Inspection on 29/06/05 for Longford

This inspection was carried out on 29th June 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

Longford 15/08/07

Longford 15/09/06

Longford 20/10/05

Longford 22/09/04

Longford 26/05/04

Longford 04/02/04

Longford 21/06/02

Similar services:

33 St John`s Church Road

Dovedale Court

Lyncol House

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

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

CARE HOME ADULTS 18-65 Longford 40 Massetts Road Horley Surrey RH6 7DS Lead Inspector Lisa Johnson Announced 29 June 2005 10:00 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. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Longford Address 40 Massetts Road Horley Surrey RH6 7DS 01293 430687 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) Ashcroft Care Services Limited 21 Gatwick Metro Centre, Balcombe Road, Horley, Surrey, RH6 9GA To Be Confirmed Care Home (CRH) 6 Category(ies) of Learning disability (LD) 6 registration, with number of places Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The age/age range of the persons to be accommodated will be: 18-65 YEARS Date of last inspection 22 September 2004 Brief Description of the Service: Longford is owned by Ashcroft Care Services. The home is a large detached house in a residential area of Horley, Surrey. The home is close to the town centre where facilities and amenities are available. The accommodation comprises of ground and first floor facilities. All bedrooms single and three have en-suite facilities. In addition there is one communal bathroom, a shower plus two toilets. There is ample space including two lounges and a large dining room. There is a spacious kitchen with a separate utility area. There is a large garden to the rear of house and adequate parking is available at the front. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first inspection carried out in 2005/2006. The announced inspection was carried out by one inspector and took place over four hours. The main focus of the inspection was to review the requirements made at the last inspection. A tour of the premises took place and care plans, policies and procedures and other required documents were sampled. The inspector spoke to two service users and staff in the home. A number of comment cards were received from service users and relatives and comments are included in this report. The inspector would like to thank service users and staff for their cooperation in carrying out this inspection. What the service does well: What has improved since the last inspection? Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 6 The manger has completed a home and medication audit. Incidents and accidents are recorded in service user files. Soap dispensers and paper towels were made available in toilets and bathrooms. Maintenance has been carried out in the garden with some brambles being removed. The home is in the process of replacing some fencing. The manager has made an application to register with the Commission for Social Care 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. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 & 5 The home provides adequate information that would enable service users to decide whether they wish to live there. Assessments are completed prior to new persons being admitted with trial visits accommodated. Each individual has a written contract consisting of a statement of terms and conditions. EVIDENCE: The home has a detailed Statement of Purpose, which is professionally presented. The home clearly describes the services it is able to offer. Assessments are completed prior to admission to the home. Opportunity is available for prospective service users and relatives to visit the home and trial visit and stays are offered. A comprehensive service user guide is available and a copy is maintained by each individual, which they keep in their rooms. Each in individual is issued with a contract in the form of statement of terms and conditions. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 and 10 Individual care plans are in place and these include risk assessments. Service users are involved in decision-making about their lives and are able to participate in aspects of life within the home. Information regarding service users was maintained in a confidential manner. EVIDENCE: Individual plans are based on assessment and risk assessment plans are included. Reviews take place six monthly involving service users. Each key worker has a one to one meeting with the manager to review and update plans. Service users are able to make decisions with regard to their lives and adequate consultation takes place. This was confirmed by service users who stated that they have meetings in the home and talk about what is working well and what should be changed. Service users are encouraged to be as independent as possible and one service user stated, “I like making chocolate cakes”. Service users are provided with opportunities to participate in household activities including housework and general upkeep of their bedrooms. However it was noted that there were some omissions in key workers not completing dates or recording care plans when reviews have taken place and Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 10 this has been made a requirement. A confidentiality policy is available and records were secured appropriately. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 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. The home is able to demonstrate that service users are given opportunities for stimulation through providing recreational leisure activities. Service users are able to maintain contact with the local community and are able to maintain links with family and friends. Staff and service users are involved in meal planning and the service offers a nutritious, varied and balanced diet. EVIDENCE: A range and variety of activities is supported by the home in consultation with service users. Some service users attend college undertaking classes such as pottery and cooking. Service users attend Colebrook daycentre, with reflexology is available. At the time of the inspection, service users were leaving to go shopping and out for a coffee. There are opportunities to go to the cinema and bowling. One service user stated that he is going to the Isle of Wight for a holiday and other service users have been to Spain, France and Butlins. The choice of holidays is dependent on the choices of individuals. One service user commented “ I get to go out on the train and bus, on days out and the staff take me to places”. Another service user commented that he also goes out shopping and uses public transport. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 12 One service user in the home particularly enjoys music and has a favourite singer, clearly enjoys buying records and memorabilia and owns a guitar. Service users are involved in menu planning and alternatives are available. Each service user takes turn in having their most favourite meal on the menu one day of the week. It was pleasing to observe one member of staff communicating to a service in makaton offering alternatives for lunch. Service users maintain contact with family and friends, who visit the home or they are able to out for visits. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 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 &21 The home is able to demonstrate that individual plans are in place that meet the physical and emotional needs of service users. However agreed changes must be kept updated and outcomes recorded. Service users receive personal support in the way they prefer and are protected by the homes policies and procedures for dealing with medicines. The home must implement an individual plan in respect of a death of the service user, which should include their individual wishes. EVIDENCE: All individuals have a detailed care plan in place and it was clear that physical and emotional needs are being met. Clear guidelines were in place, which support service users who may experience emotional difficulties and these incorporated risk assessments. Service users have access to a local General Practitioner and health-screening checks were recorded. There was evidence of access to the special needs dentist, chiropody, opticians and the dietician. One service user is monitored in relation to epilepsy and another service user is on a strict fluid chart for which the staff maintain accurate records. Staff administer medication in the home and storage and records were maintained to a satisfactory standard. As the home receives their medication from Boots an audit has recently been completed by the pharmacist and was satisfactory. It was pleasing to see that a photograph of service users was Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 14 displayed on the medication cupboard with a description outlining the individual’s personal wishes as to how they prefer to take their medication. A plan needs to be implemented in respect of individual’s wishes in the event of a death of a service user. