Care Home: Halliday Square, 57

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What the care home does well The service is one which is specifically for people with autism and staff have the training and understanding to meet their communication needs. People are encouraged to access a range of community activities, including work experience, and have specialised day services to attend. The retention of a regular staff team has helped to provide a stable and calm environment for the residents. A comfortable and appropriate environment is maintained, with space for the residents to enjoy quiet areas or be with others if they prefer. What has improved since the last inspection? Four of the staff have the National Vocational Qualifications at Level 3 or above. Six staff have completed the Qualification, at Level 3, but are awaiting verification. What the care home could do better: While the general medication administration was satisfactory, the Registered Providers must ensure that the medication is always stored at a satisfactory temperature. Now that the home has medication which must be treated as a controlled drug, suitable storage must be available. Staff have a variety of training, including courses in autism and communication to support the residents. However, some basic training was not up-to-date and staff need to attend refresher courses to ensure the training is current. It has been an outstanding requirement that a review of the quality of care must be undertaken. In order for the home to develop and improve, and to provide evidence of this, the requirement needs to be met. CARE HOME ADULTS 18-65 Halliday Square, 57 Windmill Park Estate Southall Middlesex UB2 4UQ Lead Inspector Ms Jane Collisson Key Unannounced Inspection 28th May 2008 09:55a Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 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 Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 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. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Halliday Square, 57 Address Windmill Park Estate Southall Middlesex UB2 4UQ 020 8813 8222 020 8813 8228 gideon.attram@nas.org.uk Vanessahalfacre@nas.org.uk National Autistic Society 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) Mr Gideon Attram Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th May 2007 Brief Description of the Service: 57 Halliday Square is a home for six service users with autistic spectrum disorders. The National Autistic Society manages the service and Notting Hill Housing Trust owns the premises. The home is an end-of terrace, three-storey house, located on a housing estate close to Ealing Hospital, and is purpose built. There are two local shops on the estate and the centres of West Ealing, Ealing Broadway and Southall can be reached by public transport from the nearby Uxbridge Road. The communal facilities consist of a lounge, dining room and a kitchen on the ground floor, and a lounge/activity room on the second floor. There is a small garden to the rear of the property and private parking to the front. All of the bedrooms are single, with one located on the ground floor and five on the first floor. Each has a wash hand basin. There are three bathrooms with toilets, one on each floor, and an additional toilet. The home has a manager, registered with the Commission for Social Care Inspection in 2006. Until early in 2007, a two bed registered home was run in conjunction with Halliday Square. The people have now been moved to supported housing but the staff team continue to provide the support to them. The staff team comprises of the Registered Manager, a Deputy Manager, three senior support workers, a team of day and night support workers, and an administrator. At Halliday Square, there is a minimum of two staff on the early shift and three on the late shift, a waking night staff and a member of staff sleeping in. The staff provide support with personal care, practical tasks and activities. Day services are provided by the National Autistic Society in Acton. The home has its own seven-seater transport. The weekly fees in 2007 were £1198 to £1212. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection commenced on the 28h May 2008 from 9.55am to 1.30pm. The Registered Manager had been on extended leave for some weeks. The Deputy Manager is the Acting Manager at present and he was in the home for part of the visit. There was one staff member on duty in the morning and one of the people living in the home was present. A second visit was made on the 9th June at 2pm to look at the records which not were available on the first visits and to meet with the remainder of the people living in the home. The inspection took a total of six and a half hours. There were three members of staff on duty at the second visit in addition to the Acting Manager. We met five of the six people who live in the home, including the person who had been admitted recently. Two of the people were willing to show us their bedrooms and to meet in private. The others preferred not to. A review for one person had been held in the morning of the inspection and relatives had attended. One person was due to go out with a relative in the evening. We looked at all of the communal areas of the home and two of the bedrooms. We found the home well maintained, clean and comfortable. We looked at this inspection at all of the key National Minimum Standards and the records examined included care planning files, medication, staff files, training and maintenance files. The residents come from a number of diverse cultural backgrounds. Some are able to spend time with their families abroad. Any religious needs are met and one person visits an establishment, on a regular basis, with support. As part of care planning, cultural requirements are considered and would be recorded and included in the plan. At the present time there are no unmet needs identified. Until recently, only one new staff member had been employed since the last inspection and no staff have left. This has provided good continuity, which is particularly important for the residents. During the two visits to the service, a long-standing agency staff had become a permanent member of staff. Due to the absence of the Manager, the Annual Quality Assurance Assessment had not been completed. The Acting Manager will complete this in due course. There were two requirements at the last inspection. One has been repeated and three additional requirements have been made. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 6 What the service does well: 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. The summary of this inspection report can be made available in other formats on request. