Care Home: Healy Drive ,3

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What the care home does well The following are quotes from people that live in the home regarding what it does well: `Teaches me life skills and how to live with other people. The staff and residents are kind and caring. We eat healthy food and have interesting activities and fun.` `Look after me well.` `everything` `I am really happy.` `help with my needs.` `treat them well` We were able to confirm this as a result of our inspection. What has improved since the last inspection? Requirements relating to involvement of individual in their assessments and care planning have been met. Improvements have also been made to enabling staff to be more aware of Equality and Diversity issues. The procedures for people who self medicate have been improved and the home is now able to demonstrate real choice. There is a clearer indication of the lines of responsibility and accountability of the home manager and the company that runs the home. What the care home could do better: No requirements or recommendations were made as a result of this inspection. People commented in their surveys, when asked what the home could do better: `Nothing` `it`s already nice.` `Have not come across anything yet.` Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Healy Drive ,3 Healy Drive ,3 Orpington Kent BR6 9LB     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: Janet Pitt     Date: 1 0 0 7 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 28 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 28 Information about the care home Name of care home: Address: Healy Drive ,3 Healy Drive ,3 Orpington Kent BR6 9LB 01689891401 01689891401 cabrini@cathchild.org info@cathchild.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Catholic Children`s Society care home 8 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: 8 The registered person may provide the following category of service only: Care Home Only (CRH - 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 3 Healy Drive is part of the Catholic Childrens Society and provides care and accommodation for eight adults with a learning disability. The home is a detached house situated in a cul-de-sac as part of a complex with another home and a day centre. The number of beds has recently been increased from six to eight. Each of the people living in this home has their own spacious bedroom. The communal areas are of a good size and include a lounge, a large kitchen with dining area, a games room with a snooker table and laundry facilities. The home has a link worker system and Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 8 1 7 1 0 2 0 0 8 Brief description of the care home members of staff are available to assist and support people in the home at all times when required. The home encourages and enables people to develop and maintain their social and domestic skills, to develop their independence to their own ability and to take advantage of a range of recreational activities in the wider community. The fees in this home range from 727.00 and 850.00 a week. Care Homes for Adults (18-65 years) Page 5 of 28 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: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. One inspector undertook this unannounced inspection. A site visit was made that lasted a total of three and a half hours. During this time we spoke with some people who lived at the home and members of staff. Records relating to care planning and training were examined. A tour of the premises was undertaken. The home provided us with their Annual Quality Assurance Assessment [AQAA]. Care Homes for Adults (18-65 years) Page 6 of 28 Surveys were received from individuals that live at Healy Drive. Information form these sources has been used in this report. 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 8 of 28 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 9 of 28 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. Individuals are able to test drive the home prior to making a decision about whether to move into Healy Drive. People are given sufficient information to enable them to make a choice. People are involved in the assessment process and are able to state what they consider their needs to be. Evidence: The homes AQAA states that they request a full assessment on the individual person to determine whether we are able to meet and fulfil their needs. The document states that people are invited to visit Healy Drive and spend time there to see if they like it. Individuals who responded to our survey indicated that they were given enough information about the home to enable them to make a decision about moving in. One person said that they were not given a choice about moving in, but the majority of respondents had been. The individual who stated they were not asked was otherwise satisfied with the service provided and has lived at Healy Drive for a number of years. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: When we looked at peoples care plans we found that their were comprehensive assessments in place. Information from the placing authority and health professionals involved in a persons care had been included in the assessment. People or their representative had been involved in the assessment process and had been encouraged to contribute the majority of information. For example one plan stated that if an individual needed an operation for health reasons then a best interest meeting would be arranged, at which they would be present. Care Homes for Adults (18-65 years) Page 11 of 28 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. Each person who lives in Healy Drive is treated as an individual. They are supported to make informed choices within a risk assessed framework. Evidence: The AQAA states: We treat each and every resident as an individual person which is reflected in the choices they make for themselves and in their support plans and person centred plans. One of our residents is a regular visitor to wrestling matches and of course the dancing and swimming classes they take part in. During our site visit we spoke with some people who live in the home. The individuals told us about the activities they participated in and how staff supported them to achieve goals. Support plans that were examined had a section on an achievable