Care Home: Hillgreen Care (Ruskin Road)

Similar services:

• Ashlong House
• Norbury Crescent (30)
• Edenvale
• Wadham Avenue
• Chatsworth Care - Dawson House
• Cowden Road, 52 - 54
• Chatsworth Care - Tudor Lodge
• Foxley Lane (121a)

What the care home does well The staff at Ruskin Road are knowledgeable with regards to the needs of the people living in the home. There is an experienced registered manager leading a stable staff team that take a proactive approach. This improves the lives of the people living in the home and they benefit from a well run home. People`s needs are assessed prior to admission into the home ensures that people`s individual needs can be met. People have clear up-to-date care plans and their assessed and changing needs can be met. This means that people can be supported in a consistent professional way by the staff team. People living in the home make clear decisions about their lives were possible and their involvement in the home is promoted. This makes them feel valued. People living in the home undertake a range of activities both in the local community and within their own home, which improves their social inclusion. People are encouraged to have appropriate relationships and maintain contact with family and friends, which promotes their emotional wellbeing.People are offered a healthy varied diet and their cultural wishes and preferences are respected. People`s physical and emotional health care needs are met. This safeguards their health and wellbeing. People are protected from potential abuse as clear adult protection procedures are in place, which is supported by good recruitment procedures. The home has a clear complaints procedure. This means that people`s right to complain is taken seriously by the home. There is a quality assurance system in place that takes into account the views of the people living in the home. There are effective health and safety procedures in place to protect people living in the home. What has improved since the last inspection? The laundry room ceiling has been repaired. This makes the home a nicer place for people to live and work in. The lock on a person`s bedroom door is now working effectively. This ensures their right to privacy is respected. An identified person`s shower has now been repaired. This ensures the home is well maintained. One identified person now has a lampshade in their bedroom. This makes the home more inviting and promotes a more comfortable environment for the people who live in the home. The results of quality assurance surveys are now compiled into a report and made available to relevant parties. The home now has an up to date fire safety risk assessment and an emergency plan in the event of a fire - taking place. The fire alarm system is tested weekly. This further safeguards the health and wellbeing of people living in the home. What the care home could do better: The home needs to ensure that all of the rooms within the home except the laundry room have lampshades fitted. This will make the home a more inviting place for people to live and work. The identified persons bedroom door must be repaired to ensure it is operating effectively. This will ensure the person`s right to privacy is respected. The dining room, hallway and laundry room needs to be decorated to ensure the current standards within the home are maintained. A more effective extractor fan needs to be fitted to prevent the heat affecting the paint on the walls and ceiling of the laundry room. CARE HOME ADULTS 18-65 Hillgreen Care (Ruskin Road) 13 Ruskin Road Tottenham London N17 8ND Lead Inspector Wendy Heal Unannounced Inspection 24th September 2008 9:30 Hillgreen Care (Ruskin Road) DS0000060578.V365567.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 Hillgreen Care (Ruskin Road) DS0000060578.V365567.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. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hillgreen Care (Ruskin Road) Address 13 Ruskin Road Tottenham London N17 8ND 020 7226 8969 020 7226 3939 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) Hillgreen Care Ltd Mr Dennis Obemeata-Yamah Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users living above the first floor should not require assistance in the event of an emergency. 22nd May 2006 Date of last inspection Brief Description of the Service: The home is one of 3 operated by Hillgreen Care. 13 Ruskin Road is a sixbedroom house on a residential street in Tottenham. The home is registered to care for six adults between the ages of eighteen and sixty-five years who have a learning disability together with challenging behaviours and/ or autistic spectrum disorders. The home has six single bedrooms each with an en suite toilet and hand basin. One bedroom has its own bathroom. Two bathrooms are provided for the other five people who live in the home. There is a spacious lounge and separate dining room, with a small garden at the rear of the house. The home is within a short walk of Tottenham High Road and within easy access of buses, Seven Sisters Underground station and Bruce Grove, White Hart Lane and Northumberland Park rail stations. In September 2008 the fee charged by the home was £1,500/week. Hillgreen Care makes available to people, families and prospective residents information detailing the service provided by Ruskin Road and inspection reports. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The rating for the service is excellent (3 stars) this means that the people who use the service receive excellent outcomes. This was an unannounced inspection and took place as part of the inspection process. Compliance was checked against key standards and took approximately 7 hours. We undertook a tour of the home; spoke with the people who live in the home and members of the staff team. We gained further information from the Annual Quality Assurance Assessment form and an inspection of the documents kept in the home. This included the care plans and health and safety documentation. The registered manager, deputy manager and members of the staff team offered their assistance throughout the period of the inspection. We would like to thank the people who use the service and the management team for their openness and participation. What the service does well: The staff at Ruskin Road are knowledgeable with regards to the needs of the people living in the home. There is an experienced registered manager leading a stable staff team that take a proactive approach. This improves the lives of the people living in the home and they benefit from a well run home. Peoples needs are assessed prior to admission into the home ensures that peoples individual needs can be met. People have clear up-to-date care plans and their assessed and changing needs can be met. This means that people can be supported in a consistent professional way by the staff team. People living in the home make clear decisions about their lives were possible and their involvement in the home is promoted. This makes them feel valued. People living in the home undertake a range of activities both in the local community and within their own home, which improves their social inclusion. People are encouraged to have appropriate relationships and maintain contact with family and friends, which promotes their emotional wellbeing. