Care Home: Flat C 12 Hyde Close

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)

What the care home does well The home provides a suitable stimulating environment for people with sensory impairment and multiple disabilities. A range of interesting planned and stimulating activities is provided. People using the service can choose if they want to take part in activities and are involved in the planning of new activities. The home is providing person centred care focusing on people`s abilities and support people using the service to achieve their aspiration and dreams. People using the service life in a nicely decorated, clean, stimulating and well maintained environment. The home is keen to improve outcomes for people using the service and is pro active and forward thinking in coming up with new ideas, i.e. Person Centred Plans available on DVD, service users guide in audio format, engagement of relatives, etc. The residents were observed to be very relaxed within their home environment. There are detailed and helpful guidelines to enable staff to communicate with the people living in the home and to help determine and meet the needs of residents. There is also an attractive sensory garden at the rear of the flat. What has improved since the last inspection? The home has met all eight requirements made during the last key inspection.Hyde Close 12CDS0000069373.V375094.R01.S.docVersion 5.2The statement of purpose and service users guide is updated and provided in different formats, this allows people with more complex communication difficulties access and read the documents. Care planning processes have been improved and reviewed, a more person centred approach has been introduced, which puts people`s abilities and needs in the centre of the home. Medication procedures have been reviewed and improved and people using the service can be sure to be supported safely around the administration of medication. The home has started to refurbish the large bathroom, which will provide a relaxing, stimulating and safe environment for people to use. Heath and Safety records and fire records are of good standard and people using the service can be assured that they are protected appropriately. As a result of this the quality outcomes for people using the service has improved to good. What the care home could do better: We have made two requirements during this inspection. The responsible person must provide an up to date training and development plan for all staff, this ensures people using the service and relatives can be confident, that they are supported by a skilled and experienced staff team. The responsible person must ensure that people competent in the medication administration sign the signatory list and liquid medication is dated when opened, this ensures people using the service are supported safely. Key inspection report CARE HOME ADULTS 18-65 Hyde Close 12C High Barnet Hertfordshire EN5 5TJ Lead Inspector Andreas Schwarz Key Unannounced Inspection 6th July 2009 10:00 Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hyde Close 12C Address High Barnet Hertfordshire EN5 5TJ 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) 020 8447 4043 anita.grant@sense.org.uk www.sense.org.uk Sense, The National Deafblind and Rubella Association Manager post vacant Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories 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 2. Physical disability - Code PD The maximum number of service users who can be accommodated is: 5 Date of last inspection 15th July 2008 Brief Description of the Service: 12c Hyde Close is managed by Sense. It is a service for adults who have sensory impairments, mobility problems and severe or complex learning difficulties. The four flats in the building at Hyde Close are registered as separate homes by Care Quality Commission (CQC) and each has its own team of staff, including a manager. 12c Hyde Close accommodates 5 people in their own rooms and has a kitchen/lounge area and two bathrooms. Each person has his or her own single bedroom with a washbasin. There is a large shared sensory garden area and a patio. The laundry facilities are shared between the flats. The home has currently one vacancy. During the daytime there is either four or five members of staff to support the residents. At night there is one waking night member of staff and a person sleeping in who is on call. The flat has two vehicles of its own to enable people using the service to get out and about in the community. The home is situated in High Barnet, in a pleasant residential area, close to shops, restaurants, pubs and other local amenities. The area is well served by public transport. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 5 Sense summarised the aims of 12c Hyde Close as: ‘A Person-Centred Planning approach is used to maximise each person’s opportunities for independence, to support them in establishing relationships in the local community and to promote their rights as citizens whilst meeting their support needs.’ Following ‘Inspecting for Better Lives’, the provider must make information about the service, including inspection reports, available to residents and other stakeholders. The fees for the home are negotiated with the funding authority on an individual basis following a full assessment of need and at the time of the inspection ranged between £1795-£1,984/week. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection is the annual Key inspection and the aim is to look at how well the service is meeting the key National Minimum Standards for Younger Adults. The unannounced inspection consisted of one day and lasted 7 ½ hours. The manager and deputy manager were interviewed and assisted with the inspection. The locality manager for Flat 12c was also spoken to as part of the inspection. The acting manager showed us around the flat. All four people resident in the home at the time of the inspection were seen. Each person has significant communication difficulties, so throughout the inspection the way in which staff communicated with and supported people was observed, as well as how people got on with staff. We also interviewed staff to get their views and comments on the home. A wide range of records, including care plans, staff files and health & safety documents, were also looked at. The home’s Annual Quality Assurance Assessment also provided considerable detail about the running of 12c Hyde Close. We would like to thank the staff and management team at 12c Hyde Close for their assistance with the inspection. What the service does well: What has improved since the last inspection? The home has met all eight requirements made during the last key inspection. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 7 The statement of purpose and service users guide is updated and provided in different formats, this allows people with more complex communication difficulties access and read the documents. Care planning processes have been improved and reviewed, a more person centred approach has been introduced, which puts people’s abilities and needs in the centre of the home. Medication procedures have been reviewed and improved and people using the service can be sure to be supported safely around the administration of medication. The home has started to refurbish the large bathroom, which will provide a relaxing, stimulating and safe environment for people to use. Heath and Safety records and fire records are of good standard and people using the service can be assured that they are protected appropriately. As a result of this the quality outcomes for people using the service has improved to good. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 8 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 Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): We looked at National Minimum Standards 1 and 2 during this inspection. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed information about the home is available so that residents and families know what they can expect from 12c Hyde Close. People moving into the home can be confident that their needs and wishes will be fully assessed and an appropriate plan for meeting these needs will be drawn up. As a result their needs are met. EVIDENCE: We viewed the homes statement of purpose and service users guide, both documents have been updated and reviewed since the last key inspection. The documents are provided in written and audio format. This helps the people living at 12c Hyde Close to access the documents more easily. The service users’ guide and statement of purpose is available in peoples care plan folder. Information provided is compliant with National Minimum Standards and helps prospective people using the service to decide if 12c Hyde Close is able to meet their needs. We discussed with the manager that the overuse of symbols Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 10 in the service users guide could be confusing and recommended to simplify the document. The home had no new admissions since the last key inspection. We discussed the vacancy with the manager. The manager explained that the home is currently in the process of assessing a new person and transition work is currently in process. The home has visited the prospective person in the current placement and the person has visited 12c Hyde Close. Both parties feel that 12c Hyde Close is suitable and able in meeting the needs of the person. Plans are underway for the prospective person to move into the home on a trial basis. We looked at two files during this inspection, which indicated that people have received a full assessment before they moved in. All four people using the service indicated from observation that they were settled at 12c Hyde Close. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): We looked at National Minimum Standards 6, 7 and 9 during this inspection. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans provide detailed information so that in general the needs of people using the service are met The staff team at 12c Hyde Close is good at finding ways for people using the service to make as many decisions for themselves as possible. People using the service are protected by risk assessments that are comprehensive and indicate clearly how risks to the safety of residents are reduced, whilst still promoting independence. EVIDENCE: We looked at two person centred plans both are visually attractive and easy to use for people living at 12c Hyde Close. There is a significant amount of detailed information relating to peoples health needs, their communication Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 12 needs and their behaviours. All of the two people using the service whose case notes were inspected have complex behaviours. These people have behavioural guidelines describing how the staff should most appropriately support them when they are angry or distressed. These guidelines were clear and helpful. Care plans record the cultural and religious needs of people using the service. All people using the service had an annual review in the past year that had agreed follow up action to be taken. These follow up actions are clearly recorded and achievements are documented. One of the person centred plans had evidence of monthly key worker meetings; during this meeting care plan objectives are discussed. We spoke to staff, who informed us that they key work people using the service and are responsible for the care planning. People using the service invite key workers and any significant others to their care plan reviews. In addition to the regular care plan reviews, people using the service are assessed by the placing authority on a regular basis. The manager told us that the home is currently in the process of providing the person centred plan on DVD format. Peoples’ independence is being promoted by staff at 12c Hyde Close offering them choice in choosing activities they enjoy and assisting them to develop in all aspects of their daily living skills. Throughout the inspection people using the service made choices about when they got up in the morning or went to bed, when they had their meals, what they