Inspection on 07/09/05 for Little Road, 2

This inspection was carried out on 7th 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

Little Road, 2 14/08/07

Little Road, 2 05/10/06

Little Road, 2 21/12/05

Little Road, 2 20/01/05

Little Road, 2 23/09/04

Little Road, 2 02/09/03

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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 Little Road, 2 Hayes Middlesex UB3 3BT Lead Inspector Ged Durkin Unannounced 7 September 2005 th 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. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Little Road, 2 Address Hayes, Middlesex, UB3 3BT 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 8848 9126 020 8848 9126 Life Opportunities Trust Mrs Marva Denise Frederick Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20/1/05 Brief Description of the Service: 2 Little Road is a residential home for six service users with learning disabilities. The home was registered in 1995. Shepherds Bush Housing Association owns the home and the care provider is Life Opportunities Trust. The home is a six bed roomed, semi-detached house, located in Hayes and is within walking distance to the town centre, the main line station and public transport facilities. The home has six single bedrooms. Two are on the ground floor. There are no facilities for service users who are disabled. The ground floor has a lounge/dining area, which is comfortably furnished, for the service users. The kitchen, one small toilet, a shower room with a toilet and the utility/storage room are also on the ground floor. There is a bathroom with a toilet, and the office, on the first floor. The service users’ bedrooms are at least 14.1 square metres and are fitted with TV points and emergency call systems. There is a small rear garden, which is mostly lawn, with a patio area. Limited parking is available in the street. The staffing structure consists of a Registered Manager, a deputy, a senior, two full time and two part time day residential workers and one full time waking night staff. The staff provide support with personal care, practical tasks and leisure activities. There are two staff on duty at times when the majority of the service users are in the home, which includes the Registered Manager. One staff is on a waking night duty, with an on call system in case of emergencies. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place between 3:10 and 6:10pm. The Inspector met and spoke with all six service users, two staff members, examined documentation and had a tour of the premises. 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. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 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 standard(s) 2 The home ensures that prospective service users needs are assessed prior to coming to the home. EVIDENCE: The home does not have many admissions to the home because of the stability of the service user group. The Inspector discussed with staff about a previous admission to the home. All necessary information had been obtained and preparatory visits undertaken. The trial period was of sufficient length to ensure that the home could meet this service user’s needs before making the placement permanent. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9 Each service user has an individual care plan based on assessed needs, who are actively consulted about their day to day to living and are supported to take appropriate risks as part of an independent lifestyle. EVIDENCE: The Inspector viewed two service user care plans. The care plans consist of areas of care that include health, self help, mobility, communication, social needs, community living skills, work and education and cultural needs. All care plans are subject to review. Each service user has a key worker and there is a daily record written by staff on each service user. The home also operates a smaller, more accessible pen portrait folder, which gives a brief outline of each service user’s profile that includes sections on key family members, communication, health and what is important to the service user. This is a useful document for bank staff, who might not work regularly in the home and provides up to date information on the service user in a concise way. The home has monthly meetings in which service users are consulted about what they would to do, menus, holidays and outings. The Inspector saw a number of risk assessments on activities such as swimming and communal Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 9 travel that indicate that service users are encouraged to pursue independent lifestyles. All were current and had been updated. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 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 and 17. Service users are encouraged and enabled to have a lifestyle that incorporates activities that include the use of local amenities, have ongoing contact with families, have their rights and responsibilities recognised and have a healthy diet at times convenient to them. EVIDENCE: The majority of service users attend day care on a regular basis through out the week and some attend evening clubs as well. On days that service users do not go to any day care service users will go out with staff into Uxbridge shopping or else out to eat or go to the theatre or cinema. All the service user have particular interests that staff encourage and facilitate. Service users have recently been out on day trips to Bournemouth and Brighton and staff informed the Inspector that more are planned before the end of the summer. Four service users are going on holiday to Florida in November. All the service users have differing amounts of contact with their family but the staff try to ensure as much contact as possible is facilitated. Service user’s rights are respected by dint of the close knowledge that staff have, and the regular reviews Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 11 undertaken by the home. Service users are encouraged to undertake a number of small tasks such as clearing up after supper as part of their communal responsibilities. Staff shop at local supermarkets and prepare meals for the service users. Some of the service users will help staff with shopping and meal preparation. Healthy eating is encouraged and there was evidence of fresh fruit and vegetables as part of this. