Inspection on 18/07/06 for Star Road Respite Service

This inspection was carried out on 18th July 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 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

Star Road Respite Service 13/12/05

Star Road Respite Service 15/12/04

Star Road Respite Service 05/07/04

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 Star Road Respite Service 49 Star Road Isleworth Middlesex TW7 4HU Lead Inspector Mr Ged Durkin Unannounced Inspection 18 July 2 August 2006 02:00 th nd Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Star Road Respite Service Address 49 Star Road Isleworth Middlesex TW7 4HU 0208 568 5133 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) Ealing Consortium Limited Ms Stephanie Elaine Elvidge Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Ealing Consortium be registered to carry on a care home for seven adults with learning and physical disabilities. 13th December 2005 Date of last inspection Brief Description of the Service: Star Road is a purpose-built seven-bedded short break service for service users with learning disabilities, who may also have physical disabilities. The home is managed by Ealing Consortium and the Dominion Housing Association (formerly Acton Housing Association) carry out the housing management. It is located off the London Road in Isleworth, where there are bus routes to Hounslow Town centre and Brentford. Approximately ninety service users each have up to thirty days annually for either short break stays in Star Road or other types of respite support. The service is funded by the London Borough of Hounslow, who make the referrals. The home is a single storey building, which has an adjoining supporting living scheme, also managed by Ealing Consortium, and an administration block. All have separate entrances. The home can be divided into two separate units, if required, of three and four bedrooms to provide for same gender stays or where smaller groups would be more appropriate. All of the bedrooms are single. There is one lounge/dining room, one lounge/games room, two kitchens and two bathrooms. Each unit has separate, enclosed gardens. The home was registered in March 2004 but not all of the bedrooms meet the National Minimum Standards for room sizes. They have been permitted because the service is for respite use only and all are over 10 sq. metres. There are two rooms suitable for wheelchair users and there is tracking for overhead hoists in some bedrooms and bathrooms. The majority of service users do not require these facilities and many are very physically able. The staff team consists of the Registered Manager, two senior support workers and a team of support workers, who are augmented by bank and agency staff. There is domestic assistance. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The first part of the inspection was unannounced and lasted from 2:00pm until 5:55pm. The inspection consisted of meeting and talking with several service users and staff, a tour of the premises and the examination of documentation. A second pre-arranged visit was made to meet with the Registered Manager, who had not been on duty during the first visit, to examine staff records. What the service does well: 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. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 6 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 Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 7 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 has been made using available evidence including a visit to the service. Prospective service users individual needs and aspirations are assessed thoroughly to ensure the home can meet service user’s needs. EVIDENCE: The Inspector met with the Registered Manager and senior staff who explained the assessment procedure. The home has a block contract with London Borough of Hounslow who make all referrals. London Borough of Hounslow has its own respite co-ordinator within CTPLD who assesses and sumbits referalls to the SBS. The Registered Manager then carries out an initial assessment using Ealing Consortium’s assessment process. The Inspector saw both assessment forms which were detailed and included aspects of the service user’s home circumstances, physical and psychological well being and appropriate risk assessments. Once these initial assessment processes have been completed then the potential service user will visit the service, with relatives, and spend time there, which may include having a meal. A key worker will be assigned who will obtain any necessary information from family and other professionals and will draw up a care plan for the service user. Should the initial visit be successful then visits will increase culminating in over-night stays. Because of the short term nature of the respite service offered the Registered Manager is aware of the importance of thorough assessments and tries to ensure that the Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 8 home is in receipt of all relevant information that will ensure the respite stay is a successful one. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 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 has been made using available evidence including a visit to the service. Service users have care plans based on their assessed need, are offered assistance in decision making and are supported to take risks as part of an independent lifestyle. EVIDENCE: The Inspector case tracked two service user care plans. Both had the same format, which included a service user information and profile, personal care needs assessment and individual risk assessments. These risk assessments had been regularly reviewed. Senior staff informed the Inspector that service users are always asked about their preferences with regard to personal care, leisure activities and meals. For those service users who are non–verbal than greater use is made of care plans. In addition, the senior staff also explained that as service users came to the home on respite on a regular basis then staff got to know service users better and thus get to know their likes and dislikes. Discussion with service users confirmed that those spoken with were consulted with through out their stay. Service users were observed to being consulted about choice of meals and activities to be undertaken during the inspection. The home operates a key-worker system who has the responsibility of attending reviews, which are usually held at day centres, and ensuring service Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 10 user files are kept up to date. A daily shift record is written about each service user. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 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, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users participate in local activities in keeping with their needs and wishes, have appropriate relationships, with their rights and responsibilities recognised and have a healthy diet with enjoyable meals. EVIDENCE: The Inspector spoke with service users and staff. The service users confirmed that they were able to engage in a number of activities that included visiting local amenities such as going bowling, visiting the cinema and local discos. The home also has its own van, which is used to take service users out on trips. Activity charts are kept to record what activities are undertaken. The vast majority of service users live at home so therefore the relatively short respite care stays, (no stay is usually longer than two weeks), should not hinder usual personal/family relationships. Service users are also encouraged to look after their own money whilst staying in the home however staff will hold money for service users not able to look after it for themselves. The Inspector observed dinner being prepared in the late afternoon of his first visit and the meal being prepared appeared to be attractively presented and nutritious. Staff appeared to have a good knowledge of the need to try and promote healthy eating. The Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 12 Inspector was informed that food bought for the home is a mixture of fresh and convenience. There was plenty of fresh fruit available in the home. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 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 has been made using available evidence including a visit to the service. Service users receive personal support in the way they prefer and have their physical and emotional health needs met. The home has satisfactory medication systems in place to ensure that service users receive their prescribed medication in a safe manner. EVIDENCE: Service users are consulted about how they receive personal care. Care plans document the method in which personal care is given. Service users will bring in sufficient clothing and toiletries for the duration of their stay. Care plans indicate what staff should do if any service user has a medical problem. Reviews of service users may be held in the home and appropriate health care professionals (psychologists) are invited to attend. The home also offers respite to service users with high physical needs. During this inspection the majority of service users did not have these needs but in discussions with the Registered Manager and staff the home would appear able to meet the needs of very physically dependent service users. Medication brought into the home with a service user is checked on admission and the quantity left is checked on discharge. Amounts of medication are also checked on a daily basis. Medication is also brought in its original packaging and is not decanted into other receptacles. All medication is kept in a purpose built medication cupboard. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 14 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 has been made using available evidence including a visit to the service. Service users are listened to and acted upon and the service has the necessary policies and procedures to ensure that service users are protected from any form of abuse. EVIDENCE: In discussions with individual service users each identified their key worker to whom they would approach if they had any concerns or complaints. In addition, in discussion with staff the home strive to have positive relationships with the parents and relatives of service users so as to ensure that any issues, however minor, are resolved as soon as possible. The home has not had any formal complaints since the last inspection. The home has an updated complaints policy and the London Borough of Hounslow Safe Guarding Adults policy procedure and check-list. Staff interviewed showed a good awareness of protection issues and when asked were able to demonstrate that they were aware of the term “Whistle blowing”. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 15 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 has been made using available evidence including a visit to the service. The home’s environment is purpose built, comfortable, safe and clean. EVIDENCE: On the days of the inspection the home appeared to be well maintained and clean. The home has several types of equipment such as specialist baths and a walk in shower. There is also overhead tracking in two bathrooms and bedrooms. There was plenty of evidence of personalisation in one of the communal sitting rooms with photos of service users and staff and past events. On the first day of the inspection it was very warm and windows and patio doors were open to try and keep the temperature tolerable. Fans were also in evidence in the communal areas. A previous issue around the central heating system had been resolved. The home was clean and tidy with no noticeable odours. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 16 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 has been made using available evidence including a visit to the service. Service users benefit from a competent, well trained and supervised staff team. The home has satisfactory recruitment policies and procedures. EVIDENCE: Staffing numbers are weighted according to when service users are in the home. During the week most service users are at day centres during the day hence there will be more staff on duty during the afternoon when service users are returning back to the home and in the morning when getting service users ready to attend day centres. At week ends staffing levels reflect the fact that service users do not attend day centres instead taking part in home based activities. The Registered Manager informed the Inspector that the staff group was a stable one but that there are currently several vacancies, which the home is in the process of recruiting to. Regular agency staff are being used to fill these vacancies for the time being. Staff have regular training that includes moving and handling, risk assessing, fire safety and food handling. All staff receive regular supervision. The Inspector examined two staff records and found all the necessary checks to be in place. The home has a protocol in place with employment agencies to ensure that any staff placed in the home have all the necessary checks carried out prior to them working in the home. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 17 The Inspector also saw a protocol for staff that highlighted what they need to do in the event of being the shift leader when an unannounced CSCI inspection occurred and the Registered Manager was not on duty. This is good practice. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 18 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well run with service users being the focus of the service. The health and safety of the home is accorded necessary priority. EVIDENCE: The home appears to be well managed. The Registered Manager has been in post for a number of years and demonstrates the necessary skills and leadership to manage this respite service. There were satisfactory management systems in place such as supervision, regular staff meetings and parent meetings. Service users spoken with all expressed their satisfaction with the home and the service it provides. The home has a nominated staff member who deals with health and safety matters. The Inspector examined a number of health and safety records and found all complete and in order. Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 19 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 3 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 3 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 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 20 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. Standard Regulation Requirement Timescale for action 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 Star Road Respite Service DS0000034931.V288604.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection West London Area Office 11th Floor West Wing 26-28 Hammersmith Grove Hammersmith 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. 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