goal for each persons for the next year. For example one person had wanted to watch a live football match and this was organised with the help of staff. Future goals included Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: holidays and owning property, or living independently. Each persons plan that we looked at has risk assessments in place that were tailored to their need. The assessments covered areas such as independent living skills, such as cooking, travelling alone, sexually inappropriate behaviours and bullying. We found that people had been asked about their dreams and fears. Some had said they were frightened of thunder and lightening and sirens. Individuals had been fully involved in the formation of their plans. The format was well structured and easily accessible. Photographs or pictures were used whenever possible. Annotation had been done by the person. Information also included in the AQAA Link workers ensure they have every opportunity open to them to experience the same as any other person of the same age. This was confirmed when we examined care plans. The manager informed us that individuals are registered to vote and can chose whether they want to do so. Care Homes for Adults (18-65 years) Page 13 of 28 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. People that live in the home are able to make appropriate life style choices. they are supported to fulfil dreams and aspirations as far as possible. Significant relationships are maintained. Evidence: When we looked at support plans we noted that people are able to make choices about how they spend their time. For example one person has regular contact with their family and friends. Others have been supported to develop independent living skills to enable them to move to their own accommodation. Training for staff in equality and diversity issues has been commenced in response to the inspection in October 2008. The home acknowledges that staff could be more skilled in this area. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Individuals spiritual beliefs are noted when they come to live at Healy Drive. One persons plan stated that they were Church of England, but I do not want to go to Church. Activities are of the persons choosing and reflect their interest. Individuals are able to access a wide variety of things to do, such as day centres, college courses, line dancing and going to the pub. People we spoke with said that they enjoyed doing drama at the day centre and going swimming. Individuals are asked about important things in their lives. One person said that they liked going to the Crocodile Club, which is specifically for people with learning disabilities. The AQAA indicates: We support our residents to be as independent as their abilities allow, We offer choice to our residents whenever possible and listen to them when they express a desire to take on something new. The home has evidenced this in the past twelve months by: We have supported one of our residents to achieve his goal; of moving to a more independent setting. We have arranged this years annual holidays to Devon and Portugal. Survey respondents indicated that they are able to make lifestyle choices. One person told us that they had had a relationship, but that had now ended. People that live in the home have music systems and televisions in their rooms if they want. One person has their own computer with Internet access. Others are able to use the office computer. Staff told us that sometimes they bring in laptops for people to use in the evenings if they want. Care Homes for Adults (18-65 years) Page 15 of 28 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. Individuals can be confident that their identified personal and health care needs will be met. Support plans are routinely reviewed, with the persons involvement. Informed consent is obtained prior to any procedure being carried out, whether in the home or in the community setting. Evidence: The services AQAA states that they: Ensure all of our residents are registered with the appropriate health care services, that their regular appointments are kept and met, and that all visits to health professionals are noted and recorded and put to our residents in a way they understand. We chose some support plans to look at. In the plans there were essential details such as next of kin, health professionals involved in the persons care, a personal profile of the individual, including information on their life history and a summary of the persons daily routine. This included when they would like a bath, shower or hair wash Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: and what assistance was needed. We found the plans to be person centred that had been developed by the person and key worker. We noted that the plans are routinely reviewed and the individual had signed the document. There were photographs of an individuals families and things they liked to do. Each person had labelled the photographs. A section of each plan was titled About Me that had been completed by the person. This included details of family members, likes and dislikes and abilities. A separate main file contained information on hospital and health visits, correspondence financial arrangements, accidents and incidents and care management reviews. We found that individuals are able to decide what health treatments they want. One person had consistently declined to have a health test, this had been recorded and staff had made sure that the person made an informed decision. When needed there were communication passports in place, that made sure that staff and others are aware of how to communicate effectively with a person. The service considers that they have improved in ascertaining whether people are able to self medicate. They stated in the AQAA: Encourage and support those assessed as competent to self administer their medication to do so. Those residents that self administer medication have locked cabinets within their bedrooms. Medications were seen to be administered and handled safely within the home. Individuals that live in the home are given opportunities to develop understanding of personal health issues. One person has done an advocacy and assertion course, that covers relationships, marriage and parenthood, facts about contraception, intercourse and childbirth. Medications were seen to be