ate, and whether they went out or not. We observed one person refusing the lunch provided, following encouragement by staff, the person was offered an alternative. As a result people using the service feel they have more control over their lives and this is contributing to their life at 12c Hyde Close being a positive experience for them. We assessed financial records for two people using the service. People’s finances are kept in a safe, which can be accessed by the manager and deputy manager. Records viewed were transparent, detailed and of good standard. All people using the service hold their own personal bank account, which they manage with the assistance of staff and management. Peoples’ files contain a variety of detailed risk assessments in order to ensure their safety, whilst promoting independence wherever possible. These included guidelines for staff when supporting people in the community so that people using the service can get out and about to local shops, whilst identifying ways of reducing any possible dangers to their safety, or the safety of others. Other risk assessments looked at peoples behaviours, risk of falls, risk of using the vehicle, etc. Risk assessments are reviewed during person centred planning meetings or if peoples needs have changed. All staff have read the risk assessments, and demonstrated understanding when interviewed during this inspection. Observations made during this inspection, showed that staff follow risk management guidance to support people using the service safely. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 13 Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: We looked at National Minimum Standards 12,13,15,16 and 17 during this inspection. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very good at enabling people using the service to get out and about so that they lead as ordinary a life as possible. Staff supports people using the service to keep in close contact with friends and family, as well as respecting their rights and encouraging them to act responsibly. People using the service enjoy their meals and benefit from being offered a diet that is healthy and reflects their cultural preferences. EVIDENCE: People using the service are offered a wide range of activities. Next door to Hyde Close is a day centre run and managed by Sense. People in 12 c Hyde Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 15 Close access the Hydrotherapy pool, take part in Drama and Arts sessions. Some people go regularly horse riding. Apart from planned activities people go shopping in Barnet, walks in local parks, discos as far as East London. We observed staff interacting with people using the service and offering choices of in-house or community based activities. The operation manger Mr Mark Horton has set up a community access project, which is used by flat 12a, 12b, 12c and 12d. Residents’ and staff of the flats take part in this group. Every month each member has to introduce a new activity, plan costing, risks and anything else related to the activity. This provides people using the service regularly with the opportunity to try out new activities and is an excellent way of involving staff and people using the service in the planning of activities. People using the service regularly access the local and wider community. Planned activities are walks, visits to the library, visits to church, pubs and restaurants. In addition to this people using the service go to discos, regular annual holidays and day trips. One of the residents goes regularly to church; staff told us that on occasions the person chooses to stay at home. The home has access to a minibus; costs are shared between the people using the vehicle. The manager told us that at times it is difficult to find drivers, but explained that she is planning to provide a specialist driving course, which should help that more staff are willing to drive the vehicle. Observation throughout the inspection indicated that staff treat residents with respect and are patient when encouraging residents to do something. The manager and staff told us that relatives are involved in peoples care and vist the home regularly to spend time with their relative. People using the service access the community regularly enabling them to maintain and make friendships and relationships with disabled and non-disabled people. We observed people using the service move around freely in their home and spend time with peers or on their own if they wish. People using the service have some restrictions, due to their disability. These environmental restrictions are clearly recorded and assessed. In the light of new legislation and amendments in the form of the Mental Capacity Act and the Deprivation of Liberty Safeguards, the manager should approach individual social workers to assess people using the service. The home has a varied menu that is changed regularly. Residents were observed enjoying their meals, with assistance provided by staff as needed. Healthy eating is encouraged with regular weight checks made. Throughout the inspection residents had opportunities to eat and drink out in the community as well as at home. Staff files showed that staff have food hygiene certificates. Staff told us that the menu is based on peoples likes and dislikes. The manager told us during conversations, that food is purchased from local greengrocers, butchers, Waitrose and other high street retailers. The fridge was well stocked and snacks were available during the inspection. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 16 Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): We looked at National Minimum Standards 18, 19 and 20 during this inspection. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are good at meeting the physical and emotional health needs of residents. As a result residents feel more at home and relaxed at 12c Hyde Close. The residents are not fully protected by arrangements regarding medication in the home. EVIDENCE: People using the service indicated by their actions and behaviour that they felt relaxed and comfortable in their home. A key worker system is in place to ensure that people get the support they need that is appropriate to their individual situation. Staff spoken to knew about the individual needs of each person. The care plans are detailed and set out clearly how staff should respond to the individual needs and wishes of residents, with guidelines about Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 18 areas of risk. As a result people using the service have felt supported in their home and have become more independent than previously. For example residents take a greater part in the daily running of the home including tidying up and helping to maintain the garden. The home has good links with Barnet Learning Disabilities Team and can access health care professionals such as Speech and Language therapy, psychologist and psychiatrist. The psychiatrist meets regularly to review peoples medication. Staff spoken to told us that they regularly support people using the service to outpatient appointments. Health records showed that people are seen by dentists and opticians to check their teeth and eye sight. During the inspection we observed the manager arranging a dentist appointment for one person, discussing the issue of consent and medication. The home has reviewed their medication procedure and medication is stored safely in individual rooms. All staff have recently taken part in medication training and have undertaken a competency assessment. Medication Administration Records are of good standard and individual guidelines are in place. A signatory list was not in place and liquid medication was not dated when opened, this is required by the Royal Pharmaceutical Society guidance for medication administration in care homes. The medication prolicy is robust and has been reviewed by Sense. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): We looked at National Minimum Standards 22 and 23 during this inspection. People using the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service and their representatives can complaints procedures in the home that make sure responded to whilst at 12c Hyde Close. People using the safeguarding adults procedures that make sure that they whilst at 12c Hyde Close. be confident in the their concerns are service benefit from are safe and secure EVIDENCE: The complaints record showed that there had been no complaints since the previous inspection. An appropriate format is available to record complaints. Sense has a general complaints procedure that people can use to raise concerns. Staff spoken to said they had received training on the protection of vulnerable adults and knew what to do if an incident of abuse occurred or an allegation was made. This was confirmed in staff interviews. The home has a copy of the London Borough of Barnet’s adult protection procedure, as well as their new leaflet ‘Say no to abuse.’ In addition Sense have their own detailed policy and procedure on protecting vulnerable adults. Sense also run an ongoing Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 20 training programme that includes how to safeguard adults. This area is also covered in the induction programme that all new staff have to attend. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): We looked at National Minimum Standards 24, 27 and 30 during this inspection. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service at 12c Hyde Close enjoy an attractive and comfortable living environment that add to their quality of life, with a good standard of cleanliness and hygiene maintained in the home. EVIDENCE: The manager showed us around the home, a new kitchen has been fitted at the end of 2008 and the lounge, hallway has been redecorated and new light fittings have been provided. People using the service have access to a shared sensory garden, which has been designed with donations. The lounge is spacious and comfortable furniture is provided. The home is providing a Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 22 sensory environment; this enables people using the service to be as independent as possible. During the day of this inspection, contractors have started to completely redecorate the bathroom. The manager told us that the plans are to provide a more relaxing, but user-friendly environment for people using the service. Two people using the service invited us to see their rooms, both rooms were nicely decorated, spacious and personal pictures and ornaments are displayed. The laundry room is shared with the whole building, but each flat has their own washing machine and dryer. Staff training records confirmed that regular Health ad Safety and infection control training is offered and staff spoken to confirm that they have taken part in training. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): We looked at National Minimum Standards 32, 34, 35 and 36 during this inspection. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ needs are met by a committed, competent and experienced team of staff at the home. People using the service are protected by the home’s rigorous recruitment procedures for new staff. People enjoy a good quality of life because staff in general have the training and support they need to provide a good standard of care. However training records need to be improved so that residents can be confident all staff at all times have undertaken all essential training. EVIDENCE: The home has sufficient staff in place, three staff work during the morning and three staff during the evening shift, one person is sleeping over and one person is on shift during the night. A manager is on-call during the evenings and on weekends for emergencies. Staff spoken to showed that they are very Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 24 knowledgeable about the needs, likes and dislikes of people using the service. We randomly selected four staffing files, all files had evidence of qualifications in care and staff spoken to told us that they have done their National Vocational Qualifications in Care since commencing employment with Sense. The manager told