Inspection on 22/02/06 for Money Lane, 1

This inspection was carried out on 22nd February 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Money Lane, 1 13/07/07

Money Lane, 1 29/01/07

Money Lane, 1 14/07/05

Money Lane, 1 07/10/04

Money Lane, 1 25/06/04

Money Lane, 1 18/06/03

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Edenvale

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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 Money Lane, 1 West Drayton Middlesex UB7 7NU Lead Inspector Jean Bovell Unannounced Inspection 22nd February 2006 12:30 Money Lane, 1 DS0000027066.V276959.R02.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 Money Lane, 1 DS0000027066.V276959.R02.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. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Money Lane, 1 Address West Drayton Middlesex UB7 7NU 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) 01895 430 687 01895 430 687 hmo29varley@mencap.org.uk www.mencap.org.uk Royal Mencap Society Gail Andrea Varley Care Home 5 Category(ies) of Learning disability (0), Mental disorder, registration, with number excluding learning disability or dementia (0) of places Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user can continue to be accommodated over the age of 65 years old, as agreed by the Commission For Social Care Inspection on the 23rd November 2004, whilst the home can meet the needs of all service users. The home must advise the CSCI when the service user no longer resides at the home. 14th July 2005 Date of last inspection 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. Money Lane, 1 DS0000027066.V276959.R02.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 12:30 am and 3:30 pm on Wednesday 22nd February 2006. The Acting Manager, three members of the care support staff team and two service users were present. The Inspector was advised that the Registered Manager was on maternity leave and of the five service users residing at the home, one had been admitted into hospital, one was at college and another was on holiday. During the course of the Inspection, the home’s records, policies and documents were viewed. A tour of the building was undertaken and observations were made. The Inspector spoke to three service users and three care support workers. The requirements that were made at the last inspection and the Standards that remained outstanding were examined. The Acting Manager was co-operative and provided appropriate assistance throughout the inspection. What the service does well: Service users who were at the home during the inspection appeared appropriately dressed, well cared for and relaxed. They moved freely around the home and interacted in a friendly manner with the care support workers who were on duty. The Inspector spoke to three service users who confirmed that they were happy at the home. There is an effective training programme in place which ensures that the members of the care support staff team receive regular appropriate training for meeting the needs of the service users. All records viewed were satisfactory and indicated that the health and welfare of the service users were being safeguarded. Overall the home was clean, hygienic and well maintained. The atmosphere was lively, friendly and homely. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 6 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. Money Lane, 1 DS0000027066.V276959.R02.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 Money Lane, 1 DS0000027066.V276959.R02.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, 3, 4 and 5. The home’s statement of purpose and service users’ guide are satisfactory and a needs led assessment in relation to prospective service users is appropriately undertaken prior to admission. Signed contracts/tenancy agreements are secured within individual service users files. Standard 2 was examined at the last inspection and the minimum requirements were met satisfactorily. EVIDENCE: The home’s statement of purpose and service users’ guide were in place and contained the all the required information. The Acting Manager confirmed that social workers, previous carers, relatives and medical professionals where appropriate were required to participate in the initial needs led assessment process and that this involved a series of visits to the home by prospective service users. New service users and/or their relatives received information relating to how specific identified needs would be met and new service users or their relatives were required to sign the home’s contract/tenancy agreement at the point of admission. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 9 All new service users were placed on a three-month trial basis after which a review was held to determine the suitability of the home to meet individual assessed needs. Money Lane, 1 DS0000027066.V276959.R02.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, 8 and 9. Service users are appropriately consulted in relation to various aspects of life at the home and their rights to confidentiality are being respected. Standards 7 and 9 were assessed at the last inspection and the minimum requirements were met satisfactorily. A requirement made under Standard 6 at the last inspection had been complied with. EVIDENCE: Separate assessments of personal, social and health care needs were reflected on all care plans viewed and risk assessments in relation to specific activities had been carried out. All care plans viewed were recently reviewed and complied with a requirement made under Standard 6 at the last inspection. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 11 The Acting Manager reported that service users were able to attend staff meetings and were consulted on various matters such as annual holidays, organised activities within the community, shopping and menu planning. The home’s policy on confidentiality was in place. Service users records were accurate, up to date and securely filed. The Inspector was informed by the Acting Manager that if requested, service users and/or their relatives would receive access to individual personal files. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 12 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): 11 and 14. Service users receive opportunities for personal development and are able to engage in appropriate leisure activities. Standards 12, 13, 15, 16 and 17 were examined at the last inspection and the minimum requirements were met satisfactorily. EVIDENCE: In was evidenced on care plans viewed that service users received support in developing independent living skills such as budgeting, cooking, cleaning, shopping and personal care. Service users received opportunities for pursuing individual interests such as bowling, art, swimming, specific college courses, attending church services and social clubs. Three service users were supported during separate outdoor activities at the time of the inspection. These included college attendance, bowling and shopping. One service user was on annual holiday and two service users informed the Inspector of an eagerly awaited planned holiday. