Care Home: Hainault Road (241)

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 Good pre-admission systems are in place. Service users are supported to be a part of the local community and attend regular outings. The premises are well maintained and attractively decorated. The home appropriately meets emotional and health needs of the current service user group. Staff receive appropriate training to work with the people who used the service. Appropriate health and safety checks are in place. The home has very good quality assurance systems in place and those who use the service, as well as their relatives are consulted about the way the home should be run. What has improved since the last inspection? Since the last inspection the registered manager has ensured that all perishable food is labelled once opened to prevent food poisoning. The home has a new conservatory installed, which means that there is more communal space for service users to use. What the care home could do better: It is recommended that Criminal Record Bureau Checks be carried out on a three yearly basis. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Hainault Road (241) 241 Hainault Road Leytonstone London E11 1EU     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Robert Sobotka     Date: 2 5 0 8 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Hainault Road (241) 241 Hainault Road Leytonstone London E11 1EU 02085565581 02085565581 neelama@outlookcare.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Outlook Care care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 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 Date of last inspection Brief description of the care home 241 Hainault Road is situated in a residential road off Leyton High Road. It provides services for 6 adults with profound learning disabilities. The home had previously been run by Canopy Care, which joined Outlook Services as of 1st of April 2005. The home has since updated its documentation, which is used by Outlook Care. The majority of the service users have complex needs and do not communicate verbally. The home has three flights of stairs with a lift to the first floor. In all there are 6 bedrooms, five of which are on the upper floors together with a sensory room, two bathrooms/toilets and Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 6 Brief description of the care home an additional toilet and the office in the attic. The ground floor accommodation consists of an open plan kitchen to the lounge/dining area, which opens out onto a large garden, which is well maintained. There is also a ground floor bedroom with a bathroom and a toilet. The home provides leisure activities with inclusion into the community. Holidays are planned yearly and there are regular outings. Care planning is developed through the use of the Person Centred Planning (PCP). At the time of this inspection, there was one service user vacancy in the home. The current fee is £1100 per week. For the most up to date scale of charges please contact the home directly. Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was unannounced. As part of this inspection we visited the home and spent some time with the service users. We also spoke to staff working in the home and the registered manager. In addition, we viewed various records and conducted a tour of the premises. The aim of this unannounced inspection was to check the homes compliance with the National Minimum Standards for Care Homes for Adults 18-65 and the Care Homes Regulations. We would like to thank all service users and members of staff who took part in this inspection. Care Homes for Adults (18-65 years) Page 6 of 24 What the care home does well: What has improved since the last inspection? 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 set out 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. Care Homes for Adults (18-65 years) Page 7 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users have the information they may need to make a choice about moving into the home. Good pre-admission assessment systems were in place. Evidence: As part of this visit we checked the homes statement of purpose and the service service users guide. The statement of purpose was last updated in March 2009 to comply with the corporate format used by Outlook Care. There have been two new admissions to the home since the last inspection. We checked files of both of the service users and these evidenced that all appropriate preadmission assessments were carried out prior to both service users moving into the home. This included devising transition plans to ensure that their move from their previous homes to Hainault Road was as smooth as possible. Care Homes for Adults (18-65 years) Page 9 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this 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 had a good care planning system in place. Those who use the service are encouraged to make decisions about their lives and take responsible risks as part of their independent lifestyle. Evidence: During our visit to the home we reviewed care plans of four people who use the service. All documents were well-written, up-to-date and reviewed on a regular basis. There was also a pictorial version of care plan on service users files. Staff are commended for ensuring that care plans are accessible to the current service user group. Each care plan viewed contained a communication passport, as well as a monthly evaluation sheet written by a service users key worker. Communication passports have been designed with support from speech and language therapists and relatives. These ensure that service users are at the centre of service design and that it reflects their individuality.Goals are set and reviewed according to each person PCP plans (Person Centred Plan). Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: In accordance with the risk assessments and in consultation with the service users relatives, the decisions were made regarding the service users abilities and precautions that had to be taken to ensure that the health and safety, as well as well being of those living in the home. The registered manager informed us that the has been working with the local placing authority in relation to DOLS (Deprivation of Liberty Safeguards) assessments for issues, such as medication, front door and bedrail. During the course of our visit we witnessed service users being given choices of activities. In situations where it may not be possible to obtain views of those living in the home, due to their disabilities, views of their relatives or independent advocates are sought. Confidentiality was appropriately maintained. Staff shared information with us on a need-to-know basis. Care Homes for Adults (18-65 years) Page 11 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Those who use the service are provided with an appropriate range of leisure activities. Service users are encouraged to develop and maintain friendships and family links. Evidence: People who live in the home benefit from a wide range of activities on offer. Each personal file that we viewed contained a copy of individual weekly activity schedule, which was developed in accordance with the service users wishes and interest. Service users attend a number of culturally appropriate activities, such as music therapy, external drama and music sessions facilitated by qualified drama therapist. Service users also received a visit from a massage therapist. She visited the home during our inspection visit and told us that she thought the quality care offered in the home was excellent, very good. Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: Regular visits are organised to cinemas, theatres, beaches, Kew Gardens, and various parks. Service users went on a holiday to Blackpool in May and a trip to Tenerife was being planned for later this year or early next year. The registered manager stated that service users rights must be promoted at all times in all aspects of their lives. People who use the service are therefore supported and offered to try out varied experiences. They have in the past met with the Mayor of London who was promoting recycling and the forthcoming Olympic Games in 2012. Service users also participated in collecting milk bottle tops. All relatives supported and took part in this project. Milk bottle tops were even sent to service users from as far as Leeds. They were collected in aid of a disabled student studying in a local mainstream school, who needed an electric wheelchair. Service users have also collected vouchers for a local primary school. Outlook Care have recently held a going green event. The organisation pledges its commitment to protect the environment. Those who use the service enjoyed the food offered in the home. We checked the menus, which were in pictorial form and showed that service users are offered a wide range of food. Support with feeding is offered to some of the service users. Food is mainly prepared by staff, but the service users have an opportunity to assist in accordance with their wishes, assessed abilities and risk involved. There were appropriate food supplies in the home during this unannounced visit. Since the last inspection, the registered manager has ensured that all perishable food is labelled once opened to avoid food poisoning, as previously required. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 was appropriately meeting service users physical and emotional health needs. Medication systems were satisfactory. Evidence: The service users files contained very clear guidelines for staff as to how personal care should be provided to each person accommodated in the home. We spoke to some staff in the home who appeared to have a good awareness of healthcare needs of each service user living at 241 Hainault Road. Documentation in relation to meeting service users needs was appropriately maintained. Each person was registered with a local General Practitioner and other healthcare professionals were involved in providing adequate care to the service users when needed. Health Action Plans were in place in respect of each service user. Medication systems were appropriately maintained. Staff are only allowed to administer medication once they have completed medication training and been observed and assessed as competent in administering medication. A medication audit trail was kept, as well as of any medication received, administered and disposed of. Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: We checked the medication stocks against records and they appeared to be in order. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate complaint systems are in place. People using the service are protected from abuse, neglect and self-harm. Evidence: The home had an appropriate complaints policy in place and it included details of the Commission. There have been no complaints made to the home in the past 12 months. It is noted that some of the service users may not be able to raise complaints directly, due to the level of their disabilities. An appropriate adult protection policy was also in place. Staff receive adult protection training. There has been one adult protection incident since the last inspection, which has been resolved. We checked the homes record of accidents and incidents and these were appropriately maintained. The registered manager ensures that any matters of concern and/or accidents are promptly reported to appropriate authorities, including the Commission. As some of the people who live in the home do not have mental capacity to make decisions in relation to how their money is spent, there was evidence that their relatives/advocates are consulted as to what their money should be spent on. We checked a random selection of financial records kept in respect of the service users and these were found to be in order. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this 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 who use the service benefit from a comfortable, homely and clean environment. Evidence: People who use the service benefit from a homely and comfortable environment. During our visit we conducted a tour of the premises. The bedrooms viewed were attractively decorated, personalised and reflected interests and lifestyles of individual service users. Two of the service users told us that they liked the environment and their bedrooms. There are sufficient communal areas in the home. There is a large garden at rear of the house. Since the last inspection, a conservatory has been added to the rear of the building. In addition a Tunstall system has been installed, which means that staff are alerted of incidents in the home. The premises were found to be clean and hygienic at the time of this unannounced visit. Appropriate laundry facilities were in place. Care Homes for Adults (18-65 years) Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this 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 who use the service are supported by a team, which is appropriately skilled and supported. Evidence: As part of this inspection visit we checked the duty rosters. These showed us that there were appropriate levels of staff on duty. There are usually three staff on duty during daytime. Some staff working in the home told us that there have been some some staff turnover since the last inspection visit. At the time of our visit some of the staff working in the home were from the Outlook Care Bank team. We were told by the registered manager that the organisation was in the process of recruiting permanent staff for the home. Over 50 of staff have National Vocational Qualification (NVQ) Level 2 or above in Care. Staff who spoke with us told us that they were offered a good range of training. Some of the training offered to staff in the home over the past 12 months included: Epilepsy Awareness and Administration of Rectal Diazepam, Health Action Plan, Supporting People with Learning Disabilities to access Health Service and appointments, safeguarding vulnerable adults (POVA), Person Centred Planning (PCP), Mental Capacity Learning Event, Equality and Diversity Awareness Session, Personalisation Awareness Training, and Diabetes. Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: We also checked a random selection of staff personnel files. These showed us that appropriate checks are carried out prior to allowing staff to work with vulnerable adults. It is recommended however that Criminal Record Bureau Checks be carried out on a three yearly basis. Staff appeared to be appropriately supervised. Regular team meetings were taking place and the minutes from those meetings were also available for inspection. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate management, quality assurance and health and safety management systems are in place. Evidence: The home is managed by the registered manager who is committed to ensuring that people who use the service receive good outcomes. She has worked in the home for a number of year and knows service users needs very well. She has appropriate qualification required for the role of registered manager. The home has very good quality assurance systems in place. In addition to the monthly unannounced visits from the responsible person, the organisation actively seeks and involves people who use the service in contributing to the way the home and the organisation should be run. Service users are invited to take active part during consultation days. Advocates are also involved to ensure that person living in the home has an active voice in the way the home should be run. Health and records kept in the home were appropriately maintained. Regular fire Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: safety, jot water temperature and other checks are carried. The home was appropriately insured for its purpose and the registration certificate was displayed in a prominent place. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 34 It is recommended that Criminal Record Bureau Checks be carried out on a three yearly basis. Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - 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!