us that they have appointed a new senior staff member. Staff files were looked at and contained the information needed to make sure that all new staff in the home have had the appropriate checks made, including obtaining written references and satisfactory CRB (Criminal Records Bureau) disclosures. As a result residents are protected by the procedures 12c Hyde Close has in place when recruiting staff. The manager told us that a number of staff have left since the last inspection, but new staff have been recruited and this situation is becoming more settled. Staff undertakes a wide range of essential training courses, including safeguarding adults, medication, first aid, food hygiene and health and safety. In addition more specialised courses are provided to reflect the particular needs of the residents at 12c Hyde Close. These include communication, challenging behaviour, orientation and mobility and skills teaching. Staff told us that they have attended Health and Safety training, manual handling training, behaviour intervention training, etc. since working in 12c Hyde Close. All new staff must complete a detailed induction, which is based on Skills for Care competency in care. We viewed records of this in files assessed during this inspection. Due to the lack of a training and development plan it was difficult to clearly establish the training attended by staff. This was discussed with the manager and a training and development plan must be provided. Staff told us that they are supported by the new acting manager and feel confident that she is acting in their and service users best interest. The home is providing monthly supervisions and annual appraisals. This helps the home to maintain and improve quality outcomes for people using the service. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 25 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): We looked at National Minimum Standards 37, 39 and 42 during this inspection. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service benefit from living in a home which is is managed effectively. Sense has good systems in place to ensure that the home responds to and acts on comments and suggestions from all key parties about how the home is run so that there is a process of continuous improvement at 12c Hyde Close. The home has good procedures in place in relation to health and safety. EVIDENCE: Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 26 The registered manager resigned in March 2009 from her post a new temporary manager has been appointed in April 2009. Staff spoke extremely positive about the temporary manager and told us that things have improved since her appointment. “Things for staff and residents have improved by 100 since the new manager started”. “Residents are much more settled since Cheryl started”. Comments made by staff. The operation manager told us that the four managers of Hyde Close meet regularly to discuss people using the service and how outcomes can be improved. The acting manager informed us that she is planning to apply for the post permanently and if successful will register with the Care Quality Commission (CQC). The advert for the post went out during the day of this inspection. All relevant certificates are displayed in the entrance hall of the home. The home is holding monthly team meetings; this has stopped recently due to change of management. A team meeting was arranged for the day of this inspection, which was postponed due to our visit. The home tried tenants meetings in the past, which were not successful due to the complex needs of the people using the service. The home has a quality assurance policy and annual development plans were discussed with the operation manager during this inspection. The home is auditing Health and Safety on a monthly basis and any outstanding issues are reported to the housing association for action. The home has done staff surveys, which have been analysed nationally; the area manager is in the process of arranging regular family meetings to discuss how the service for people can be improved. The home has sound safety procedures in place and certificates are in place ensuring people using the service are protected. Fire records are up to date, regular drills are undertaken and the last visit by the London Fire and Emergency Planning Authority (LFEPA) in June 2008 was satisfactory. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 27 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 3 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 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 3 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 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Version 5.2 Page 28 Hyde Close 12C DS0000069373.V375094.R01.S.doc 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 YA20 Regulation 13 (2) Requirement The responsible person must ensure that people competent in the medication administration sign the signatory list and liquid medication is dated when opened, this ensures people, using the service are supported safely. The responsible person must provide an up to date training and development plan for all staff, this ensures people using the service and relatives can be confident, that they are supported by a skilled and experienced staff team. Timescale for action 15/08/09 2. YA35 18 15/08/09 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 Good Practice Recommendations DS0000069373.V375094.R01.S.doc Version 5.2 Page 29 Hyde Close 12C 1. 2. Standard YA1 YA16 It is recommended to simplify the service users guide by using less pictures. It is recommended that in the light of new legislation and amendments in the form of the Mental Capacity Act and the Deprivation of Liberty Safeguards, the manager should approach individual social workers to assess people using the service. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 30 Care Quality Commission London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Hyde Close 12C DS0000069373.V375094.R01.S.doc Version 5.2 Page 31 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!