Inspection on 14/10/08 for Petts Hill, 142

This inspection was carried out on 14th October 2008.

CSCI found this care home to be providing an Excellent service.

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

Petts Hill, 142 16/10/06

Petts Hill, 142 18/01/06

Petts Hill, 142 19/09/05

Petts Hill, 142 19/10/04

Petts Hill, 142 08/07/04

Petts Hill, 142 09/10/03

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Petts Hill, 142 Petts Hill, 142 Northolt Middlesex UB5 4NW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jean Bovell     Date: 1 4 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Petts Hill, 142 Petts Hill, 142 Northolt Middlesex UB5 4NW 02084229910 Telephone number: Fax number: Email address: Provider web address: louis-n-mala@hotmail.co.uk Name of registered provider(s): Type of registration: Number of places registered: Mrs Mala Devi Naicker,Mr Lakshamanah Naicker care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home 142 Petts Hill is situated on a residential road on the borders of Northolt and South Harrow. The home is registered for three people under the age of sixty- five years with mental health care needs. There are currently three male service users at the home. The home is privately owned. The Registered Proprietors are Mr and Mrs Naicker and Mrs Naicker is the Registered Manager. The home is a semi-detached house. The ground floor has a small kitchen, a lounge/dining area and one service users bedroom. Two service users bedrooms, a bathroom and separate toilet, and an office are situated on the first floor. There is a garden at the rear of the house. There are four care support members of staff at the home and the Registered Manager/Proprietor and Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 3 Brief description of the care home Registered Proprietor also perform care duties. One member of staff is on duty during waking hours and there is one sleep-in cover at night. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out between 10:00am and 2:00pm on 14th October 2008. The Registered Manager who also filled the role of support and three residents were at the home. During the course of the inspection, records, documents, policies and procedures maintained at the home were viewed. A tour of the building was undertaken, observations were made and three residents were spoken with. A completed annual quality assurance assessment - AQAA was considered. Care Homes for Adults (18-65 years) Page 6 of 26 The requirements that were made at the last inspection and all key Standards were examined. The Registered Manager was co-operative and provided appropriate assistance throughout the inspection. What the care home does well: The care needs of prospective residents are fully assessed prior to admission. The changing personal, healthcare and social needs of residents are being identified within care plans and risk assessments are carried out. The care needs of prospective residents are fully assessed prior to admission. The changing personal, healthcare and social needs of residents are identified within care plans and risk assessments are appropriately undertaken. People who use the service are able to make decisions regarding their daily routines and are independent within the community. The physical and emotional health needs of residents are being fully met and they have sustained physical and mental health stability. Health and safety records are up-to-date and indicates that the safety and welfare of residents are protected. Residents appeared calm and comfortable and expressed satisfaction with the care and support provided by the service. Overall, the home was clean, hygienic and adequately maintained. The environment was safe and homely. Residents are able to make decisions regarding their daily living routines and are independent within the community. Varied and nutritional meals are being provided. The personal and healthcare needs of individuals are being fully met and residents have sustained physical and mental health stability. Health and safety records are up-to-date and indicates that the safety and welfare of residents are protected. What has improved since the last inspection? What they could do better: Care Homes for Adults (18-65 years) Page 8 of 26 No requirements were identified at this inspection. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care needs of prospective residents are assessed by the home prior to admission. Evidence: The personal files of three residents were viewed. It was evidenced that a care needs assessment had been carried out by the home prior to the admission of each resident and that relatives, healthcare professionals, social workers and the respective resident were involved in the process of determining the capacity of the home to meet separate identified needs. Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The changing personal, healthcare and social needs of residents are being assessed and risk assessments are undertaken. People who use the service are able to make decisions regarding their daily living routines. Evidence: Care plans that had been drawn up in relation to three residents were viewed. It was reflected that their changing personal, healthcare and social needs were being assessed and action plans and set goals were put into place. Risk assessments had also been carried out and included replapse of mental state, smoking, falls, displaying anti-social behaviour and non-compliance with oral medication. Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: There was recorded evidence that care plans and risk assessments were being assessed on annual basis. We were informed by the Registered Manager that people who used the service were able to make decisions regarding clothing, meals and activities. They handled their own money, held keys to the front door and were independent within the local community. Individual choices and interests were reflected in residents bedrooms and they were observed moving freely around the house at the time of the inspection. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service participate in regular separate activities within the community and encouraged to maintain contact with relatives and/or friends. Residents are supported in maintaining their independence. Varied and wholesome meals are being provided. Evidence: The Registered Manager confirmed that the people who received a service were not in employment and expressed no interest in religion. The social interests of residents were identified within their separate care plans and indicated that they were frequently involved in separate activities within the Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: community such as shopping, visiting libraries and attending the day centre. People were observed reading and/or viewing television in their respective bedroom and three residents were independent within the community during the course of the inspection. Residents spoken with confirmed participating in various separate activities each day but an individual reported that he/she was not allowed to view television in the lounge and was told that the lounge was meant for staff. This issue was discussed with the Registered Manager and we were assured that residents were free to use the lounge at any time. An open visiting policy is in place and contact with relatives and/or friends are encouraged and facilitated. Residents spoken with confirmed that they received regular telephone calls and/or occasional visits from relatives. Residents are able to maintain their independence whilst being supported at the home. They hold front door keys and bedrooms are lockable. The Registered Manager confirmed that residents mail were handed to them unopened. Varied and nutritional meals were listed on menus viewed and residents reported being satisfied with the quality and quantity of food they received. Drinks and snacks were readily available and an individual was observed making cups of tea at the time of the inspection. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and healthcare needs of people who use the service are being met satisfactorily. Policies and procedures on medication are satisfactory. Evidence: The changing personal and healthcare needs of residents were identfied within their separate care plans. It was reflected that two residents required prompting, reminding or minimal specific assistance with their personal care routines. All residents were independent in choosing what they wore each day. People who use the service experience mental health difficulties and have lived at the home for between fifteen and twenty three years. Individual healthcare needs were identified within care plans. It was reflected that Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: people were registered with separate local GPs and received access to healthcare professionals as required. There were also regular visits from Community Psychiartric Nurses and residents were supported in keeping appointments with the Psychiartrist. Records were indicative of regular Psychiartic reviews being undertaken. An individual attended a medical appointment at the time of the inspection. Residents that were spoken with were lucid and appeared calm and healthy. We were informed by the Registered Manager that no mental health relapses had occurred following the last inspection. Medicines maintained at the home was appropriately stored. Records were maintained of medication received and returned to the Pharmacist. Medication administration sheets were accurately recorded and signed. The Registered Manager confirmed that one resident self-administered his/her medication. The records reflected that this action was appropriately recorded and risk assessed. Records were indicative of staff training on Medication Handling being delivered. The Registered Manager/Proprietor who also acts as support worker is a registered phsychiatric nurse. Policies and procedures on medication were in place and incorporated issues in relation to self-administered medication. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints procedure is satisfactorily detailed and people who use the service are being protected from abuse. Evidence: The complaints procedure was concise, appropriately detailed and accessible. The complaints book was viewed and reflected that no complaints had been received at the home since the last inspection. Incidents and accidents were being recorded and Regulation 37 forms were completed and faxed to the CSCI as required. Policies and procedures on the Protection of Vulnerable Adults were in place. We were informed by the Registered Manager that people who used the service received weekly benefit payments and were independent in handling their finances. Nonetheless, the personal allowances of one resident was being safeguarded at the home. The Financial records of an individual was examined and no discrepancy was found in relation to income and outgoing expenditure. Records were indicative of up-to-date staff training on Safeguarding Adults being Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: delivered. Care Homes for Adults (18-65 years) Page 19 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being reasonably well maintained. The environment is calm and homely. Evidence: The home is adequately spacious, appropriately furnished and suitable for shared and/or individual activity. The garden was being maintained and accessible to residents. No issues were identified in relation to laundry facilities. Overall, the home was clean, hygienic and reasonably well maintained. The environment was safe, calm and homely. Care Homes for Adults (18-65 years) Page 20 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Support workers are appropriately trained and qualified. The homes recruitment policy and procedures are satisfactory. Evidence: The Registered Manager confirmed that of four permanent support workers were employed at the home. Of these, one had achieved NVQ level 2 in health and social care and two were in the process of completing NVQ training. It was indicated on training records that up-to-date staff training on Safeguarding Adults, Medication Handling and Food Hygiene had been delivered. The Registered Manager also acted a support worker at the time of the inspection and was observed being competent in meeting the needs of residents. The recruitment files of four support workers were viewed and each file contained all the information required under Schedule 2 of the Care Homes Regulations 2001. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Registered Manager is suitably qualified and experienced. Annual quality assurance has been undertaken. The health and welfare of people who use the service are being safeguarded. Evidence: The Registered Manager/Proprietor is a registered psychiartic nurse of twenty-two years and holds the RMA and NVQ level 4. An annual quality assurance assessment - AQAA - was satisfactorily completed and returned to the CSCI at the required time. All health and safety records viewed were up-to-date and included fire safety checks, gas maintenance and portable appliances tests. Fire drills had been undertaken. Environmental risk assessments were in place. Care Homes for Adults (18-65 years) Page 22 of 26 Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!