Inspection on 05/09/06 for Olive House

This inspection was carried out on 5th September 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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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 Olive House 142 Mays Lane Barnet Hertfordshire EN5 2LS Lead Inspector Tony Brennan Key Announced Inspection 5th September 2006 10:00 Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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 Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Olive House Address 142 Mays Lane Barnet Hertfordshire EN5 2LS 07714 129558 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) P&P Community Services Ltd Miss Serena Mathurin Care Home 1 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (1) of places Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection N/A Brief Description of the Service: Olive House is owned and managed by P & P Community Services Ltd. The home is registered to provide care and support for one service user with learning disabilities. It consists of a house with all facilities and rooms on one floor. The home is close to shops and public transport links. The home is appropriately furnished and adaptations have been made to meet the needs of the service user. The home’s stated aim is to support people with learning disabilities to live in the community. The fees are between £1000 and £2000 a week. This report is available through the internet. Copies may also be obtained from the provider of this service. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of Olive House since it was registered. This announced inspection was undertaken as part of the annual inspection programme. The inspection took place over one day. The registered manager, Serena Mathurin, assisted the inspector. The inspector received comments from the service user who lives at Olive House and two staff. The inspector toured the building and examined a number of records relating to the care, health and safety and management of the home. The inspector would like to thank the registered manager who assisted him by answering questions about the running of the home. The inspector would also like to thank the person who lives at the home for commenting on the service. What the service does well: What has improved since the last inspection? This is the first inspection since registration of Olive House. There are no outstanding areas for improvement to be addressed. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 6 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. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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 Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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): 12345 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. This information is not available in a format that can be accessed by the service user. The service user was given information on the service and was able to visit the home prior to admission. The service user’s needs are assessed prior to admission to the home to ensure he receives the care and support he requires. The service user had his rights and responsibilities explained to him. EVIDENCE: The service user commented that staff understood his needs. The registered manager explained that the service user had been given a copy of the service users guide and this had been read and explained to him. The statement of purpose had all the necessary information. The registered manager explained that neither of these documents was available in a format easily accessible for the service user. The inspector found that there was a statement of terms and conditions on the service user’s file. This outlined the service user’s rights and responsibilities while living at the home. The service user said he felt his needs were being met. The inspector spoke with the registered manager who explained the needs of the service user in detail and how staff met these. The inspector found that there was a detailed assessment from the service user’s social worker and an initial assessment carried out by the home. Both identified the needs of the service user and ensured that the home was able to meet the service user’s social, emotional and care needs. This gave detailed information on the service users behaviour Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 9 and medical needs. There were details of how the service user’s personal care needs should be met. The assessment information had been used to develop care plans. Staff had been given training to meet the needs of the service user. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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 7 8 9 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Care plans provided detailed information on how the needs of the service user would be met. The service user is supported to make decisions and consulted about how he lives in the home. Risks to the service user are assessed to ensure his safety. The service user’s confidentiality is respected. EVIDENCE: The service user commented that staff were helpful. The inspector found that the service user’s care plans contained information on assessed needs and the actions to meet these. Care plans outline the level of support required and any possible behavioural issues. There was guidance on how behavioural issues should be managed. For example, the service user could at times refuse to cooperate with personal care. There were guidelines on how to respond to this. The service user had signed an agreement outlining the areas of need and his views on how these would be addressed. The inspector saw records of regular sessions held with the service user to discuss his needs and views of the way these were being met. For example, notes from the service user’s first visit to the home showed that the service user had expressed a preference for a shower. The inspector saw that appropriate adaptations had been made to the Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 11 bathroom to make this possible. Care plans had been reviewed regularly and changes in the service user’s care had been recorded. The service user commented that he felt safe in the home. Risk assessments were found to cover all areas that affected the service user’s daily life. Risks relating to physical behavioural issues were identified and action to prevent or lessen the level of risk had been identified. These cover all the areas that the service user was at risk. The risk assessments had been agreed with the service user. The service user’s information was stored securely. The registered manager explained that staff are told in their induction about the importance of maintaining the service user’s confidentiality. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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 12 13 14 15 16 17 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service user is supported to engage in a range of appropriate activities and community contacts that offer opportunities for personal development. The service user is supported to maintain appropriate personal relationships. The service user is supported to determine his own routines and can choose to live the way he wishes. The service user is provided with a choice of varied and balanced meals. EVIDENCE: On the day of the inspection the service user had chosen to visit museums in central London. The inspector saw that there was a regular programme of activities chosen by the service user. The service user had commented that these were provided regularly and included cinema, bowling and trips to the seaside. The registered manager explained, and the service user’s records confirmed, that the service user had chosen not to attend day centres. The registered manager explained that Barnet College had been contacted and the service user would be starting a number of courses there. The registered manager explained that the service user is supported by staff to prepare food and participate in cleaning. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 13 The service user, through regular trips to the shops and other local amenities, is being supported to develop relationships with others. The service user had been supported to attend church when he wanted to. The service user commented that staff support him to choose how he lives. Records showed that the service user had been consulted about the way he was supported and the routines of the home. The registered manager explained that the menu is prepared with the service user’s involvement each week. The inspector saw that the dietary requirements of the service user were recorded and reflected in the menu. The menu offered three choices at each meal. The service user had chosen these. The registered manager explained that the service user has high cholesterol. This had been discussed with the service user after consultation with relevant professionals. The service user’s agreement to eat a healthy diet was recorded. This included a reference to the service user’s right to not eat healthy diet if he chose not to. