Care Home: Hotel in the Park

What the care home does well The file for service user A had an assessment of his needs. However there were many empty boxes including, do you like computers and can you use one, do you like going to restaurants, do you have any mental health problems, do you need support when bathing or showering. The assessment was not dated but we felt that if the answers to these questions were not known when it was undertaken, then the answers should be known by now. The assessment needs to be updated. The care plan rests between the assessment and a document entitled working practices. The working practices form was dated 5/8/05, It only dealt with the mobility of the service user. There was no evidence that the working practices had been reviewed or updated. Working practices need to be reviewed and updated. The hotel now serves ninety service users and the oldest assessments and working practices urgently need to be updated. Both documents need to be reviewed and updated at least annually or after any significant change. The file for service user B was a newer file and the deputy manager stated that gradually all service user files are being upgraded to the new style. The file for service user B evidenced assessment but this was more recent being dated 24/6/08. This service user had a communication form. It was not completed but should be. Service user A would benefit from having this form completed as he has communcation needs. Service user B had satisfactory risk assessments on his file. These were dated 13/4/07 and had been updated on 24/6/08. The working practices for service user B had been updated on 13/10/08. This file had a missing person`s card with a photograph of the service user. We understand that this particular service user does have a risk of absconding, but felt that it would be good practice record missing persons information for all service users. Service user B had a health profile on file, service user A did not. We felt that this profiling form should be completed for all service users. There was evidence on the guest monitoring sheets of the two service users, that they get out and about and have enjoyable experiences when they stay at the hotel. We viewed the arrangements for the administration of medication. We noted that the previous requirement had been complied with in that there were not stocks of medication being stored for guests. We viewed the Medication Administration Recording (MAR) charts for the two service users. Service user A does not take any medication and there were no discrepancies for service user B. We did note however that the MAR charts do not have photographs of the serviced users attached for identification purposes. This is a standard safety measure and we recommend it is adopted. The medication folder had a sheet of specimen signatures of staff, which is good practice. We viewed the hotel`s safeguarding policy. We found that it referred appropriately to the local authority policy and stated that social services must be contacted in the first instance. The deputy manager stated that there have been no safeguarding concerns for the last eighteen months. We also inspected the complaints information. There is a satisfactory complaints policy and a form for recording complaints, with a place to record the details of issues, the resolution and actions taken. The complaints folder has a log sheet at the front so that complaints can be tracked to resolution. The two files inspected contained inventories of possessions brought in to the hotel, with the dates of stays. We also inspected the arrangements for the safekeeping of service users monies, which we found to be secure and satisfactory. Finance sheets are kept to record monies coming in and being spent. Receipts are kept for all purchases. We viewed a record of the checking of emergency lighting in the hotel. It had been checked on 17/10/07 and 9/9/08 but the outside contractor. The previous requirement had therefore been complied with. We viewed the environment of the home. This is generally good and we noted that the recommendation to replace the chair in the reception office had been followed. The manager`s office currently has a damp problem which the deputy manager stated is being monitored by the London Borough of Tower Hamlets to check whether the actions they have taken to cure the leak have worked. He said that when they are satisfied there will be no more leaking they will undertaken the cosmetic work to make good. no What the care home could do better: The service needs to review and update the assessments, working plans, and risk assessments starting with the oldest plans. Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Hotel in the Park 130 Sewardstone Road Bethnal Green London E2 9HN two star good service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anne Chamberlain Date: 0 4 0 2 2 0 0 9 Information about the care home Name of care home: Address: Hotel in the Park 130 Sewardstone Road Bethnal Green London E2 9HN 02089831394 02072679099 hotel@camdensociety.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Camden Society care home 7 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: Date of last inspection Brief description of the care home 7 7 Hotel in the Park is a respite service for adults who have learning disabilities. It offers 7 beds and is managed by the The Camden Society. The hotel offers short and longer breaks up to a maximum of around six weeks per year, for each person. The premises are fully adapted for disability and all the bedrooms single and double, are en-suite. There is a comfortable lounge, stylish dining room and a large garden with outdoor garden furniture. The hotel is situated in a quiet street in Bethnal Green, adjacent to a large and beautiful park, and close to Cambridge Heath Road and good transport links. The building is owned by the London Borough of Tower Hamlets and there are offices on the second floor which are currently empty. The London Borough of Tower Hamlets has a block booking with The Camden Society for the rooms in the hotel, and is charged a unit cost of #205 per night by them. Care Homes for Adults (18-65 years) Page 2 of 9 Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This report is written on behalf of the Commission for Social Care Inspection and the terms we and us will be used throughout. This was a random inspection and does not affect the rating of the service. The last