administered and handled safely within the home. Care Homes for Adults (18-65 years) Page 17 of 28 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. People who live in the home can be confident that any concerns the have will be listened to and acted upon. Safeguarding procedures within the home make sure that individuals are protected from harm. Evidence: People who responded to our survey said they would know who to raise any concerns or complaints with. The service has an accessible complaints policy available to every person who lives there. Staff told us that when they have one to one sessions with people that live in the home, any concerns can be discussed. The AQAA states: If any of our residents have any cause for concern they would ask to speak with me [the manager] or a member of staff. Our staff are fully conversant with our complaints procedures. Our staff are all trained to spot changes in our residents that may indicate evidence of abuse and how to deal with it. The Care Quality Commission has not received any concerns or complaints since the previous inspection. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: There have been no Safeguarding investigations. We saw the people that live in the home and staff talking openly. Individuals said they knew who their key worker is and felt they were able to talk to them about any issues. Care Homes for Adults (18-65 years) Page 19 of 28 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. Healy Drive offers a homely environment for people to live in. There is sufficient communal space both inside and outside the building. Individuals are able to chose how they decorate their rooms and have input into the how other areas of the home are organised. Evidence: Healy Drives AQAA says: We provide a homely setting which is clean, presentable and well maintained. Our residents have their own bedrooms complete with washing facilities which are decorated to their own taste. We have just been awarded a four star rating out of five from the Environmental Health after inspection of our premises in October 2008. All survey respondents told us that the home was clean and tidy. Two people that live in the home showed us around. The premises were clean and tidy on the day of the site visit. NO health and safety issues were identified. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The garden is accessible and well maintained. The vines have been removed to provide a level areas for some people to play football. We were told that four people had had their rooms redecorated. One of the individuals who showed us around said that they had been involved in choosing furniture and the colour scheme. Both the boys bathroom and shower room have been redecorated to a good standard. This make sure that their is a choice of washing facilities. Communal areas had photographs of the various activities that people had been involved in. Individuals have access to the kitchen area and their is sufficient space for them to be supported in cooking. Care Homes for Adults (18-65 years) Page 21 of 28 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 live in the home are supported by a well recruited and competent staff team. Staff work together to make sure that individuals best interests are protected and the person is at the centre of the care. Evidence: Information form the AQAA states: Our employees are appointed after completion of all necessary requirements to meet the job role for which they have applied. We provide necessary core training and maintain update training. Staff files were not examined as part of this inspection.Previous inspections and information that we hold confirms that good recruitment procedures are followed that protect the person. ON the day of the site visit the majority of staff were attending First Aid training. Staff spoken with said that they had received training suitable for their needs. the training covered mandatory courses as well as specialist ones, for example communication. The staff spoken with considered that they have a good team that workers for the best Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: interests of the individual. IN the AQAA the service stated: Several of us have commenced a course containing three units based on this subject. The course will be completed over a three month period and once complete, this course will be extended to the rest of our staff who are presently tied into other training. One comment from a survey said: I like the staff here. they are supportive, which is what friends should be. The manager put in the AQAA: I am fortunate to have a staff team who are totally dedicated to working with and on behalf of our resident group to get the best possible outcome for each and every one on whos behalf we work. Care Homes for Adults (18-65 years) Page 23 of 28 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. People who live in the home can be confident that it is run in their best interests. Lines of accountability are clear and people have an opportunity to express their views on the service provision. Evidence: Information from the AQAA tells us: We work as a committed team who pool our knowledge and ideas to achieve the best possible outcomes. We support each other and are aware of who to contact should we require further advice or support. The service considers it has improved over the past twelve months by pooling resources to enable us to produce how we run the residents support plans and person centred plans which we can all follow and add to without confusion. The manager told us on the site visit that work has started on reviewing all policies and procedures in the home. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: We were made to feel welcome on the site visit. Staff spoken with were honest and open about the service and said that they worked well as a team. They commented that staff are able to develop professionally,. Regular supervision occurs and they considered that the manager was responsive to their ideas. We found that the AQAA was well completed. It gave details of how the service is now and plans for continued improvements. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 Care Homes for Adults (18-65 years) Page 27 of 28 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 28 of 28 - 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!