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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): 18 19 20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service user is supported with his personal care needs to ensure he is as independent as is possible. The service user has access to the medical care he needs. The service user is protected by safe procedures for handling medication. EVIDENCE: The service user commented that staff were “helpful”. The service user’s care plans detailed the personal care and support the service user needed. Staff spoken to understood the support that the service user needed with his personal care. The service user was supported to access medical services that meet his needs. The service user commented that the doctor had been contacted when he did not feel well. Records seen showed that the service user was receiving the medical care that he needed. There was a record of contact with the general practioner and other health professionals. These include hospital consultants, optician and dentist. The service user also had access to weekly massage and aromatherapy sessions. The medicine record for receiving, administering and return of medicines to the pharmacist were found to be complete. A medication profile was in place that outlined the reasons for medicines prescribed for the service user and their Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 15 possible side effects. The homely remedies provided had been agreed with the service user’s GP. The service user had been consulted about the medicines that he is prescribed. Training records showed that staff have had training on the safe administration and handling of medication. There was clear guidance on the use of ‘when required’ medicines. The medication policy has been seen and found to be complete. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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): 22 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service user is confident that his complaints will be listened to, taken seriously and acted upon. The service user is protected from abuse. EVIDENCE: The service user said that he could make his concerns known. The complaints policy explained how to make a complaint and how it would be dealt with. The complaints record showed actions taken to resolve complaints. The complaints record showed that there had been no complaints. There were comprehensive policies on handling abuse and adult protection. The registered manager was clear about her responsibility to report any allegation. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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): 24 25 26 27 28 29 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The service user lives in a safe and comfortable environment that is adapted to meet the needs of the service user. The service user’s bedroom meets his needs and promotes independence. The home is a clean and hygienic environment for the service user to live in. EVIDENCE: The home consists of a semi-detached house. It is located in a quiet close and is near to shops and public transport links. All facilities are on one floor. The inspector found that the home was adapted to meet the needs of the service user. The bath had been fitted with a handrail to assist the service user to use it. The home is well decorated and suitably furnished The inspector saw that the maintenance records showed that any repairs were carried out quickly. The service user’s bedroom contained all the required furniture and was personalised with his possessions. The inspector found that the home was clean and hygienic. Equipment was provided for this purpose. The home has an infection control policy. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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 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 34 35 36 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The service user benefits from staff that work as a team and are clear about their roles and responsibilities. Staff do not have all the skills to meet the needs of the service user. There are sufficient staff to meet the needs of the service user. The service user is protected by the home’s recruitment procedures. EVIDENCE: The service user commented that staff were “alright”. Staff spoken to were clear about their roles and responsilities in supporting the service user. staff spoken to showed that they understood the service user’s needs. Staff clearly understood how to respond to the service user’s behaviour. The rota showed that a consistent staffing level was maintained. This ensured that the needs of the service user were met at all times. Staff spoken to confirmed that they had supervision and this helped them in their work with the service user. The inspector saw that there are records of supervision that is taking place regularly. A training plan is being developed. Training records showed staff need training on fire safety, first aid, food hygiene and adult protection. These areas of training need to be addressed to ensure that the service user is supported safely. The inspector saw that training on challenging behaviour is planned. 50 of staff have completed the National Vocational Qualification at level 2 and level 3 in care. The inspector examined files of staff that had recently Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 19 started work at the home. These were found to be complete and contained all the required information. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 40 41 42 43 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The registered manager has the necessary qualifications and leadership skills to manage the home effectively in the best interests of the service user. The service user’s views of the service are sought and used as the basis for improvement. Procedures and records are complete and ensure that the service user is safe. The service user and staff health and safety is promoted. The service user is protected by effective financial systems. EVIDENCE: The registered manager explained that she had a number of years experience working with people with learning disabilities. The registered manager has achieved the Registered Managers Award and has also completed on going training. Staff said that the registered manager was approachable and they were able to raise issues. The inspector found that records showed that weekly meetings were held with the service user to discuss how the home was meeting his needs and how this could be improved. Minutes of staff meetings showed that they were being Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 21 held regularly. The registered manager explained that any complaints would be responded to positively. Any improvement or learning from the issues raised was addressed. The inspector examined a number of records relating to the care and management of the home that were found to be complete. All the required procedures, with the exception of the quality assurance scheme, were in place to ensure the safety of the service user. Fire drills were taking place and the fire alarm was tested regularly. The system had been regularly checked and any maintenance needed had been carried out. The inspector found that the fire risk assessment included an assessment of all the potential fire risks in the home. Health and safety policies were available. Certificates for gas, legionella and electrical testing were in date. COSHH guidance was in place and chemicals were stored safely. The inspector discussed health and safety issues with staff and they demonstrated their understanding. The home has an effective system for monitoring accidents. The inspector found that the temperature of cooked food was recorded. The inspector saw that there were detailed records of the expenditure for the home. The registered manager explained that she had no problem in accessing finances for the home when these were required. The inspector found that the home’s insurance was sufficient and provided the appropriate cover. The registered manager explained that the service user had his own bank account. Any monies are held securely and staff work with the service user to assist him. The relevant local authority manages the service user’s money. Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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 Standard No Score 1 2 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 2 3 3 3 Olive House DS0000066500.V303314.R01.S.doc Version 5.2 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 Standard YA1 Regulation 6(a) Requirement Timescale for action 01/12/06 2 YA35 18(1) 3 YA40 24 The registered persons must ensure that the service user guide and statement of purpose are available in a format that can be understood by the service user. The registered persons must 01/12/06 ensure that training is provided on the following areas: First aid Fire awareness Food hygiene Adult protection The registered persons must 01/11/06 ensure that a quality assurance procedure is put in place. A copy of this is sent to the Commission. 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 Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Olive House DS0000066500.V303314.R01.S.doc Version 5.2 Page 25 - 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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