Inspection on 27/10/05 for Whiteheart Avenue, 27

This inspection was carried out on 27th October 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 13/05/05

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:

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 Whiteheart Avenue, 27 Hillingdon Middlesex UB8 3EP Lead Inspector Ms Pauline Griffin Unannounced Inspection 27th October 2005 10.30 Whiteheart Avenue, 27 DS0000027095.V254876.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 Whiteheart Avenue, 27 DS0000027095.V254876.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. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whiteheart Avenue, 27 Address Hillingdon Middlesex UB8 3EP 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 561 7067 Mr. Koosraj Ramaya Unthiah Mr Koosraj Ramaya Unthiah Care Home 3 Category(ies) of Learning disability (0) registration, with number of places Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only service users residing in the home prior to their 65th birthday may be accommodated after their 65th birthday. 13th May 2005 Date of last inspection Brief Description of the Service: 27 Whiteheart Avenue is a bungalow set in a quiet residential area 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 who have lived in the home since it was opened in 1990. The property 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 Serviced User attends a day centre five days per week and the other attends one three days per week. A programme of activities had been produced for the Service Users at weekends and evenings. The Registered Person owns another home for people with learn9ing disabilities in the same road and the Service Users from the two homes are on friendly terms and share activities, holidays and outings. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 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 (5 3/4 hrs). Both the two service users were interviewed together with the Registered Person/Manager (to be referred to as the Registered Person in the body of this report), the Deputy Manager and a Careworker. The inspection also included the examination of one Staff file and one Service User file (chosen at random) and policies, guidance, logs and maintenance records. A recorded programme of activities designed to appeal to the Service Users has been produced and maintained following a previous inspection last year when it was noted as a shortfall. The Service Users looked well groomed and neatly dressed. The main meal on both days of the inspection corresponded with the recorded menu for the day. Both Service Users spoke positively about current aspects of their day to day life and the things they have been doing. What the service does well: The Staff team is stable and were able to demonstrate a detailed knowledge of the Service Users and their needs. The Registered Person and Deputy Manager have both obtained the NVQ level 4 in Care Management and the Senior Careworker who works across both homes has also achieved it. One of the Senior Careworkers is in the process of studying her NVQ level 2. The home maintains good recording systems that are up to date and detailed. The home has policies and guidance that are used in supervision, meetings and Staff training. The home is comfortably furnished and homely. Whiteheart Avenue, 27 DS0000027095.V254876.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. Whiteheart Avenue, 27 DS0000027095.V254876.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 Whiteheart Avenue, 27 DS0000027095.V254876.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): 1,2,3 & 5 Although no new Service Users have been accepted by the home since it opened in 1990, there are satisfactory procedures and assessments formats in place that are appropriate to both prospective Service Users or for ongoing assessments of existing Service Users. EVIDENCE: The home has an individual file for each Service User that includes a Statement of Purpose, Service User Guide and a signed Contract Agreement between the home and the Service Users. The contract between the home and the Service User includes details of the accommodation occupied, services and facilities offered, rights and responsibilities on both sides and is signed and by both parties. Both Service Users are funded by the Local Authority and have individual contracts in place with them on file. Health records are also kept in the Service Users files and includes details of appointments with professionals and the outcomes. One Service User recently had a serious accident at the Day Centre and was treated as an outpatient by the hospital and primary health care team. Details of the treatments received and the progress made were clearly documented. Details of specialist services obtained and appointments for dentistry, chiropody, optical and auditory assessments are also clearly logged. The Registered Person was able to describe how he had obtained specialist services for both the Service Users on Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 9 different occasions in the past, the most recent occasion being when he had obtained a service from the local cottage hospital for one Service User whilst the group were on holiday in Minehead in the summer. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 10 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): 8 & 10 Service Users are consulted on most aspects of their life in the home and the home is able to provide evidence that their choices and opinions are taken into account and acted upon. The home has a policy on confidentiality and information regarding the Service Users is kept in accordance with this. EVIDENCE: The Registered Person was able to provide minutes of Service User meetings held every two weeks that document their opinions regarding aspects of their daily life. One Service User confirmed that he/she had chosen his/her own colour scheme in his/her newly decorated bedroom. Service Users have a daily menu book that notes the meals and foods they prefer on a daily basis. The menus are also discussed at the two weekly Service User meetings. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 11 Information regarding Service Users is stored in locked cabinets and the home has a policy on confidentiality that is included in the staff handbook and used in supervision and training sessions. The Registered Person confirmed that the home operated in accordance with the Date Protection Act 1998. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 12 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): 11,14,16 & 17. Service Users have regularly reviewed charts monitoring their input towards routine living activities to ensure progress and trends are recognised. Service Users enjoy well balanced meals and chose from menus that they have helped to put together. EVIDENCE: The Registered Person has devised individual charts detailing each area of daily activity. These are given in percentage terms and are regularly reviewed to identify trends of progress or deterioration. The Service Users have a programme of activities for the evenings and weekends that are designed to appeal to individual and group choices. The leisure activities consist of regular outings to cinemas, local theatre, restaurants, pubs, shopping, places of interest and clubs. There are weekly and monthly charts detailing these events. Other trips arranged this year have been to Margate, Brighton and to Butlins, Minehead for their annual holiday. A further trip to Regent Street for the Christmas Lights has been chosen by the group. Two of the Service Users have wheelchairs to use if they need them. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 13 Menus examined included a selection of popular and well balanced food that Service Users helped to choose. The food offered included fresh vegetables and fruit every day. The meal on the Friday evening of the first inspection was fish, chips and garden peas. The Service Users gave indications that they were looking forward to this meal and it was their choice. They enjoyed this meal whilst watching their favourite programme on the television. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 14 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): 19 & 20 The Registered Person maintains detailed records of the physical and emotional health care input including specialist services accessed for Service Users. Service Users are unable to administer their own medication and are protected by the home’s medication policy and practice guidance observed by Staff. EVIDENCE: The Registered Person said that Service Users have access to GP services, chiropody, optician, dental and community nursing services. Specialist input is accessed if required through NHS healthcare facilities in the local area. All healthcare appointments are fully documented in the Service Users’ files. The Registered Person confirmed that they had put into practice health care related action plans for each Service User in accordance with the training he had received from the Local Authority on the subject. Neither of the Service Users can manage their own medication. The storage of medication and medication administration recording charts were examined and found satisfactory. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 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 & 23 The home’s policies on protection and abuse are used in training and supervision of Staff to ensure that Service Users are protected. EVIDENCE: The home has a complaints policy that is included in the Service User Guide and Statement of Purpose. The policy includes the reassurance that lodging a complaint will not result in any form of reprisal. No complaints have been received since the previous inspection in May 2005. The Staff member spoken to confirmed that he/she had received training in Adult Protection through supervision and training. The Registered Person provided evidence that the subjects of abuse and ‘whistleblowing’ had been discussed at a Staff meeting on 28/9/05. All of the Service Users now have an advocate from the Hillingdon Advocacy Service. The Registered Person maintains individual financial records for each Service User that logs all withdrawals and expenditures. Cash is kept in separate purses for each Service User in a locked cash box. The cash in one of the purses tallied with the recorded amount in the individual log. Details of the holiday payment for the week at Butlins in the Summer was checked and found satisfactory. The Registered Person said he used transport and driver hired from the Local Authority for the holiday. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 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): 24,25,28 & 29 The home is safe, clean and comfortably furnished. EVIDENCE: Both of the Service Users’ bedrooms and the communal space in the home is larger than that prescribed by the National Minimum Standards. The home is well decorated and furnished. The rooms were clean and there were no unpleasant odours. Staff carry out set cleaning duties depending upon the shift they are on. One of the Service User helps with light cleaning like dusting and washing up. The Service Users’ bedrooms are comfortable and contain many personal possessions including collections and audio/visual equipment. The home is well maintained. Grab rails are fitted by both the front and back doors and the garden area is paved. There is a ramp to the front door for wheelchair users. A bath seat is fitted across the bath with a grab rail and there is a raised toilet seat fitted to the toilet. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 17 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): 31,34 & 35 Service Users benefit from a well trained staff team who receive regular supervision sessions with the Registered Person. EVIDENCE: A Staff job description was examined and the employee handbook. One Staff file was examined chosen at random and this was maintained in a satisfactory manner. A Senior Staff member was interviewed and she was able to demonstrate her knowledge of the Service Users with whom she had worked for many years. A Staff training chart was seen that gave dates and updates for both mandatory and specialist training sessions. Training needs are discussed during one to one Staff supervision with the Registered Person and supervision notes provided evidence of this. The Registered Person said that he 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. The Registered Person and Deputy Manager have achieved the NVQ level 4 in Care Management. Both the Registered Person and Deputy Manager come from nursing backgrounds and have nursing qualifications. A Senior Careworker, who works between both homes has also completed his NVQ level 4 Care Management. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 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): 39,40,41, 42 & 43 The home provides opportunities for Service Users, their representatives and other stakeholders to express views in order to contribute to the monitoring and development of the service provided by the home. Checks and assessments are made to ensure the safety of the Service Users in the home. EVIDENCE: The Registered Person has produced a quality monitoring system and has designed quality questionnaires for Service Users, their representatives and other stakeholders to complete. The Registered Person said that he could expand the questionnaires to the Day Care and Social Club Staff that the Service Users attend and this would provide important input from people who see the Service Users regularly each week. The home has a full set of policies that the Registered Person reviews them annually. Records examined were maintain in a satisfactory manner and files were stored in a locked cabinet. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 19 The Registered Person also maintains health and safety assessments for all activities concerning Service Users and Staff that involve an element of risk. Risks are graded and assessed. Annual checks and verifications were examined for gas, water, electrical appliances and fire safety equipment. The First Aid cabinet was examined and found satisfactory but the contents a little jumbled. Fire drills are carried out monthly and smoke alarms are tested at the same time. The LFEPA visited the home in August 2004. The Environmental Health Officer visited in May 2005 to check on food safety. Two accidents were recorded in the Accident Book and one of these was the fracture and lacerations sustained by the Service Users who fell at the Day Centre in the Summer. The home has satisfactory insurance cover for public liability, employers liability and malpractice. Financial trading accounts were submitted to the National Care Standards Commission for the years 2002/2003. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 20 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 3 x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 3 x LIFESTYLES Standard No Score 11 3 12 x 13 x 14 3 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Whiteheart Avenue, 27 Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 3 3 DS0000027095.V254876.R01.S.doc Version 5.0 Page 21 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. 1 Refer to Standard 39 Good Practice Recommendations Quality monitoring questionnaires should be extended to include Day Care Staff and Evening Social Club Staff who see the Service Users regularly each week and who could make a useful input in assisting the home develop the service. Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection West London Area Office 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 Whiteheart Avenue, 27 DS0000027095.V254876.R01.S.doc Version 5.0 Page 23 - 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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