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 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 standard(s) 18, 19 and 20 Service users receive all required personal care in a manner they prefer and have their health and emotional needs met by the home. In addition, the home has a safe system of administration in the home. EVIDENCE: Staff told the Inspector that some service users needed more help than others with personal care. Particular attention is given to personal grooming and all the service users looked well cared for and appropriately dressed. Any personal care is given in a sensitive way that ensures that service user’s dignity is maintained. All service users are registered with a local GP and there is only one current service user with particular health care needs that staff are monitoring. Staff are particularly aware of the importance of skin care and monitor the condition of service user’s skin when giving personal care. No service user self medicates and the home operates a monitored dosage system. Medication is stored appropriately in two purpose built metal medication cupboards. In addition, the home has recently acquired a specialist fridge in which to store medication that needs to be stored at appropriate temperatures. One staff administers medication while another witnesses that the medication has been given properly. The Inspector examined medication administration records and found all in order except on one occasion when there was a missing initial. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 13 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 Service users are continually consulted and are protected from all forms of abuse. There needs to be greater emphasis on the subject of adult protection. EVIDENCE: Service user’s views are asked for and listened to by staff on an ongoing basis, as well as more formally through reviews and service user meetings. The home has a clear complaints process and has not received any complaints since the last CSCI inspection in January 2005. Staff, when spoken with, were very clear about their understanding of “Whistle blowing” and told the Inspector the action they would take in the event of them coming across any form of abuse. The Inspector viewed the home’s adult protection policy, which was dated May 2003. The home had London Borough of Hillingdon’s adult protection policy which was dated May 2001. Staff interviewed although confirming that they were in receipt of training, adult protection was not one of those topics they received training on. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 14 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, 28, 29 and 30. The service users live in a specifically adapted home with the appropriate facilities well suited to communal living, that is well maintained and clean. EVIDENCE: On the day of the inspection the home was clean and tidy with no mal odours evident. The communal furniture and decoration were all to a satisfactory standard. All the service user’s bedrooms were personalised according to individual tastes. There were specially adapted bathrooms, shower facilities, ramps and grab rails to aid service user’s mobility. The Inspector was informed that there are plans to increase the storage facilities in the home. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 15 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) 32, 33 and 35 The home has competent, trained staff team who are able to meet the needs of the service users in the home. EVIDENCE: There are two staff on duty whenever the majority of service users are in the home and one waking night, with on-call arrangements if needed. Staff interviewed indicated that the home had sufficient staffing levels to be able to satisfactorily meet the needs the service users. Training is given to staff on topics that include fire, food and hygiene, first aid and health and safety. Moving and handling training was due to be given to staff the following week after this inspection. Additional external training is also available according to the individual staff’s needs. Staff have regular formalised supervision conducted along line management responsibility which is recorded. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 16 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) 39, 41 and 42 The home is conducted so as to ensure that service users benefit from a well run home. EVIDENCE: Service user’s views and likes and dislikes form the basis of the ongoing care given to the service users. The majority of service users have now been in the home for a considerable time and, as a result, staff know their character and personalities and these close relationships form the basis of the ongoing care given by staff to the service users. The Inspector examined a couple of service users financial records and found them both in order. In addition, the Inspector also checked a number of health and safety records that included fire drills, fire equipment checks and water temperature checks. All were in order. Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 17 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 x 3 x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Little Road, 2 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 3 x G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 18 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. 2. Standard 23 23 Regulation 13 (6) 13 (6) Requirement Staff must have updated adult protection training The home must obtain the current London Borough of Hillingdons adult protection policy. Timescale for action 31/10/05 31/10/05 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 Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 19 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 Little Road, 2 G61-G10 s27065 Little Road v214273 070905 Stage 4.doc Version 1.40 Page 20 - 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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