Inspection on 14/07/05 for Money Lane, 1

This inspection was carried out on 14th July 2005.

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 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

Money Lane, 1 13/07/07

Money Lane, 1 29/01/07

Money Lane, 1 22/02/06

Money Lane, 1 07/10/04

Money Lane, 1 25/06/04

Money Lane, 1 18/06/03

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Chatsworth Care - Tudor Lodge

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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 1, Money Lane West Drayton Middlesex UB7 7NU Lead Inspector Paula Eaton Unannounced 14 July 2005, 16:20 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. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 1 Money Lane Address West Drayton, Middlesex UB7 7NU 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) 01895 430687 MENCAP (NW London Area Office) Care Home 5 Category(ies) of Learning Disability (0), Mental Disorder, registration, with number excluding learning disability or dementia (0) of places 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7/10/04 Brief Description of the Service: Money Lane is a care home registered to provide care for five adults with learning disabilities and mental health needs. The property is owned by New Era Housing Association and managed by MENCAP. The home is located in a quiet residential area of West Drayton close to local shops and transport links. The service users bedrooms are located on the ground and first floor and there are bathroom facilities on both floors. There is a lounge, kitchen and separate dining room on the ground floor and a small office/sleeping in room for staff on the first floor. There is a well maintained garden to the rear of the house. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours in the evening as part of the annual inspection process. The acting manager and one member of care staff were on duty. The acting manager assisted with the inspection process. Three service users were spoken to and records, policies and procedures were examined. 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. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 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 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 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 needs and aspirations of prospective service users are assessed. EVIDENCE: No service users had been admitted to the home since the last inspection and all the service users living at the home have been there for some time. MENCAP have their own assessment procedure that is followed for any prospective service users and a care management assessment is obtained where relevant. The acting manager said that a decision would be made regarding whether or not the home can meet a service users needs following their assessment. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 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 Service users needs are clearly outlined in their individual plan of care. Service users are supported to make decisions about their lives and take risks as part of an independent lifestyle. EVIDENCE: Individual plans of care were in place for all service users. The three service user plans viewed were comprehensive documents that clearly outlined the needs of service users and the action staff should take to meet those needs. It was noted that the service user plans had not been reviewed for some time. The acting manager said she was in the process of developing a format for service user plans that would be more service user friendly. The records viewed evidenced that service users were being given choices and enabled to make decisions. Service users are encouraged to make choices about daily activities and meals in the home. Service users have access to information regarding advocacy services and most of the service users have workers independent of the service working with them through the Direct Payments scheme. Individual risk assessments were in place for each service user. These were comprehensive documents that were being regularly reviewed and included 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 9 areas of risk such as bathing independently, swimming, cooking, wandering and the use of kitchen appliances. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 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 engage in appropriate leisure activities and are part of the local community. Service users are encouraged to maintain appropriate relationships with family and friends. The meal provision in the home is good. EVIDENCE: None of the current service user group are in paid employment. Each service user has a very individual weekly programme of activities. For example, one service user attends the nature centre two days a week and helps prepare items for recycling at other times. This service user showed the inspector his room; it was evident from his various videos and pictures on nature and wildlife that this was an important interest of his. The home were evidently encouraging and supporting the service user to be involved in activities that supported this. Another service user attends college three times a week and has been involved in a digital photography course and communication. Two service users attend a day centre for part of the week and are involved in other activities for the rest of the week. The remaining service user has a worker that comes to the home 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 11 and takes him out in the community. The acting manager said that staff had been working hard with this service user to motivate him to become more involved in activities as he is reluctant to do so due to his mental health needs. Service users are very involved in the local community. They access local shops and amenities and one service user regularly attends a local church and is involved in the church community. The acting manager said that service users are supported to vote and are given the choice of either attending a local polling station or using the postal voting system. The acting manager said that a holiday had been arranged for three service users at a Butlins centre. Another service user had arranged to go away with her family and the other service user was in the process of saving to go on holiday to Florida later in the year. From speaking to service users and viewing the records it was evident that service users are involved in a variety of leisure activities including bowling, swimming, day trips to the coast, trips in to London and to local parks and places of interest. The acting manager said that these are sometimes planned activities and at other times spontaneous activities take place depending on what service users want to do. All service users are encouraged to maintain contact with their families and friends. One service user stays with her family on a regular basis at the weekend and all the other service users also have regular contact with family members. Visitors are welcomed at the home and staff support service users to maintain friendships outside of the home. For example, one of the service users received a telephone call from her boyfriend during the inspection and the acting manager supported the service user to be able to take this call in private. Staff were observed interacting with service users in a respectful manner. Service users are able to lock their bedroom doors and staff respect the privacy of service users. It was noted that by the front door there was a rack with individual sections with each service users name on. This is used for service users mail. The acting manager said that mail is placed in the rack for service users to open and that staff spend time with service users reading mail and explaining what is written if they don’t understand. Service users are encouraged to help with small household tasks. There are clear rules regarding smoking in the house, service users are not permitted to smoke in the house, these rules are understood and adhered to by service users. On arrival at the inspection jacket potatoes were being cooked for dinner. A member of staff was heard giving service users choices of topping for the potatoes. There was a menu displayed on the kitchen wall of the meals for the 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 12 week. The acting manager said that staff meet with service users once a week to plan the menu for the week ahead, this was confirmed by one of the service users spoken to. The acting manager said that staff had been working with service users around healthy eating and said that this had been successful. The service user records viewed showed that three of the service users have been gradually losing weight. The acting manager said that one service users diet was being monitored as they had high cholesterol levels but that there were no other service users with specific dietary requirements. Snacks and drinks are available for service users. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 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 and 20 Service users receive personal support in the way they prefer and require. Service users health needs are generally met however; changing needs are not always fully addressed to ensure the health and welfare of service users. EVIDENCE: All service users in the home have an allocated key worker. Staff were observed talking to service users in a respectful manner and the service users spoken to said that staff treat them well. Service users are encouraged to be as independent as possible and the service users spoken to said that they are allowed to get up and go to bed when they want to. One service user has an electric wheelchair to help maintain his independence. It was noted through a discussion with the acting manager and through viewing the records in the home that one of the service users needs have significantly changed over the last six months. His mobility has decreased and his needs during the night have significantly increased. The accident records showed that this individual has had four falls during the early hours of the morning over the last six months. This has resulted in the service user lying on the floor for some time unassisted and having to shout for help because there is no waking night staff and although the sleeping in staff have been using a baby alarm to enable them to hear the service user if in need of help this has not worked as the service user has walked to the bathroom and then fallen and has not been heard on the baby alarm. The acting manager said that she has 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 14 requested a community care assessment of the service user but that social services had not yet carried this out. An urgent assessment of this individual needs to be completed to ascertain if the home is able to meet his needs any longer and interim arrangements need to be made to ensure that the service user is safe during the night. Each service user has a health action plan in place that details individual health needs and the action to be taken to meet them. Service users have access to all healthcare services as required and a record of any healthcare appointments is maintained on the service users files. The medication storage and medication records were viewed. Medication was generally stored appropriately however the date of opening was not recorded on liquid medicines. It was noted that there were a couple of gaps in the medication administration record sheets with no explanation for the medication not being given. Boots pharmacy provide the medication for the home and regularly audit the medication system in the home. There were no controlled drugs in the home at the time of the inspection. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 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 and 23 Service users views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. EVIDENCE: The complaints procedure has been updated since the last inspection and now contains contact details for the Commission for Social Care Inspection. There had been no complaints since the last inspection and the number of complaints for the home is generally very low. There are appropriate policies and procedures in place for the protection of vulnerable adults and staff receive regular training. There had not been any allegations made at the home. There are appropriate procedures in place for dealing with service user aggression and clear guidelines in service users individual plans regarding dealing with behaviour that is challenging. There are appropriate policies and procedures in place for dealing with service users finances. A clear record of all transactions is maintained and signed by staff and service users and kept in service users files. There is a clear audit trail for the purpose of monitoring service users finances. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 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, 26, 28 and 30 Service users live in a safe and comfortable environment. Service users bedrooms promote their independence and individuality. The home is clean and hygienic. EVIDENCE: The home is very comfortably furnished and very homely. It is located on a quiet residential street within close vicinity of all local amenities and transport links. Two service users showed the Inspector their bedrooms, these were comfortably furnished and personalised. The rooms were generally maintained to a good standard however; there were two drawers in one of the bedrooms that needed repairing. There is a very comfortable lounge area for service users and a separate dining room. There is a large kitchen and a separate laundry room. All areas were clean and tidy and there were no offensive odours in the home. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 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) 34 and 35 The homes recruitment practices protect the service users in the home. Staff are appropriately trained to meet the needs of service users. EVIDENCE: The staff records viewed contained all of the required information and all appropriate recruitment checks had taken place. There is a staff training programme in place that allows the acting manager to effectively monitor the training attended and training required by staff. Regular updates of all mandatory training take place and staff regularly attend training regarding the specific needs of individual service users. Training had taken place on moving and handling, first aid, fire safety, infection control, food handling, POVA awareness, epilepsy, challenging behaviour, medication and risk assessments. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 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 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 and 42 Service users benefit from a well run home. The health and safety of service users is generally well protected however, fire safety measures must be adhered to and water temperatures regulated to ensure service users are protected. EVIDENCE: The home did not have a registered manager at the time of the inspection. The acting manager had just been appointed as manager for MENCAP but had not yet been notified about which MENCAP home she would be managing. The acting manager had previously been Registered Manager at one of the other local MENCAP homes. Health and safety maintenance records were viewed for the home. These were all in order and up to date. The fridge and freezer temperatures in the home were being monitored and regular fire drills were taking place and being appropriately recorded. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 19 It was noted that several of the fire doors in the home were propped open especially service users bedroom doors. If service users wish to keep their doors open then the appropriate equipment must be used such as magnetic fire door guards. The water temperatures in the home are being monitored on a regular basis. However, it was noted that some of the water temperatures recorded were higher than is acceptable on a regular basis especially in one of the shower rooms. The accident records were viewed and were satisfactory. 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 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 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 2 x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1, Money Lane Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 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. 2. Standard 6 19 Regulation 15(2)(b) 14(2) Requirement Service user plans must be regularly reviewed The service users whos needs have changed must be reassessed to ascertain if the home can continue to meet his needs Interim arrangements must be made during the night to ensure the safety of the service user whos needs have increased until a re-assessment of his needs have taken place. An action plan must be forwarded to the CSCI detailing these arrangements. Liquid medicines must have the date of opening recorded on them. Medication administration record sheets must be completed at all times and the reasons for non administration recorded. The two broken drawers in one of the service users bedrooms must be repaired. Fire doors must not be propped open. Action must be taken to rectify the water temperatures that are too high. Timescale for action 1/09/05 1/09/05 3. 19 12(1)(a) 1/08/05 4. 5. 20 20 13(2) 13(2) 1/08/05 14/07/05 6. 7. 8. 26 42 42 23(2)(b) 23(4)(a) 13(4)(c) 1/09/05 14/07/05 1/08/05 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 22 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 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 23 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 1, Money Lane G61-G10 s27066 Money Lane v214908 140705 Stage 4.doc Version 1.30 Page 24 - 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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