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 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 Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is documentation to support people, or their representatives, to make a decision about moving to the home. There are thorough assessment procedures to ensure that suitable placements are made. People have the opportunity to visit the home prior to admission. EVIDENCE: The Statement of Purpose and Service Users Guide are in place to help people, or their representatives, to understand the facilities and services offered by the home. The Service Users Guide, in a pictorial format, is provided for each person, and copies were seen in their files. The one for the newest resident was being personalised. One person was being considered for the vacancy at the last inspection but the subsequent placement was not successful. The newest resident had been admitted only recently. A thorough assessment had been carried out by National Autistic Society staff and a copy of this was seen. The home’s staff are specifically trained to support people with autism, so the home is suitable to meet the needs of people with this diagnosis. The staff confirmed that the newest resident had taken the opportunity to visit the home and to stay for a weekend before a decision was made. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are in place and up to date for all but one of the residents. People are supported to make informed decisions about their daily lives. Communication needs are recorded in detail. People are supported to be independent and encouraged to try new activities. Consultation is seen to take place. Records are stored confidentially. EVIDENCE: We examined three of the care planning files in detail and the others briefly. The care plans were found to be in order and up-to-date for five of the people living in the home. However, those for the newest resident had not yet been completed. A full assessment was in the file and information from the person’s previous placement, also a National Autistic Society home, was available. The Acting Manager was asked to ensure that the care plans and risk assessments are updated as soon as possible so that they are relevant to the person’s support at Halliday Square. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 10 There are a large number of assessments in the files, some of which have been completed by the residents. While these are useful in helping to compile the care plans, it is recommended that the files could be streamlined with the most recent information available for use on a daily basis. The majority of the staff have been in post for some time, so are fully aware of the needs of the people living in the home. However, newer staff could find a more streamlined file of information easier to assimilate. A shortened support plan is in place to assist bank or agency staff new to the home. Each person has a daily diary in which staff record relevant information for the shift. Monthly reports are compiled by the person’s key worker and the person concerned. We examined a sample of these and found that they provide a useful update of the support and any changes that may have taken place. The staff have training in using specific methods to work with people with autism. Use is made of symbols and photographs to support communication. This includes photographs to inform people which staff are on duty. One person was seen to be encouraged to use this. Boards with symbols are used to plan and to identify the activities of the residents for the day. An annual review was held on the second visit of the inspection and family members were invited and attended. Reports from the day services are also included in the reviews. We found that the reports which has been compiled after the reviews were well written and informative. They provided a good basis for looking at the person’s future plans and development. People using the service are generally able to make decisions about their daily lives. This may include spending time alone, in their rooms or in the lounges. It was seen that staff respected these decisions. There is sufficient communal space for people to be able to choose from a variety of leisure activities, such as watching television or listening to music. There are risk assessments in place for the activities that people undertake. Some people are able to travel alone and the risk assessments recorded how any risks are managed. It was observed that, in accordance with the risk management strategy, staff are telephoned when one person is returning home. We noted the good practice in preparing risk assessments for a recent holiday abroad, as there had been some problems anticipated because of being in a large city. The staff member who accompanied the person said that the trip had gone well and the concerns had not materialised. Information is appropriately stored. The majority of information is kept confidentially in the office on the second floor. Day-to-day records are stored in a cupboard in the dining room. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities for education, work experience and leisure activities are available to suit people’s specific needs. People are encouraged to participate in a variety of pastimes. Family contact is maintained and encouraged. There is regular participation in choosing meals and a good variety is provided. EVIDENCE: We found that the people using the service are encouraged to undertake a variety of different experiences of day services. We talked to one person about the current work experience they are undertaking, which has been successful. There is a specialist day service in Acton for people with autism, run by the National Autistic Society. People attend on various days and also have a day at home when they may undertake activities, such as shopping, to suit their needs and preferences. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 12 We found that the care plans record the type of leisure activities which people enjoy and it was confirmed by the people, and through the records, that they have the opportunity to enjoy these. These include swimming and visits to the cinema. One person had been enrolled for a painting course. Staff try to extend the independent living skills of people in various ways. These may be by cooking meals, or improving their travel skills. It has been planned that one person will be supported to develop their independent travelling skills by attending an activity alone. Two of the residents have been supported to learn to iron their clothes and have photographs of these everyday activities to encourage them and to use in their personal planning. As the home is located on a housing estate between Ealing and Southall, it is centrally placed for travel to shopping centres and other facilities. There are some small local shops which are visited regularly by the people from the home. Buses routes are very close by, with links to underground and main line stations. The home also has its own transport. Contact is maintained with all of the families of the people who live in the home. Three people spend regular holidays with their families and also go on holiday with staff from the home. One had recently been to Paris and four people were due to go to Wales. One person was going out with a relative to a sports club on the evening of the second visit. All of the people who live in the home are from a variety different cultural backgrounds and this is also reflected in the staff team. While there are no specific needs identified, these are considered in reviews and care plans. As families are generally involved in supporting the residents, any unmet needs can be identified. A good variety of meals are provided, and people are consulted weekly about the menu. Cookery books are used so that the specific meals can be provided by whoever is on duty. One person has diabetes and this is catered for. The meals are displayed and a named person is identified to assist with the meal preparation and clearing up. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health needs of people using the service are met by access to community services. The medication administration is satisfactory but a solution is needed to maintain a satisfactory temperature in the medication cupboard. EVIDENCE: Where people require support with personal care, information is provided in care plans. We discussed with the Manager last year some concerns regarding cross gender care which had also been raised by a relative. A sheet was seen to be completed where the male staff had been involved in any female care, but it was noted that this was for prompting only. At the last inspection, we found that the work had been carried out to separate the medical information held in the care planning files. This was much easier to access and it can be seen how each health and medical needs was being met. As part of the examination of the care planning files, we examined the health files and notes for the same three people. These included a variety of hospital, general practitioner and general health visits, such as the optician and dentist. All appeared to be satisfactorily managed. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 14 One person has insulin and is able to self-medicate with support. Guidance to support the staff with this was seen in the medication file. There was one recorded accident which had not been reported to the Commission for Social Care Inspection as required under Regulation 37. This accident had resulted in a fractured wrist. The Acting Manager was reminded about reporting and to ensure that this would be done in future. We checked the medication administration and found it satisfactory. A 28-day monitored dosage system (MDS) is used. This is stored in a cupboard in the second floor office and the room can get very warm. The cupboard has a small fan internally and there is large fan placed outside of the cupboard. Ice packs are also used. The temperature was just over 25°C on the first day of the inspection. A solution is still needed for the summer months. A visit from the pharmacy who supplies the home was due and the Acting Manager undertook to ask them for suggestions. It was recommended that a small portable air conditioning unit could be installed in the room. A new medication was in the home which should be stored in a separate controlled drug cupboard. The Acting Manager said that it is possible that it will not be required in the near future but will undertake the purchase of a suitable cupboard for this. We were informed that all of the staff were to complete a three day medication training and some were undertaking this training during this inspection. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures in place for helping the staff to safeguard people and for complaints. The staff have training to help them safeguard the adults they support. EVIDENCE: There have been no recorded complaints in the home and no complaints made through the Commission for Social Care Inspection. Not all of the people who live in the home would be able to voice their concerns verbally, but all are supported by their families who would be able to speak on their behalf. There have been no adult protection issues in the home. The staff records showed that most of the staff undertook safeguarding adults courses in 2007 but three people still needed the updated training. The organisation renews Criminal Records Bureau disclosures every three years and information to confirm this was seen in the files. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service provides a comfortable environment for the residents, with good communal facilities. Bedrooms are personalised to meet the needs of the people using them. There are sufficient and suitable bathing facilities. The home was clean and well maintained. EVIDENCE: We found that there have been few changes to the environment since the last inspection in May 2007. We saw all of the communal areas on this inspection, and all were being used by the people living in the home. As some of the people prefer a more solitary lifestyle, this can be accommodated. However, the dining room provides a pleasant area for people to gather if they wish to do so. One lounge has a television, sensory equipment, a computer and comfortable seating. The other lounge provides an area with music facilities where people can relax. The dining room provides sufficient seating for everyone to have a Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 17 meal. The garden is quite small, but suitable for the residents and there are French doors to the garden and window seats overlooking it. Those residents who smoke use the garden to do so. The bedrooms are quite small. They are not large enough to have all of the equipment detailed in the National Minimum Standards, such as two comfortable chairs but those bedrooms seen appear to suit the needs of the people using them. There is a fitted unit in each bedroom with a washbasin and a wardrobe. People would be able to see their visitors in one of the communal spaces if necessary. The people whose bedrooms we saw appeared to be happy with their personal spaces and examples of their interests and hobbies, including excellent artwork, were in evidence. There are three bathrooms for the use of the six people living in the home. The ground and second floors have shower rooms, with toilets. A bathroom and toilet, and an additional toilet, are available on the middle floor where five of the bedrooms are located. There is one person with poor mobility who has the ground floor bedroom and has a bathroom and toilet nearby. There are no problems with the mobility of the other residents, so no specialised equipment is needed. The domestic assistant, who is employed for three days a week, was in the home on the first visit. We found the home to be clean and hygienic. The Acting Manager said that the Administrator liaises with the Housing Association when any maintenance is required. There is a satisfactory ground floor laundry room. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is good level of staff who have National Vocational Qualifications. The home benefits from a consistent staff team. Staff are supported with regular meetings and supervision. There is specialist training available to support people with autism but not all of the basic training is current. The recruitment procedures are sufficiently robust to help to safeguard the people using the service. EVIDENCE: We found that there were few changes in the staff team. This has helped to provide consistency, which is important for the residents. A number of staff have been in the home for several years, and this provides good continuity of care. One experienced member of staff had been recruited and another staff had just commenced who has worked for an agency for a long period, and knows the home and its residents well. Some staff work in both the registered home and with the two people who live in supported housing. As one of the services is no longer registered with the Commission for Social Care Inspection, the Registered Manager had been Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 19 asked to separate the hours for each service so that it is clear how many hours are used in the home. The Acting Manager took action to do this by the second visit. Any staff vacancies are covered by either the staff team or a team of bank staff. We looked at a sample of staff record and these were found to be in order. Information, such as Criminal Records Bureau disclosures, are in place. The company asks for three references for each person. There were eleven permanent staff on the rota, to cover both of the services. Of these, three staff have been in post for nine years or more. We found that most staff are qualified at National Vocational Qualification, and there are four staff with Level 3 and the Deputy Manager has Level 4. In addition, six staff were waiting for their qualification, at Level 3, to be verified. Staff have all undertaken some of the specialised autism training, including Asperger’s syndrome. The Acting Manager provided the updated summary of the staff training by the second visit. There were a number of staff needing updated basic training and a requirement is given for these to be done. We found that staff have good support through meetings and there is regular staff supervision. In the samples examined, the National Minimum Standard of six sessions a year was not always quite met, possibly because of the absence of the manager. An annual appraisal system is in place. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current management cover is satisfactory and this is supported by a regular staff team. The record keeping in the home was satisfactory. There is a calm atmosphere and a routine which meets the needs of the people using the service. There is some work on gaining the view of the residents but no full review of the quality of care. EVIDENCE: We found that the improvements that we had noted last year have been maintained. The home had been without the Registered Manager for some weeks but there is an Acting Manager in place who has worked in the home for eleven years, latterly as the Deputy Manager. He has a National Vocational Qualification Level 4. There has been a consistent staff team, which has Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 21 helped the home to continue to provide a calm and orderly atmosphere. We had discussions with some of the staff. One said that it was a “pleasure to work in the home”. A sample of the finances held on behalf of the people living in the home was examined. The recording was satisfactory and regular checks are made. The finances for one person were still in the process of being sorted out with Social Services but money was being accessed for the person to use. We found evidence in the files that people’s views had been sought. An annual development plan, up until May 2008, was produced. This has details of the registered and supported living service that are run from the Halliday Square. This included how the services are developing in regard to training for the staff, planning and reviews for the people living in the home and how they participate in the running of the home. While this goes some way to meeting a review of the care in the home, it does not look at all aspects of the support, in detail, and this should be considered. The completion of the Commission for Social Care Inspection’s Annual Quality Assurance Assessment should help in this process. The views of the families of the people living in the home would be a useful addition to the process as they are involved in the support. This remains a requirement. There is an annual accreditation by the National Autistic Society of the home and last year’s had been provided at the last inspection. No health and safety issues were noted on this inspection. The Acting Manager was not aware if the requirement to have a hazard analysis in the kitchen has been completed. This was a requirement of the Environmental Health Officer and needs to be completed if found not to be done. We examined a selection of maintenance records. These included the information that small electrical appliances were tested in November 2007 and the annual gas check was also made in that month. The extinguishers were checked in May 2008. The home has the support of an Administrator, working for 30 hours a week, to help with the financial and administrative tasks in the home, including the maintenance records. She was not on duty during the visits to the home. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 22 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 3 4 3 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 3 26 X 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 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 3 2 X 3 3 X Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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) 13 (4) 13 (2) Requirement Timescale for action 31/07/08 2 YA20 3 YA32 18 (1)(c) (i) 4 YA39 24 The Registered Providers must ensure that the medication is stored at a satisfactory temperature. The Registered Providers must 30/09/08 ensure that any medication which is required to be held as a controlled drug has an appropriate separate cupboard. The Registered Providers must 30/09/08 ensure that all of the staff received the updated basic training they require, including safeguarding adults, food hygiene and fire safety. The Registered Providers must 30/09/08 ensure that a review of the quality of care, with details of any improvements to be made, is undertaken at regular intervals and include consultation with the service users or their representatives. (The previous timescale of 31/08/07 not met) Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 24 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 2 Refer to Standard YA6 YA20 Good Practice Recommendations That the care planning files are further streamlined to make access easier. That a portable air conditioning unit is provided in the office to help lower the temperature of the medication cupboard. Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Halliday Square, 57 DS0000027708.V364383.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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