key inspection of the service was in September 2008. Two requirements were made and two recommendations. These were revisited in this inspection. We also inspected two case files, the arrangements for the administration of medication, the arrangements for the safekeeping of service users monies, the environment of the service, and the records for safeguarding and complaints. We were assisted in the inspection by the deputy manager, and also had a conversation on the telephone with the manager. We met and spent some time with a service user. We would like to take this opportunity to thank those involved for their co-operation and assistance with the inspection. What the care home does well: The file for service user A had an assessment of his needs. However there were many empty boxes including, do you like computers and can you use one, do you like going to restaurants, do you have any mental health problems, do you need support when bathing or showering. The assessment was not dated but we felt that if the answers to these questions were not known when it was undertaken, then the answers should be known by now. The assessment needs to be updated. The care plan rests between the assessment and a document entitled working practices. The working practices form was dated 5/8/05, It only dealt with the mobility of the service user. There was no evidence that the working practices had been reviewed or updated. Working practices need to be reviewed and updated. The hotel now serves ninety service users and the oldest assessments and working practices urgently need to be updated. Both documents need to be reviewed and updated at least annually or after any significant change. The file for service user B was a newer file and the deputy manager stated that gradually all service user files are being upgraded to the new style. The file for service user B evidenced assessment but this was more recent being dated 24/6/08. This service user had a communication form. It was not completed but should be. Service user A would benefit from having this form completed as he has communcation needs. Service user B had satisfactory risk assessments on his file. These were dated 13/4/07 and had been updated on 24/6/08. The working practices for service user B had been updated on 13/10/08. This file had a missing persons card with a photograph of the service user. We understand that this particular service user does have a risk of absconding, but felt that it would be good practice record missing persons information for all service users. Service user B had a health profile on file, service user A did not. We felt that this profiling form should be completed for all service users. There was evidence on the guest monitoring sheets of the two service users, that they get out and about and have enjoyable experiences when they stay at the hotel. We viewed the arrangements for the administration of medication. We noted that the previous requirement had been complied with in that there were not stocks of medication being stored for guests. We viewed the Medication Administration Care Homes for Adults (18-65 years) Page 4 of 9 Recording (MAR) charts for the two service users. Service user A does not take any medication and there were no discrepancies for service user B. We did note however that the MAR charts do not have photographs of the serviced users attached for identification purposes. This is a standard safety measure and we recommend it is adopted. The medication folder had a sheet of specimen signatures of staff, which is good practice. We viewed the hotels safeguarding policy. We found that it referred appropriately to the local authority policy and stated that social services must be contacted in the first instance. The deputy manager stated that there have been no safeguarding concerns for the last eighteen months. We also inspected the complaints information. There is a satisfactory complaints policy and a form for recording complaints, with a place to record the details of issues, the resolution and actions taken. The complaints folder has a log sheet at the front so that complaints can be tracked to resolution. The two files inspected contained inventories of possessions brought in to the hotel, with the dates of stays. We also inspected the arrangements for the safekeeping of service users monies, which we found to be secure and satisfactory. Finance sheets are kept to record monies coming in and being spent. Receipts are kept for all purchases. We viewed a record of the checking of emergency lighting in the hotel. It had been checked on 17/10/07 and 9/9/08 but the outside contractor. The previous requirement had therefore been complied with. We viewed the environment of the home. This is generally good and we noted that the recommendation to replace the chair in the reception office had been followed. The managers office currently has a damp problem which the deputy manager stated is being monitored by the London Borough of Tower Hamlets to check whether the actions they have taken to cure the leak have worked. He said that when they are satisfied there will be no more leaking they will undertaken the cosmetic work to make good. no 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 2. Care Homes for Adults (18-65 years) Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 9 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 1 2 12 Assessments must be reviewed and updated at least annually or after any significant change. To ensure information used to care for service users is current. 01/06/2009 2 6 12 Working practices must be reviewed and updated annually or after any significant change. To ensure information used to care for service users is current. 01/06/2009 3 9 12 Risk assessments must be reviewed and updated annually or after any significant change. To ensure information used to care for service users is current. 01/06/2009 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. Care Homes for Adults (18-65 years) Page 7 of 9 No. Refer to Standard Good Practice Recommendations 1 2 3 19 20 23 All service users should have a health profile. All MAR sheets should have a photograph of the service user attached. All service users should have missing persons information. Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: 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 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). 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