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 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 & 23 The home has an adequate complaints system in place and staff have the knowledge and understanding of the protection of vulnerable adults process, which would protect service users from abuse. EVIDENCE: The home has a comprehensive complaint procedure, which is displayed in the hallway and is accessible to service users in picture and symbol format. Staff have received up to date training in protection of vulnerable adults and a detailed policy is available as well as the local authority protection of vulnerable adults procedure. One member of staff spoken to was clear in her response as to what action she should take if an abuse issue arose. Comments received from service users were that they felt safe in the home and they knew who to approach if they were unhappy. Comments indicated that service users felt listened to. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 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, 28 & 30 Service users live in a clean and homely environment. Some minor items were identified as requiring action. EVIDENCE: The home was well maintained and there was evidence that the home was in the process of being upgraded. A new kitchen had been installed and some internal decorating had taken place and new carpets had been laid. There are plans to carry out some more internal decoration in the near future to the downstairs sitting rooms. Bedrooms were personalised to individual tastes and it was pleasing to see that service users had a range of interests and these were on display. One service user enjoys pottery and had his items on display and another service user had an interest in trains and this was expressed by his collection of pictures. There are adequate bathrooms and toilets and privacy is maintained. Spacious communal areas are available and one downstairs room is presently used for music responding to the interest of service users. A large garden is available which is safe. A large trampoline and gazebo is in place, which service users were clearly enjoying. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 17 A large kitchen is available which is accessible to service users and it was observed to be clean and hygienic. Fridge and freezer temperatures were recorded daily. A cupboard door in the dining room was broken and requires repair. Some maintenance work is required to the paintwork on the outside of the downstairs window. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34 Staffing levels in the home are adequate to meet the needs of the service users. The home benefits from a supported and supervised team. Training and development is encouraged, the home needs to provide an action plan in respect of National Vocational Qualifications. Further attention was required to the homes recruitment policies and record keeping practices. EVIDENCE: Adequate staffing levels are maintained with four staff on duty during the day and with another member of staff working from 9am until 5pm, as three service users require one to one support. At night there is one waking and one sleep-in member of staff. Staff receive an annual appraisal and supervision takes place every two months. A separate meeting takes place with keyworkers to discuss service user related issues. The staff training and development plan was displayed in the office and it was evident that as well as mandatory training, staff have attended training relevant to the service users that they are supporting. This included autism, non-crisis intervention and mental health awareness, as well as bereavement and report writing. The home has not achieved fifty percent of the staff team gaining National Vocational Qualifications. The manager stated that some staff have made Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 19 applications. A requirement has been made that the home implements an action plan outlining how this to be achieved. Staff files were sampled and adequate recruitment processes are in place with evidence available of police checks being recorded. However one file did not have references available and this has been made a requirement. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39,40,41 & 42 The home runs well with an open approach and the manager is providing good leadership. Record keeping is maintained adequately. Comprehensive policy and procedures are in place to provide the safety and well being of the service users and staff. Quality assurance systems are in place based on seeking the views of service users, which will measure the success in achieving the aims and objectives of the service. Two health and safety matters were identified as requiring action. EVIDENCE: The manager is in the process of completing the Registered managers Award and has made an application to the Commission for Social Care Inspection for registration. There is an open atmosphere in the home. It was observed to be structured and organised and the manager provides appropriate leadership. Staff stated that the manager is approachable and supportive. Quality assurance systems are implemented with quality of life reviews taking place. a This was found on the homes notice board in the hallway and was available in Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 21 pictorial and symbol format. The registered individual carries out a monthly visit to the home to monitor the service provided. Meetings are held monthly and minutes are maintained from these. A comprehensive range of policies and procedures were available and mandatory training has been updated to include fire safety, first aid, medication, moving and handling, food hygiene, accident reporting, infection control and health and safety. Record keeping is maintained to an adequate standard and records are kept safe and secure. The cupboard door in the utility room needs to be kept locked when not being used and opened packets of food are required to be stored in appropriate containers. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 22 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 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 2 3 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Longford Score 3 3 3 2 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 x H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 23 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 YA 6 YA 21 Regulation 15 (2) 13 Requirement The home must record the dates and outcomes of reviews on all service user plans. The home must implement a procedure to ensure each service users wishes are considered at the time of their death. All opened packets of dried foods must be stored in sealed containers. The cupboard in the utility room containing detergents must be kept locked at all times when not in use. The paintwork to the downstairs bedroom window must be repainted. Copies of two references must be made available on all staff files. Timescale for action 1 month 29/7/05 3 months 29/9/05 immediate 29/6/05 immediate 29/6/05 3 months 29/6/05 2 months 29/8/05 3. 4. YA 42 YA 42 16 (4) (2) (13) (4) 5. 6. 7. YA 24 YA 34 32 23 (2) (6) (17) (2) schedule 4 18(1)( C ) ( 1) The manager must make 2 months available a plan to state to how 29 /8/ 05 the service intends to achieve 50 of the staff team gaining National Vocational Qualifications 2/ 3. Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 24 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 Longford H58 S13705 Longford V223433 290605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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