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 13 Service users were also observed being involved in household tasks such as washing/drying up dishes and making tea. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 14 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): 19, 20 and 21. The home’s policies and procedures relating to illness and death were satisfactory. Standard 18 was assessed at the last inspection and the minimum requirements were met satisfactorily. Two requirements made under Standard 19 and one requirement made under Standard 20 at the last inspection had been met. One requirement made under Standard 20 at the last inspection had not been complied with. EVIDENCE: The Inspector was informed by the Acting Manager that the needs of a service user are scheduled for reassessment by an Occupational Therapist following his/her discharge from hospital. This was in compliance with a requirement made under Standard 19 at the last inspection. The Medication administration sheets were satisfactorily recorded and met with a requirement made under Standard 20 at the last inspection. However, dates Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 15 of opening had not been recorded on all opened bottled medication and failed to meet a requirement at the last inspection. The home’s policies and procedures on terminal illness, death and funeral fund were in place. It was evidenced on service users’ records that specific wishes or requests in relation to illness and death were established during the initial needs led assessment process. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 16 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): Standard 22 and 23 were examined at the last inspection and the minimum requirements were met satisfactorily. EVIDENCE: No complaints had been made to the home since the last inspection. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 17 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): 25, 26, 27 and 29. The service users bedrooms are appropriately furnished and the toilet/bathroom facilities are adequate for meeting their needs. Standards 24, 28 and 30 were assessed at the last inspection and the minimum requirements were met satisfactorily. A requirement made under Standard 26 at the last inspection had been complied with. EVIDENCE: The service users bedrooms were viewed and were suitably furnished and fitted and reflected personal choices and interests. A broken chest of drawers in a service user’s bedroom had been replaced and met with a requirement made at the last inspection. The toilet and bathroom facilities at the home were adequate for meeting the private and personal needs of the service users. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 18 The Acting Manager confirmed that one service user required assistance with mobility and it was evidenced that a wheelchair, walking stick and grab-rails were place. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 19 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): 31, 32, 33 and 36. Staffing levels at the home are appropriate. Care support staff members receive the required training for meeting the needs of the service users and are regularly supervised. Standards 34 and 35 were assessed at the last inspection and the minimum requirements were met satisfactorily. EVIDENCE: The Acting Manager confirmed that four permanent care support workers and three bank staff were employed at the home. There were two vacancies at the time of the inspection and one permanent staff member was on long-term sick leave. The rota suggested that two members of the care support staff team were on duty during waking hours and that there was one sleep-in staff cover at night. A key worker system was in operation at the home and care support staff members were also responsible for cleaning, shopping, laundry and meals preparation. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 20 The records indicated that two care support workers had obtained Level 3 – NVQ and the Acting Manager reported that one care support worker was receiving NVQ training and another was scheduled to commence training this year. It was reflected on records viewed that care support staff members were supervised on a monthly basis. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 21 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): 38, 39, 40, 41, 42 and 43. The ethos of the home is beneficial to the needs of the service users whose best interests are being protected by appropriate policies, procedures and record keeping. Standard 37 was examined at the last inspection and the minimum requirements were met satisfactorily. One of two requirements that were made under Standard 42 at the last inspection had been met. EVIDENCE: The Inspector was informed by the Acting Manager that the home aimed to provide a homely environment for the service users in which their independence would be promoted and where they would receive opportunities for developing separate skills. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 22 Although Mencap systems for undertaking quality assurance were in place, a quality assurance exercise in relation to the home was not evidenced at the time of the inspection. The home’s written policies and procedures were in place and service users records were up to date and securely filed . A valid Employers Liability Insurance Certificate was displayed. Financial figures relating to the home’s budget dated 15/02/06 were satisfactory. A requirement made under Standard 42 at the last inspection in relation to fire doors had not been met. However, the hot water temperature had been regulated and this action complied with a requirement made under Standard 42 at the last inspection. Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 23 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 X 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 3 23 3 ENVIRONMENT Standard No Score 24 X 25 3 26 3 27 3 28 X 29 3 30 X STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 x 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 X 3 2 3 3 2 3 Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement Timescale for action 31/03/06 2. YA39 3. YA42 Liquid medicines must have the date of opening recorded on them. This is reinstate from the last inspection. Previous timescale 01/08/05. 24(1)(a)(b) The Inspector must ensure that a quality assurance exercise is undertaken in relation to provisions at the home. 23(4)(a) Fire doors must not be propped open. This is reinstated from the last inspection. Previous timescale 14/07/05. 30/06/06 30/04/06 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 Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 25 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 Money Lane, 1 DS0000027066.V276959.R02.S.doc Version 5.1 Page 26 - 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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