Inspection on 16/10/06 for Petts Hill, 142

This inspection was carried out on 16th October 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Petts Hill, 142 14/10/08

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 09/07/2008.

CARE HOME ADULTS 18-65 Petts Hill, 142 Northolt Middlesex UB5 4NW Lead Inspector Jean Bovell Key Unannounced Inspection 16th October 2006 11:20 Petts Hill, 142 DS0000027761.V313966.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 Petts Hill, 142 DS0000027761.V313966.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. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Petts Hill, 142 Address Northolt Middlesex UB5 4NW 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) 0208 422 9910 00000000 Mr Lakshamanah Naicker Mrs Mala Devi Naicker Mrs Mala Devi Naicker Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 Brief Description of the Service: 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 sixtyfive 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 user’s 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 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. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 11:20am and 3:25pm on 16th October 2006. The Registered Manager and three service users were present. During the course of the inspection, the home’s records, documents, policies and procedures were viewed. A tour of the building was undertaken, observations were made and two service users were spoken with. 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 service does well: The service users have resided at the home for many years have been able to maintain their independence within a supportive environment. The service users appeared appropriately dressed, comfortable and settled. They reported being happy with the care and support they received and were observed to relate in a friendly manner with the Registered Manager. The home’s records, policies and procedures were essentially satisfactory and indicated that the best interests of the service users were being safeguarded. Overall, the home was found to be clean, hygienic and well maintained. The atmosphere was calm and homely. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 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. Petts Hill, 142 DS0000027761.V313966.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 Petts Hill, 142 DS0000027761.V313966.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): 2. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. Prospective service users are being satisfactorily assessed prior to admission. EVIDENCE: It was evidenced on service users’ records that appropriate needs led assessments had been undertaken by the home in relation to prospective service users prior to admission. Relatives, social workers and medical professionals participated in the process of determining the home’s capacity to meet separate identified needs and aspirations. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. Care plans and related risk assessments are being satisfactorily drawn up and service users are able to maintain their independence. EVIDENCE: It was reflected on service users’ care plans that separate personal, healthcare and social needs were being assessed and that appropriate action plans and set goals had been put into place. Risk assessments relating to specific activities that were identified within care plans had also been undertaken. All care plans and risk assessments inspected were regularly reviewed. Although the service users manage their own finances and independently withdraw weekly benefits from personal bank accounts, one service user’s money is being held in safekeeping at the home. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 10 The service users have been given front door keys. They are independent within the community and are able to travel unaccompanied on public transport. Personal choices were reflected in individual bedrooms and service users were able to make decisions regarding everyday routines such as activities, meals, clothing, when to get up in the morning and retire at night. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. The independence of the service users is being satisfactorily promoted. They are able to participate separately in indoor and outdoor activities and maintain contact with relatives and/or friends. Varied and nutritional meals are being provided at the home. EVIDENCE: None of the service users are employed or attend college but all participate in various indoor and outdoor activities including board games, reading, watching television, shopping and visiting libraries and pubs. Two service users participated in separate activities of their choice within the community and one service user watched television in his/her bedroom. All service users moved freely and comfortably around the home at the time of the inspection. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 12 An open visiting policy was in place and contact with relatives and/or friends is encouraged and facilitated. The Registered Manager was observed interacting with service users in a respectful manner and knocked on bedroom doors - on which separate locks had been fitted - prior to entering. The Inspector was informed by the Registered Manager that service users held front door keys and were able to make private telephone calls and receive personal mail. Varied and wholesome meals were reflected on the menus and nutritional lunch options were offered to the service users at the time of the inspection. Snacks and drinks were readily available and service users were observed making tea and sandwiches. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. The service users receive appropriate support with personal care and their health care needs are being met satisfactorily. Service users are able to administer their medication. Two requirements under Standard 20 at the last inspection have been complied with. EVIDENCE: The Registered Manager confirmed that two of the service users required prompting or supervision with their personal care routines. However, privacy and dignity were respected during all personal care routines and that service users chose what they wore. It was indicated on care plans that were inspected that the separate health care needs of the service users were being regularly assessed. Service users received access to appropriate medical services regularly or when required. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 14 The home’s medication policy had been reviewed in compliance with a requirement under Standard 20 at the last inspection. The storage and administration of medicines were satisfactory and met a requirement under Standard 20 at the last inspection. One service user administered his/her own medication which was securely stored and appropriately recorded. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 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 the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. The complaints procedure is satisfactory and service users are being adequately protected from abuse. EVIDENCE: The complaints procedure was clear, concise and accessible to service users and their relatives. The complaints book was viewed and reflective of no complaints being made to the home following the last inspection. An accident and incident book was appropriately detailed. A London Borough of Ealing manual on the protection of vulnerable adults and home’s policy on abuse were in place. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 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 the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. The home is adequately well maintained and the environment is safe and homely. EVIDENCE: The home is adequately spacious, appropriately furnished and the communal areas are adequate for shared or individual activity. There were no issues regarding the laundry. The carpets have been cleaned and the garden cleared. This complied with requirements under Standard 30 at the last inspection. The Inspector was informed by the Registered Manager that a programme of redecoration had been put into place. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 17 Overall, the home was found to be clean, hygienic and reasonably well maintained. The atmosphere was calm and homely. Petts Hill, 142 DS0000027761.V313966.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): 32, 34 and 35. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. The care support staff are appropriately qualified and adequately trained for meeting the needs of the service users but training on the protection of vulnerable adults had not been delivered. The home’s recruitment policy and practices are satisfactory. EVIDENCE: It was reflected on staff rotas that four care support workers and the Registered Manager and Registered Provider cover duty at the home. One care support worker was on duty during waking hours and there was one sleep-in cover at night. The records indicated that new staff members received induction training and that subsequent staff training included moving and handling, food hygiene, first aid and fire safety. The delivery of POVA training was not evidenced. The Registered Manager reported that three care support workers had achieved level 2/3 National Vocational Qualification in health and social care. Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 19 A number of recruitment files were inspected at random and were found to contain the required documents. Petts Hill, 142 DS0000027761.V313966.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, 39, 40 and 42. Quality in this outcome area is good. This judgement had been made using available evidence including a visit to this service. The Registered Manager is suitably experienced. Self-monitoring exercises are appropriately carried out. Although health and safety checks are being satisfactorily undertaken, regular fire drills do not occur. A Requirement under Standard 40 in relation to policies and procedures has been met. EVIDENCE: Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 21 The Registered Manager has been in post for 20 years and is currently receiving training for obtaining the Registered Manager Award. Service users spoken with reported that the Registered Manager was open, approachable and supportive. Friendly interactions were observed between the Registered Manager and service users at the time of the inspection. Effective systems for undertaking quality assurance exercises were in place. It was evidenced that appropriate questionnaires in relation to self-monitoring had been sent to relatives, community psychiatric nurses and social workers. The home’s policies and procedures were in the process of being reviewed and met with a Requirement under Standard 40 at the last inspection. Health and safety checks including those for fire safety, water temperature, gas maintenance and portable electrical appliances were up-to-date. Environmental risk assessments were carried but regular fire drills were not indicated on records viewed. Petts Hill, 142 DS0000027761.V313966.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 X 2 2 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 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 X 3 X 3 3 X 2 X Petts Hill, 142 DS0000027761.V313966.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 YA35 Regulation Requirement Timescale for action 30/03/07 2 BS42 18(1)(c)(i) The Registered Person must ensure that all care support workers receive training on the protection of vulnerable adults. 13(4)(c) The Registered Person must ensure that fire drills are regularly carried out. 15/11/06 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 Petts Hill, 142 DS0000027761.V313966.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West London Area Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Petts Hill, 142 DS0000027761.V313966.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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