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 6 People are offered a healthy varied diet and their cultural wishes and preferences are respected. Peoples physical and emotional health care needs are met. This safeguards their health and wellbeing. People are protected from potential abuse as clear adult protection procedures are in place, which is supported by good recruitment procedures. The home has a clear complaints procedure. This means that peoples right to complain is taken seriously by the home. There is a quality assurance system in place that takes into account the views of the people living in the home. There are effective health and safety procedures in place to protect people living in the home. What has improved since the last inspection? The laundry room ceiling has been repaired. This makes the home a nicer place for people to live and work in. The lock on a persons bedroom door is now working effectively. This ensures their right to privacy is respected. An identified persons shower has now been repaired. This ensures the home is well maintained. One identified person now has a lampshade in their bedroom. This makes the home more inviting and promotes a more comfortable environment for the people who live in the home. The results of quality assurance surveys are now compiled into a report and made available to relevant parties. The home now has an up to date fire safety risk assessment and an emergency plan in the event of a fire - taking place. The fire alarm system is tested weekly. This further safeguards the health and wellbeing of people living in the home. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 7 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. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience an excellent outcome in this area. This judgement has been made using available evidence including a visit to this service. People moving into the home can be confident that their individual needs will be assessed and discussed with them prior to them moving into the home. This ensures that people’s individual needs can be met. EVIDENCE: No new people had been admitted to the home since the last key inspection. The files of four of the people who live in the home were inspected at random. There was clear evidence that before people moved in full assessments had been obtained by the home from social services. The home had then drawn up a care plan to indicate how the individual person’s needs were going to be met. This assists to promote a positive introduction to the service for the person concerned and ensure the home can meet the person’s needs. We spoke with a number of people who live at the home and they all informed the inspector that they were happy living at the home. One person said, “I am very happy here man”. Another person when asked about the home said, “It is a nice place”. Annual review meetings with Social Services were available for inspection and confirm that people living in the home are appropriately placed and that people’s individual needs are being met. The inspector was pleased to see the Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 10 ongoing achievements of the people living in the home given that some of the people in the past had been in a number of other placements, which had broken down and had not had such positive outcomes. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9, People who use the service experience an excellent outcome in this area. This judgement has been made using available evidence including a visit to this service. People’s assessed and changing needs are well documented in their care plan to assist the staff to ensure the individual people’s needs are met. People are assisted to make as many decisions for themselves as they can to promote their independence. People are supported to take appropriate risks in their lives to assist them to safely achieve their aspirations. EVIDENCE: Three people’s care plans were inspected and they were clear to read. The care plans identify various areas such as support and help with physical needs for example, assisting the person to attend medical appointments, mental health needs, social - network needs, daily living skills, interests and hobbies and finance. The care plans inspected were linked to and reflected the assessed needs of the individual people. There are identified goals that need to be achieved to ensure that people’s individual needs are met. People have a number of goals identified some of these were, to be supported and encouraged with bathing, shaving and washing, to be encouraged with Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 12 physical assistance and verbal prompts to take clothes to the laundry. To be provided with the support of a long -term counselling, psychological support to maintain a balanced mental state, encouragement to maintain links with family members and to be able to prepare light meals with the support of staff, to improve language skills and to develop literacy skills. This would assist with peoples personal development. There is an excellent section within the care plans were they are written in the first person, which relates to for example, personal care, clothing and getting dressed, interests and hobbies, and diet. The information is recorded in a bubble and the person was able to relate their specific needs and preferences. This ensures their wishes are respected and empowers them. The person the care plan is about signs the care plans. This makes the person feel valued. The care plans have clear strategies in place to enable staff to manage people’s challenging behaviour. The interaction between the people living and working in the home was observed. We witnessed situations were people were making decisions for themselves. One particular person who had been out the night before to a football match wanted to spend the day relaxing watching television and using the computer in his/her room. It was agreed that it was appropriate that the person did this. One identified person was observed making clear choices about their evening meal. One person was observed choosing their own breakfast and preparing it. The risk assessments for potential people are being reviewed and kept up to date. This minimises the potential risks for people living and working in the home. The risk assessments that were seen on people’s files inspected covered areas such aggression, physical and verbal abuse, risk of threatening others, risk of self-injury threatening to abscond, risks identified with the use of public transport, risks to property, risk related to financial abuse. The risk assessments specify the identified risks and the risk they may pose to others. The things that may agitate a person further are clearly documented along with how these situations can be avoided or managed. Guidelines are also developed in line with the consultant psychologist who assists staff by advising them when they have to respond to and mange people’s challenging behaviour.This is having a positive effect on the quality of life that the people experience at the home. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 13 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, People who use the service experience a good outcome in this area. This judgement has been made using available evidence including a visit to this service. People’s personal development is promoted and encouraged. People undertake appropriate activities both in and outside the home. This ensures their cultural needs and preferences are met. People are actively encouraged to maintain their relationships. This promotes their emotional wellbeing. People’s rights are respected within their daily lives, which makes them feel valued. People are supported to choose healthy nutritious meals, which benefit their health and wellbeing. EVIDENCE: A number of people go to college. This provides people with the opportunity for personal development. People living in the home have their own activity plan for the week, which has been discussed and agreed with them. A range of activities are undertaken and an examination of the records and feedback from staff and the people living in the home confirmed people go swimming, undertake trips to the cinema, visits to the pub, go bowling, attend the club Disco go to watch a football match. One person plays football for their college and local football team, some people have also joint the Gym. This promotes Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 14 people’s social inclusion and makes them feel valued. The activity plans evidence a range of opportunities to promote and develop people’s independence. These include, changing their own bedding, cleaning their own toilet, cookery lessons and making dinner, cleaning with assistance from staff when required their own bedroom. People living in the home confirmed they have their own freedom passes to access public transport, which assists them to be fully involved in the local community. Staff do assist people who may need support in the community if this is what the person needs to ensure that they have the opportunity to develop and achieve their identified goals. A number of activities are provided within the home. People can watch the television; people can have time with friends at home, watch movies in the lounge. People also have music centres, computers and play stations in their bedrooms. This ensures that there are opportunities for them to be stimulated at home. This prevents people becoming bored and allows people living in the home to socialise together. People living in the home have contact with family and friends. One the day of the inspection one person’s family member visited. This promotes people’s emotional wellbeing as it makes them feel secure. The family member expressed the view that their relative was “well cared for always clean and tidy”. During the conversation it was also confirmed that they go to church with their relative, which assists to promote their religious rights. All of the people living in the home have a key to their bedroom if they wish and their rights to privacy are respected. People spoken to on the day of the inspection confirmed they can use their key and do lock their room. Staff have had training with regard to sex and sexuality issues. This has allowed them to support people living in the home appropriately in relation to this specific area of their personal development. The homes menu was seen and offered a range of varied meals. People were seen assisting staff with the preparation of the evening meal during the later part of the inspection. The kitchen was clean and food was appropriately stored. The fridge and freezer was inspected, which were hygienic. Clear records were being kept with regard to fridge and fridge freezer temperatures. There were colour coded chopping boards to prevent cross contamination during the preparation of food. This protects the health and well being of the people living in the home and the staff who work there. All of the people spoken to said they enjoy the food. One person said, “we can choose the food, I like spaghetti Bolognese the most”. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 15 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, People who use the service experience a good, outcome in this area This judgement has been made using available evidence including a visit to this service. People receive support in a way they prefer. This means their personal wishes are respected. People’s physical and emotional health care needs are met, which safeguards their health and wellbeing. The process for administering medication is effective and promotes the good health of people living in the home. EVIDENCE: The records of people’s health care appointments for each person were inspected. People are being supported to receive all of their individual healthcare checks. This ensures that people’s health and wellbeing is being fully monitored. People living in the home have all registered with a General Practioner. People are supported to attend a range of appointments with relevant healthcare professionals as required. These appointments include their Psychiatrist, Dentist, Optician Community Psychiatric services and a range of general outpatients appointments. This means their health is being promoted and protected. . Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 16 The records of people’s weight monitoring programme was being kept up to date. This means that people’s weight monitoring programme is being effectively monitored. This benefits their health and wellbeing. Medication was appropriately stored and medication and medication administration records ( MAR) charts were inspected for all of the people living in the home. They were found to be in order. This means that clear, effective recording systems are in place, which further protect the people living in the home. