ethos is beneficial to the needs of the service users. All records are satisfactorily kept and reflect the best interests of the service users. Standard 42 was examined at the last inspection and the minimum requirements were satisfactorily met. EVIDENCE: The Registered Manager has obtained NVQ level 4 in care management and has occupied her present position for six years. She confirmed that the aim of the home was to maintain a homely, friendly and relaxed environment in which service users’ independence would be promoted and where they would receive opportunities for achieving their aspirations. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 19 The Inspector was informed by the Registered Manager that a quality assurance exercise had been undertaken in which the views and opinions of service users and relatives were ascertained. However, the document was being finalised at head office and would be submitted to CSCI on completion. The home’s written policies and procedures were in place and had recently been reviewed. All records viewed, including those relating to the service users were accurate, up to date and securely filed. A current Certificate of Employers’ Liability Insurance Certificate was in place. The home’s income and expenditure budget account dated 30/11/05 was satisfactory. Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 2 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 3 3 X 3 Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 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. 2. Standard YA20 YA23 Regulation 13(2) 17(1)(a) Requirement Timescale for action 24/02/06 The Registered Person must ensure that opened bottled medication are dated and signed. The Registered Person must 24/02/06 ensure that an accident and incident book is put in place. 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 Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 Page 22 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 Laurel Gardens, 14 DS0000027734.V278018.R01.S.doc Version 5.1 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. 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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