Inspection on 24/01/06 for Red House Lane, 2

This inspection was carried out on 24th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Red House Lane, 2 18/09/07

Red House Lane, 2 11/10/06

Red House Lane, 2 07/07/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

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 Red House Lane, 2 Red House Lane 2 Red House Lane Bexleyheath Kent DA6 8JD Lead Inspector Keith Izzard Unannounced Inspection 24th January 2005 10.00 Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 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 Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 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. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Red House Lane, 2 Address Red House Lane 2 Red House Lane Bexleyheath Kent DA6 8JD 0208 523 3264 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) redhouselane@mcch.org.uk MCCH Society Ltd Mr Andrew John Fitton Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Through the CSCI inspection process, should the Commission identify the need for the home to register it`s own Manager, then they will be required to do so. 7th July 2005 Date of last inspection Brief Description of the Service: Redhouse Lane is a purpose refurbished detached bungalow providing long term care for two severely learning disabled people, of either gender, focussing on profound communication problems, sensory impairment, autism and challenging behaviour. The home consists of a large communal lounge, kitchen / diner. bathroom with a toilet and a toilet. Two bedrooms, above the minimum required size, a large entrance and a small office. There is a garden to the rear and a driveway with garage to one side. The home is well situated for access to all local facilities and amenities. Permanent day staff and two waking night staff are employed who are well qualified and experienced to provide appropriate care and are well supported by the community services of the local Community Learning Disability Team and health services. The home is jointly managed with another home very nearby at Pengarth road that accomodates four service users with severe learning disabilities. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of this home. It was unannounced, following an announced inspection on 7.07.05 and took place on one day over a period of two hours. Both residents were at home cared for by two care staff who enabled some inclusion of the service users who both have severe communication difficulties. All the Standards were assessed at the previous inspection. Only a few were reassessed on this occasion, as the primary focus was to observe the interaction between the staff members and the two service users. The care provided was noted to be both professional and caring. This inspection included observation of the care provided and talking to both staff members and the acting manager, inspecting records, safety systems and the premises. The inspection also focussed on previous requirements and recommendations. . What the service does well: Staff and management communicated with residents to meet individual needs and provide residents with a lifestyle suited to them. Staff spoke respectfully about the residents and showed insight and knowledge into their needs. Residents appeared contented within their home cared for by staff members who were caring and professional. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 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. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 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 Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 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): 5 These Standards were assessed at the previous inspection, please see the previous report dated 7/07/05, numbers 1-4 were met. Standard 5 remains unmet and must be implemented as soon as possible. EVIDENCE: Please see the previous report dated 7/07/05. The provision of contracts for residents is an outstanding requirement and has not been complied with. The manager informed the Inspector that this work has commenced. Restated Requirement 1. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 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): N/A These Standards were assessed at the previous inspection. Please see the inspection report dated 7/07/05. All the Standards 6 –10 were met. EVIDENCE: Please see the previous report dated 7/07/05 A previous recommendation identified that that some of the considerable information retained on care files should be better indexed in order to facilitate access to the most relevant and up to date information. This was complied with. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): N/A These Standards were assessed at the previous inspection. Please see the inspection report dated 7/07/05. All the Standards 11-17 were met on that occasion. EVIDENCE: Please see the previous report dated 7/07/05 Two previous requirements made were both complied with. Firstly, that in view of the fact that neither service user attend day centres, activities provided for both of them should be carefully recorded and monitored and specifically, this should differentiate between refusals as a result of challenging behaviour presented or pure decisions of choice. Secondly, an advocate should be retained for one service user, as he has no relatives. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 11 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): N/A These Standards were assessed at the previous inspection. Please see the inspection report dated 7/07/05. All the Standards 18 –21 were met. EVIDENCE: Please see the previous report dated 7/07/05 A previous requirement to review the wishes of the service users and their relatives/ advocates in relation to ageing illness and death was complied with. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 12 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 Adequate systems were in place to ensure residents were protected from abuse and to manage complaints about the service. Please see the previous report dated 7/07/05. EVIDENCE: There were no allegations of abuse made about the service to the home or the Commission since the last inspection. No other complaints were received either by the home or the CSCI. Please see the previous report dated 7/07/05. In response to a previous requirement that the personal finances for service users is independently audited the Inspector was informed that the accounts are regularly seen as part of the required monthly Regulation 26 visits. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 13 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 These Standards were assessed at the previous inspection. Please see the inspection report dated 6/07/05. All the Standards 24- 30 were met, Standards 24 was assessed again on this occasion and were met, Standard 25 was almost met, see below. EVIDENCE: The ability of one resident to access the garden area must be addressed, as the paved area has two levels and this resident has sight impairment and therefore at risk of tripping. This is a restated requirement from the previous report. The Inspector was informed that an assessment had been completed and the home is waiting for the work to commence. See Restated Requirement 2. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 14 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): 34 These Standards were assessed at the previous inspection. Please see the inspection report dated 7/07/05. All were met except Standard 34. This was reassessed on this occasion and is now met. EVIDENCE: Please see the previous report dated 7/07/05. Previous recommendations were made that a training needs assessment should be carried out for the staff team in accordance with Standard 35.6, this was complied with. Also, that a number of training courses had been cancelled at short notice to participants and the issue should be addressed by the organisation, this was complied with and two staff members interviewed stated that this situation had improved considerably. Thirdly, that all staff members should be given, individually, copies of the General Social Care Council Codes of Practice was complied with. A previous requirement to ensure that documents retained in respect of Schedule 2 and Standard 34 of the Care Homes Regulations, that must be retained in the home to evidence a rigorous recruitment process was complied with. . Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 15 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): 39 These Standards were assessed at the previous inspection. Please see the inspection report dated 7/07/05. All were met except Standard 39. This Standard remains unmet. A permanent manager must be appointed as soon as practicable. EVIDENCE: Please see the inspection report dated 7/07/05. The home as has appointed an acting manager from the sister home Red house Lane. Whilst a good level of support is being provided the home must appoint a registered manager for both Pengarth Road and Red House Lane as soon as possible. See Requirement 3. The Inspector was informed that the post has already been advertised. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 16 The home does not have a quality review system in place to record the views of residents, relatives, advocates and visiting, or involved professionals. This must be introduced, the results published and generally made available. See Restated Requirement 4. On a tour of the building a sample of the routine health and safety checks required were again inspected in respect of fire prevention equipment, storage of food and temperature checks, COSH materials and advice provided. All were appropriately dealt with. Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X 1 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X x LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 2 X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Red House Lane, 2 Score X X X x Standard No 37 38 39 40 41 42 43 Score 2 x 2 X X X x DS0000062617.V271524.R01.S.doc Version 5.0 Page 18 Yes 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 YA5 Regulation 5 Requirement The Registered Person must ensure that a written contract is provided for each service user and includes a copy of the service user care plan. Restated Requirement: previous timescale of 1/11/05 not met). The Registered Person must ensure that the path surrounding the home is levelled to ensure one service use’s safety. Restated Requirement: previous timescale of 1/12/05 not met). The Registered Person must ensure that a new registered manager is appointed as soon as possible. The Registered Person must ensure a system is in place to review and improve the quality of care provided in the home. Outcomes on the quality assurance reviews obtained from relatives/ advocates and involved professionals must be made available to them and the Commission. Restated Requirement: previous timescale of 1/12/05 not met). Timescale for action 01/04/06 2 YA24 23 01/04/06 3 YA37 8 01/06/06 4 YA39 24 01/06/06 Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 19 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 Red House Lane, 2 DS0000062617.V271524.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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. 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