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 17 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, People who use the service experience an excellent, outcome in this area. This judgement has been made using available evidence including a visit to this service. People living in the home and their relatives are able to express their views and concerns and these are appropriately responded to by the home.This makes people feel their complaints are taken seriously and acted upon. People are protected by good adult protection policies and procedures that staff are aware of, which makes sure that people are safe and secure whilst living at the home. EVIDENCE: The home has a clear complaints procedure. Three complaints had been recorded since the previous key inspection the record was clear and had been responded to appropriately. Evidence was seen that complaints are a standing item on the monthly service users meetings agenda. Staff explain the complaints procedure at these meetings to make sure that people living in the home know how to make a complaint. The registered manager stated that each person living in the home was given a copy of the complaints procedure as part of the service users handbook they received when they were first admitted to the home. A copy of the complaints procedure is kept in people’s bedrooms. People spoken with indicated that they felt confident to raise concerns and issues with the registered manager or staff if they needed to. The home had a copy of the current adult protection guidance issued by the London Borough of Haringey, the local authority the home is situated in. A copy of the provider organisation’s in house policy was seen this was detailed and clear. This ensures that the staff have a range of comprehensive Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 18 information available to them. This means they are fully informed and have clear procedures to follow. Staff had undertaken training in adult protection training, which ensures they have the knowledge and skills to protect people from potential abuse. No allegations or disclosures of abuse had been reported to the home since the last main inspection. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 19 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): 24,26,30 People who use the service experience a good, outcome in this area. This judgement has been made using available evidence including a visit to this service. People are living in a clean, comfortable safe environment. However some minor improvements are required to ensure the standards are maintained. EVIDENCE: Ruskin Road is a six- bedroom house located in a residential street in Tottenham. The home has six single bedrooms each with an en suite toilet and hand basin. One bedroom has its own bathroom. There are another two bathrooms available for the other five people who live in the home, which means there are a sufficient number of bathrooms and toilets to meet people’s specific needs. There is a spacious lounge and separate dining room, with a small garden at the rear of the house, which people can relax in the summer. The home is within a short walk of many local amenities and public transport, which assists the people living in the home to have an active role in the local community. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 20 We completed a tour of the home with the assistance of a staff member and one of the people who lives in the home. We inspected the premises and people’s bedrooms having sought their permission. Bedrooms are well furnished and have en-suite facilities, which ensures that people’s privacy and dignity is respected. Each bedroom was personalised with people’s own belongings that reflected their interests such as Arsenal - football tops, posters, televisions, music centres, puzzles, video’s and one person has obtained his/her own computer. This assists to make people feel valued within their own home. One person’s lock on their bedroom door had been repaired. The door can be locked when the person wants some privacy or quiet time. This ensures the person’s rights are respected. One identified persons shower has been repaired. This ensures the home is well maintained. One identified person now has a lampshade, which has been provided in their bedroom, which has assisted to personalise their bedroom further to make it feel more homely. It was noted that some rooms did not have lampshades and the inspector has requested that these are obtained for all rooms except the laundry room. The manager has agreed to ensure that this request is actioned. One identified person’s bedroom door had dropped and was difficult to open and close. The door must be repaired to ensure that it operates effectively. This will ensure that the person’s right to privacy is respected and indicate that the home is well maintained. The lounge is adequately furnished and there is a television with access to many channels available, which once again means people have the opportunity to watch programmes of particular interest and ensures their wishes are respected. The people living in the home on the day of the inspection indicated that they would like a new flat screen television. The manager is in the process of investigating the matter to see if the television can be obtained. This would ensure that the views of the people living in the home are listened to and acted upon. The dining room, which has tables and chairs to enable people to eat a meal together and improve their social interaction. The dining room is in need of redecoration. The painted walls are looking dirty redecoration provide people with a nicer environment to live in. The hallway would also benefit from redecoration, as this is looking tired. Redecoration would ensure that people are provided with a pleasant home to live in. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 21 The kitchen was clean and tidy and all equipment was working effectively. This means that the home has the necessary equipment for people to use to lead an ordinary life. One the day of the inspection it was noted that the laundry room ceiling had been repaired and painted. However due to the heat produced in this area the paint on the walls is peeling. The laundry room needs to be painted and to prevent this problem reoccurring it was suggested that a larger extractor fan is identified and fitted within the laundry room to control the temperature of the laundry room more effectively. The inspector would like to see the house completely re-painted to ensure that current standards are maintained. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 22 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, People who use the service experience a good, outcome in this area. This judgement has been made using available evidence including a visit to this service. There is a good recruitment procedure in place, which contributes towards people being protected from potential abuse. Staff are appropriately trained to meet the needs of the people living in the home. Staff are well supervised, which benefits the people living in the home as a consistent approach by staff can be maintained to assist to meet peoples needs. EVIDENCE: The home has an established stable staff team. Staff can work at any of the provider organisations registered homes although they are primarily based at one of them. This means that short-term vacancies can be covered without the organisation having to use agency staff. This ensures that consistent good care is provided to the people living in the home. A satisfactory rota was seen. There were adequate numbers of staff on shift to meet the needs of people living in the home on the day of the inspection. A number of staff had completed their National Vocational Qualification NVQ level 2 and level 3. This assists to ensure that professional practice is followed. Staff have considerable experience in working with people with learning disabilities, which is contributing to a decrease in the amount of challenging behaviour that people are exhibiting. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 23 Staff have undertaken training in relation to communication, adult protection, sexuality, administration of medication, food hygiene, first aid, health and safety and person centred planning. This ensures that staff have the knowledge and skills to meet the needs of the people living in the home. Staff recruitment and relevant documentation was inspected and indicated that there are good quality recruitment procedures are in place. The staff files contained criminal records bureau checks (CRB) two references, and a copy of the persons passport. The documentation was found to be in order and protects the people living in the home from potential abuse. The supervision records of staff indicated that staff are receiving regular supervision. This means that staff are being supported to work with people living in the home in consistent way. This improves the quality of care for people living in the home. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 24 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): 37,39,42, People who use the service experience an excellent, outcome in this area. This judgement has been made using available evidence including a visit to this service. People living in the home and the staff that work there benefit from a well run home. An effective Quality Assurance System that takes into account the views of the people living in the home is in place. This assists with the self-monitoring and development of the home. People’s health safety and welfare is fully promoted and protected. EVIDENCE: A very experienced registered manager manages the home. The manager runs the home very effectively. The manager is very knowledgeable with regard to the people living in the home and their specific needs. This assists to ensure people’s individual needs, are met. The manager’s priority is clearly meeting the needs of the people who live in the home. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 25 The level of expertise in the home has been further developed as the organisation buys in consultancy support in the areas of Psychology and Psychiatry. This means that people living in the home benefit from professional support when it is required. This improves people’s quality of life and assists with their future development. Regular residents meetings take place at the last meeting people living in the home discussed what they wanted one person wanted more tea and cigarettes. People have also discussed food and activities. One identified person living in the home has also been involved in the recruitment process for new staff. When asked about this the person said, It was good. The manager informed the inspector that the views of people living in the home are obtained and the information obtained is then developed into a report and action is taken depending on the information received. The manager also confirmed the quality assurance process is constantly reviewed as the service is aiming to achieve Investors in people status. A range of health and safety documentation was seen that included a gas certificate, electrical installation certificate, portable appliance testing certificate, fire evacuation procedures and servicing and testing of the homes fire fighting equipment. The home has an up to date fire risk assessment. The home has an emergency plan for use in the event of a fire -taking place. The fire officer has visited the home. The home has a current public liability insurance certificate. All of the records were found to be in order and indicate that the home takes health and safety seriously. This promotes the health and safety of the people living in the home and the staff that work there to support them. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 26 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X 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 3 X 4 X 3 X X 3 X Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 27 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23 (2) Timescale for action The Registered Person must 15/10/08 ensure that lampshades are provided in all rooms except the laundry. This will ensure that people live in a homely environment. The Registered Person must 15/10/08 ensure that the identified persons bedroom door that has dropped on its hinges making it difficult to close is repaired. This will ensure that the persons right to privacy is respected. The Registered Person must 12/12/08 ensure that both the dining room and hallway are redecorated. This will ensure that people continue to live in a pleasant environment. The registered person must 10/12/08 ensure that the laundry room is decorated and a more suitable extractor is fitted. This will prevent a build up of heat in this room, which affects the walls and ceiling. This will improve the quality of life for people living in the home. Requirement 2. YA26 23 (2) 3. YA24 23 (2) 4. YA24 23 (2) (b) Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 28 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. Refer to Standard YA24 Good Practice Recommendations The Registered Persons should ensure that the internal rooms of the home are redecorated to ensure the environment continues to be maintained to a good standard. Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 29 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 Hillgreen Care (Ruskin Road) DS0000060578.V365567.R01.S.doc Version 5.2 Page 30 - 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!