Latest Inspection
This is the latest available inspection report for this service, carried out on 5th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for 6 Honister Gardens.
Annual service review
Name of Service: 6 Honister Gardens The quality rating for this care home is: The rating was made on: two star good service 1 4 1 0 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Robert Bond Date of this annual service review: 3 0 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 6 Honister Gardens Stanmore Middlesex HA7 2EH 02089070709 02089070709 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Striving For Independence Group Homes Number of places (if applicable): Under 65 Over 65 5 0 The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 6 Honister Gardens is a care home providing personal care and accommodation for up to five people who have a learning disability. The home is owned and run by the Striving For Independence organisation, a local private and independent care service provider. The home has 24-hour staffing. The home is located within a residential area on the edge of both Stanmore and Belmont, in the borough of Harrow. It is a few minutes from bus links, and around ten
Annual Service Review Page 2 of 6 No 1 4 1 0 2 0 0 8 minutes walk from local shops. Parking restrictions do not apply on the road outside the home. The drive has space for two cars. The premises are a two-storey building in keeping with other homes in the street. All bedrooms are single rooms, fully furnished, and with built-in wash-basins, both upstairs and downstairs. One bedroom has an en-suite toilet. The home has one bathroom with adapted shower facility upstairs, and a shower room downstairs. The home has a kitchen, a lounge leading into a dining area, a spacious activities room upstairs, and a garden. There is also a passenger lift. Management stated that information about the fees, and a copy of the service user guide, are available in the home on request. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We sent the home an Annual Quality Assurance Assessment (AQAA) to complete, and we sent the residents and staff survey forms to complete. In addition we considered any complaints, Regulation 37 notices or Safeguarding Adult referrals that we had received. We undertook a random inspection of the home on 4th November 2009 as part of the Annual Service Review process. We subsequently sent survey questionnaires to the care managers and placement authorities who have clients currently placed at the home, and we sent surveys again to the relatives of service users currently living in the home. What has this told us about the service? The home returned to us a completed AQAA on 7th September 2009. This document provided us with various statistical information, and detailed the following improvements that have been undertaken since the last Key Inspection that was undertaken by the CSCI on 14th October 2008. New dishes have been introduced onto the homes food menu following consultation with residents. Development of the keyworking system is ongoing. Existing staff have received training in managing challenging behaviour. The home has developed a new brochure and a website. When residents visit GP, hospital or dentist, a health appointment form is completed and the agreed actions are recorded. An induction or welcome pack has been developed for new residents. Residents survey questionnaires are now more user-friendly and a picture based communication tool is in place. Keyworkers meet monthly to discuss residents performance. The summer programme of activities has been revised. All new staff have received accredited medication training. All staff have undertaken infection control and food hygiene courses. The home is preparing a policy on the management of residents money and financial affairs that will be in a user friendly format. New staff now shadow existing staff. The manager has completed her Registered Managers Award. The premises have been redecorated. Three residents and two members of staff completed and returned surveys to us. The feedback from both groups was very positive. One staff member wrote, The home is able to provide exactly what all the clients need. Our employer is very supportive in every way. Subsequently, two relatives also returned surveys. One wrote, We are very happy with the service. He has been looked after very well. The other relative wrote, They look after .... well. They care very much for everybody. We can only speak for ourselves and what we see is very good. We would maybe like to see adults with the same disability and age, 18 to 30, as ....(our relative) is spending too much time with staff and in his room. His behaviour can be bad. He may need changes, different placement. He may have been too long in same place, now he needs more young Annual Service Review Page 4 of 6 people around him. We also subsequently spoke by telephone with an advocate for one of the residents. We did not receive completed surveys back from any of the care managers and commissioners we sent them to. One of the notifications we did receive concerned the assault by one resident upon another, older resident. This resulted in a safeguarding adults strategy meeting being held, convened by the London Borough of Harrow on 24th September 2009. A protection action plan resulted from that meeting. One the day of our inspection, the home had two vacancies and three residents, one of whom is reported in the AQAA as being 26, and two of whom as being 68 years of age. This has implications for the registration of the home which is dependent upon the home continuing to be able to meet the varying assessed care needs of all the residents despite their age differences. The random inspection we undertook is reported in detail in letter form, addressed to the proprietor of the home. Copies of this letter are available to interested parties upon request. The letter contains four new requirements, covering the topics of the homes Statement of Purpose, the homes Complaints Procedure, the need for the home to have the latest London Borough of Harrows Safeguarding Adults policy and procedure, and the need, together with the relevant commissioning authorities, to review the assessment of each resident together with the homes provision of stimulation and activities for the residents. The inspection letter also makes one recommendation concerning the role of the advocate. What are we going to do as a result of this annual service review? The AQAA has identified that improvements to the service continue to be made by the home. The Manager has also been proactive in making further improvements in line with the requirements of our random inspection that were notified to her at the time of the inspection. The home had its last key inspection on 14th October 2008 and at this time the home was given a 2 star quality rating. This means the people who use the service experience good quality outcomes. This rating will remain in place but will be reviewed at the next key inspection which will take place prior to 14th October 2011. Annual Service Review Page 5 of 6 Reader Information
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