Inspection on 13/05/05 for Whiteheart Avenue, 27

This inspection was carried out on 13th May 2005.

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

Whiteheart Avenue, 27 13/10/08

Whiteheart Avenue, 27 06/09/06

Whiteheart Avenue, 27 27/10/05

Whiteheart Avenue, 27 09/12/04

Whiteheart Avenue, 27 17/05/04

Whiteheart Avenue, 27 30/01/04

Whiteheart Avenue, 27 15/08/03

Similar services:

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Norbury Crescent (30)

Edenvale

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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 27 Whiteheart Avenue Hillingdon Middlesex UB8 3EP Lead Inspector Pauline Griffin Unannounced 13th & 17th May 2005 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 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 Stationary 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. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 27 Whiteheart Avenue Address Hillingdon, Middlesex UB8 3EP Telephone number Fax number Email 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 561 7067 Mr Koosraj Ramaya Unthiah Mr Koosraj Ramaya Unthiah Care Home 3 Category(ies) of Learning Disability (0), registration, with number Learning Disability over 65 years of age (0) of places 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Only service users residing in the home prior to their 65th birthday may be accommodated after their 65th birthday. Date of last inspection 9/12/04 Brief Description of the Service: The home is a house in a quiet residential avenue about one mile from Uxbridge Town Centre. Public transport links to other neighbouring shopping centres are a short walk away. The home is registered for three adults with learning disabilities with an exception for those who pass the age of 65 and who have been residing in the home for a period of time prior to this.The home currently provides a service for two adults with learning disabilities. The service users are one male and one female and they have lived in the home since it was opened in 1990. The property is a bungalow that has been extended. There are two single bedrooms, lounge and a kitchen/dining room. The extension houses a sleeping in room with en suite facilities and a fourth bedroom with en suite facilities has been built to the rear of the building. The staff team consists of the Registered Person/Manager, the Deputy Manager (who is the wife of the Registered Person) and two part time staff. One Service Users attends a day centre five days per week and the other three days per week. There is a programme of activities for weekends and evenings. The Registered Person owns another home for people with learning disabilities in the same road and the service users from the two homes are on friendly terms and share activities/outings. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and carried out as part of the regulatory process. The inspection was carried out over 2 days for a total of 5¾ hours. Both of the two service users were interviewed with the Registered Person/Manager, the Deputy Manager and a care worker. The inspection included the examination of staff records, a service user file, policies, procedures, logs and maintenance records. A recorded programme of activities both inside and outside the home for the service users has been produced following the previous inspection when this was recorded as a shortfall. The Local Authority Social Worker responsible for the service users has recently re-assessed their needs and has also made recommendations regarding the suitability of some of the day centres they attend. No 3 and No 27 Whiteheart are owned and managed by the Registered Persons, Mr and Mrs Unthiah. Both homes operate identical systems and use the same practices. The inspection reports for both homes reflect this and the outcomes for both homes are similar. What the service does well: The staff team is stable and have a detailed knowledge of the service users and their needs. The staff team totals seven including the Registered Person/Manager and Deputy Manager. Three staff members have achieved NVQ level 4 in care management and one has completed the NVQ level 2. A further member of staff is studying for the NVQ level 2. The home maintains good recording systems and has a comprehensive set of policies that are used in supervision and training of Staff. The home is comfortably furnished and homely. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 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. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 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 standard(s) 1,2 & 5 The home has had no new service users since it opened in 1990 but satisfactory procedures and assessment formats are in place that are appropriate for both prospective service users or for the ongoing assessment of existing service users. EVIDENCE: The home has an individual folder for each service user that includes a Statement of Purpose, Service User Guide and a signed Contractual Agreement between the home and the service user. Service users funded by the Local Authority have individual contracts in place with them. There is a health record for each service user with details of appointments with professionals and the outcomes. One service user had been for a general health check and had had blood taken on the day of the inspection. The service user was able to repeat what the doctor had said and indicated that he/she found the consultation a positive one. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 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 standard(s) 6,7 & 9 Service users have opportunities to express their needs and preferences on the various aspects of their daily lives. Service users are risk assessed and monitored when making choices like making shopping trips and using public transport without an escort. Service users are assisted to stretch their abilities to help them to be more independent. EVIDENCE: Service user plans and assessments were comprehensive, up to date and well maintained. There are individual life skills charts noting what percentage of support from Staff is required for each everyday task attempted Service users have individual bank accounts. They are assisted to withdraw cash and spend their money with appropriate guidance from Staff. Staff meetings include participation from service users and they have a separate fortnightly meetings with notes recording their comments and preferences regarding the service they receive 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14 and 15. Service users should have the opportunity to participate in activities that are appropriate to their age and cultural background and changes in needs must be addressed by the home. Service users have the choice of a selection of popular and well balanced meals. EVIDENCE: There is a four weekly chart of leisure activities for the group with a variety of choices. Each service user also has a chart recording the activities they have participated in individually. Both the service users used their vote in the local/general election recently. Each Service user has an individual chart of daily living skills that measures the level of assistance required. Service users receive regular health checks and have regular specialist assessments and treatment. Service users have the opportunity to attend a local place of worship of their choice. Meals include a selection of popular and well balanced food that Service users helped to choose. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 11 One service user who has been assessed by the local authority social worker, as needing day care more suited to his/her needs must be re-assessed by the home. It is the responsibility of the home to provide appropriate day care in the event that suitable day care services cannot be provided by the placing authority 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 12 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 standard(s) 18 & 21 The healthcare needs of the Service users are identified and met. Systems are in place to review and assess the Service users’ physical and emotional health needs including specialist needs. Service users’ have access to health services and specialist health care services. The home has a satisfactory policy on the aging process and care of the dying. EVIDENCE: Service users have an annual health check and monthly assessment via the care plan. The home has adopted ‘person centred’ planning that includes health care and Staff have received training for the Local Authority in this approach to assessment. Health checks and specialist appointments are logged in the individual Service user’s file in a separate section. A range of routine health care appointments was recorded as well as specialist appointments with consultants. There is a satisfactory policy and procedure on the aging process and care of the dying that includes a section on counselling other Service users in the home following a death. There is a notification for funeral arrangements and religious observations that is signed by the Service user and a note as to whether the next of kin has been informed. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 13 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 standard(s) 23 The home has a satisfactory complaints policy that is included in the Service User Guide. The home has it’s policy on Equal Opportunities on display on the staff noticeboard that includes abuse and the forms it can take. Staff receive information on Adult Protection through supervision and training. The home has satisfactory arrangements for handling service user’s finances. EVIDENCE: The home has not received any direct complaints in the previous 12 month period. A complaint was received by the Commission for Social Care Inspection (CSCI) in November 2004 that was investigated and completed. The home has applied to the Hillingdon Advocacy Project to obtain independent advocates for the Service users who do not already an advocate. The home has a clear policy on the protection of vulnerable adults (POVA) and the Registered person/Manager has recently attended a training course run by the Local Authority. The home also has a ‘Whistleblowing’ policy and the member of Staff spoken to at the time of the inspection was familiar with it. The home has a financial recording system for each service user that tracks withdrawals and expenditure. Cash is kept separately for each individual in a locked cash box. Cash held in separate purses for each service user tallied with the written records. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 24,26,27 & 30. The Service users benefit from living in an homely environment that is safe and comfortably furnished. EVIDENCE: The furnishings in the home have been reviewed and updated since the last inspection. A tour of the premises was carried out and it was confirmed that the issue of the temperature of the water being too hot had been addressed by the installation of safety valves. There was evidence that the Service users had chosen items themselves for their bedrooms. The bathroom has grip bars, and other equipment to ensure service users are safe when they bathe and shower. There are grab rails fitted at the front and back doors. The garden area is paved and there is a ramp by the front gate for wheelchair access. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,33,34 &36 The service users benefit from a well trained staff tam who receive regular supervision sessions with the Registered Person/Manager. EVIDENCE: The Registered Person/Manager and the Deputy Manager have completed the NVQ Level 4. Both come from nursing backgrounds and have nursing qualifications. Three of the remaining four staff have achieved NVQ level 2 and one of those has now also achieved NVQ level 4. Staff have received training in mandatory subjects like food hygiene, moving and handling and first aid and are awaiting (or have already received) update training which has been booked for them. The home has a full set of policies produced to comply with the Care Homes Regulations. Staff sign and date a log book to confirm that they have read and understood each policy. The Registered Person uses the Code of Practice of the General Social Care Council in supervision to familiarise staff with the National Minimum Standards for Care Homes for Adults. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39 & 42 The Registered Person/Manager has taken training provided by the Local Authority in Person Centred Planning that focuses on the needs of the service user. Service users benefit from the heightened awareness in the management and staff team of the need to ensure that the home is run in the service users’ best interests. EVIDENCE: The home operates Person Centred Planning and updates each Care Plan at three monthly intervals or more often if the situation requires it. Person Centred Planning concentrates on the ‘holistic’ needs of service users. Service users are invited to contribute to these assessments. Service users are also invited to contribute at the monthly Staff Meetings. The home has produced some formats for quality monitoring but these are not adequate to produce a measurement of the service provided. The quality assurance programme needs to be reviewed to include all available input from service users, their family, representatives, advocates and professionals connected with the service users and the home. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 17 The home has up to date records of all the checks made to the facilities by accredited agencies on things like the gas boiler, water, fire equipment and electrical appliances. Risk assessments made were comprehensive and up to date. Staff have attended moving and handling training updates and have regular fire drills. The home maintains records of weekly water temperature checks and daily fridge and freezer readings. The home’s Health and Safety Policy is included in the Staff Handbook. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 18 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 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 x x 3 Standard No 11 12 13 14 15 16 17 2 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 27 Whiteheart Avenue Score 3 x x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 x x 3 x G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 19 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 11 Regulation 12(1)(a)( b) 16(2)(n)( m) Requirement The home must take responsibility for arranging suitable day care for service users whose needs have changed due to age and/or infirmity. Suitable day care/ activities must be provided either inside the home or be accessed from local services or other suitable private sector services available. Timescale for action 30/06/05 2. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 39 Good Practice Recommendations The system for quality monitoring should be reviewed to include all the elements of the Standard. The system should be based on seeking the views of the Service Users and their representatives and used to measure and improve the service provided. 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Ground Floor 58 Uxbridge Road Ealing, London W5 2ST 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 27 Whiteheart Avenue G61 G10 s27095 27 Whiteheart Ave v214351 130505 Stage 4.doc Version 1.30 Page 21 - 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. 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