Care Home: Huntley Residential Care Home

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What the care home does well The home has comprehensive care plans that set out detailed information on residents` health and social needs and how they should be met. Residents are treated with dignity and respect by staff. They engaged well with staff who had created an atmosphere which enabled residents to communicate in their individual ways. The home provides a varied and individual activity plan for each resident. Residents are able to access and participate in community life. Staff are well trained and supported by the management of the home. Huntley has shown that it can sustain the level of service it provides for residents as well as looking for and implementing improvements. What has improved since the last inspection? Since the last inspection a maintenance programme has been put in place. A clinical manager is available to support staff and service users. More training opportunities are being provided for staff. Care plans are being updated and are now more person centred and accessible to service users through the use of pictures to aid understanding. CARE HOME ADULTS 18-65 Huntley Residential Care Home 76 Richmond Road Worthing West Sussex BN11 4AF Lead Inspector Jo Hartley Unannounced Inspection 15th August 2008 09:50 Huntley Residential Care Home DS0000014580.V369177.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 Huntley Residential Care Home DS0000014580.V369177.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. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Huntley Residential Care Home Address 76 Richmond Road Worthing West Sussex BN11 4AF 01903 231931 01903 218959 huntley@consensussupport.com 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) Corich Community Care Ltd Mrs Lisa Ford Care Home 11 Category(ies) of Learning disability (0) registration, with number of places Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 11. Date of last inspection 17th August 2006 Brief Description of the Service: Huntley is registered to provide care and accommodation for up to 11 adults with a learning difficulty between 18 - 65 years of age. It is converted detached house in a residential area within walking distance of the town of Worthing, therefore close to all amenities. Resident accommodation is on the ground and first floor although there is no lift between the floors. There are two double and seven single rooms, one of which has en-suite facilities. The owner has been granted planning permission to extend the property to provide all single bedrooms and improve the bathrooms. There is a good size rear garden that is accessible from the house and is well maintained. Current fee levels range from £800.96 to £1448.89. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This site visit formed part of the key inspection process and was carried out over three hours. The manager completed an Annual Quality Assurance Assessment (AQAA) document, which was returned to the Commission for Social Care Inspection prior to the visit to the home. The information obtained to inform this report was based on viewing the records of the people who use and work at the service, speaking with staff, and observing care and support practices. None of the residents were able to express their views directly to the inspector although all of them were relaxed and looked at home in their environment. Previous inspection reports and information held by the Commission regarding the home were examined prior to the site visit. A tour of the home took place and documents relating to health and safety were viewed. What the service does well: The home has comprehensive care plans that set out detailed information on residents’ health and social needs and how they should be met. Residents are treated with dignity and respect by staff. They engaged well with staff who had created an atmosphere which enabled residents to communicate in their individual ways. The home provides a varied and individual activity plan for each resident. Residents are able to access and participate in community life. Staff are well trained and supported by the management of the home. Huntley has shown that it can sustain the level of service it provides for residents as well as looking for and implementing improvements. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective users individual aspirations and needs are assessed. EVIDENCE: No new residents have been admitted for five years. All current residents have needs assessments in their records. The deputy manager told us that the home has an admission policy in place. Any prospective resident would have a pre-admission assessment and be given a welcome pack. Day visits and overnight stays would be arranged over a period of time to assist the resident with the transition to the home. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ needs are reflected in their individual care plans. They make decisions about their lives and are supported to take risks as part of an independent lifestyle. EVIDENCE: During the site visit we inspected the files of three residents. Care plans are very comprehensive and include a personal profile of each resident, giving detailed information about their likes/dislikes and wishes and goals for the future. Care plans clearly set out how specialist requirements will be met. They describe how individuals communicate their wishes. For example one resident will take staff by the hand and take them to his room when he wants to go to bed. The home keeps records of positive and negative behaviour that include a description of the behaviour, the circumstances, how the resident Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 10 communicated this and the likely cause. This assists the staff to recognise the causes and meanings of certain behaviours. Care plans give comprehensive step-by-step guidelines to each individual’s preferred routines. Despite the limits of residents’ communication staff have developed strategies to ensure that residents are able to make decisions about their lives. Examples given included choosing what clothes to wear, when they go to bed and how they spend their money. Risk assessments are in place and describe the reasons for any restrictions on choice and freedom as well as ensuring residents can take responsible risks. These include going out, taking part in social events as well as the management of epilepsy and poor mobility. The home is in the process of producing new care plans. The inspector saw one completed example. The new care plans include all of the above information. They are person centred, are written in the first person and include pictures and photographs to assist residents understanding of the content. A copy of the home’s complaints procedure, using photographs, is also included in the new care plans. Care plans and risk assessments are reviewed every six months, or more frequently if any required. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents take part in appropriate activities and are part of the community. They have appropriate relationships and their rights are respected. A healthy diet is offered to residents. EVIDENCE: The home has a full activity programme for residents, including access to an activity centre, community based services and activities in the home. On the day of the visit the residents were going out on a picnic in the home’s mini bus. One resident was doing a sensory activity with a member of staff. Activities that residents take part in include; hydrotherapy, horse riding, aromatherapy, discos, cinema, water play and cooking. Staff have researched those establishments which are wheelchair friendly and residents use the local library, restaurants, pubs and cafes and other places of interests. All residents have individual activity files that include details of the activities individuals like Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 12 to take part in and the support they need to do so. Activity programmes a prepared weekly. Six residents attend college courses. Staff ensure that residents maintain links with their family and friends. Some people go home regularly, whilst other have limited contact. Due to communication difficulties telephone contact with friends and relatives is not possible for most of the residents. Staff were seen treating and communicating with residents with dignity and respect. Staff knocked on residents’ doors before entering. Residents are involved with planning and preparing meals within the home. As well as day general menu planning once a week one or two residents choose the menu, (residents who don’t like the meal are given alternatives), go the shop to buy the food and then go back to the home and assist with preparing the meal. The home caters for those who need specialist diets including a low potassium diet and a low cholesterol diet. One resident has variable eating patterns that mean that he sometimes does not eat very well. The home has set up a menu planning and monitoring system to enable them to monitor his intake and try to establish which foods and drinks he like and dislikes. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer and their physical and emotional health needs are met. They are protected by the homes medication procedures. EVIDENCE: Residents’ individual care plans state their preferences for the way they receive personal support, what time they like to get up and go to bed and other personal choices. Staff are able to describe the support that people need and prefer. Health care records show that residents receive the health support they need. All residents have a local GP, access to dentists, opticians, physiotherapy and other specialist health professionals when required. The home seeks advice from See Ability for any adaptations and equipment needed to support any resident who has sight problems. In February a Speech Therapist assessed the needs of all the residents living at the home. Each resident now has individual aims and objectives regarding communication. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 14 One resident has recurring headaches. The home monitors the frequency of these and records what behaviours/actions of the residents led staff to believe the resident had a headache, whether pain relief was given and what the outcome was. Food and fluid intake charts are also in place to see if there is any connection with this and the occurrence of the headaches. Good systems are in place for the administration of medication. This is only carried out by staff who are trained and competent. Accurate records are kept of current medication and when it is administered. A pharmacy agreement is in place to oversee the service provided. All medication is safely stored and disposed of. The reasons for the administration of any “as required” medication are recorded, including what other interventions were used prior to the medication being given and monitoring of the outcomes of the use of the medication. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel their views are listened to and acted on. They are protected from abuse. EVIDENCE: The home has a written complaints procedure that is also produced in pictorial format for residents. Policies and procedures are in place for the protection of vulnerable adults and whistleblowing. Staff spoken with were clear about the procedures for responding to and reporting suspected abuse. All staff have received training in adult protection. The manager has attended a training day for the new West Sussex Multi Agency Policies and Procedures for Safeguarding Adults. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Huntley provides a homely environment although some improvements could be made to the décor and maintenance of the home. It is clean and hygienic. EVIDENCE: The premises are suitable for their purpose and provide satisfactory communal space. All communal areas are accessible to residents some of whom live on the ground floor. Furniture and equipment is good and the home is brightly decorated. However, some areas of the home need attention. For example, some of the decoration is showing wear and tear, two radiator covers had holes in them and the carpet in one of the resident’s rooms should be cleaned or replaced. A plan has been drawn up of minor works to improve the home’s décor and maintenance as required at the last inspection. The holes in the radiator covers have been included in this. An audit of the work needing doing in the home has just been undertaken and quotes have been sought for the redecoration of the areas that need it. There is also a system for staff to report any damage or maintenance required. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 17 The premises are clean and suitable laundry facilities are provided away from food preparation areas. Staff receive training in infection control. Wash-hand basins are available in all areas where there may be a risk of infection. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported by competent and qualified staff who are trained to do their job. Residents are protected by the homes recruitment procedures. EVIDENCE: We looked at recruitment records for three members of staff, staff rotas and training records for all staff during the visit. There are four or five care staff on duty each day plus a cleaner. During the night there is one waking night staff and a senior member of staff who sleeps in. The senior member of staff on duty on the day of the visit said that they have recently had to use agency staff to cover for staff shortages. Recruitment is currently taking place to fill vacancies. One new member of staff has already started but at present is shadowing experienced staff and is not yet on the rota. The home tries to ensure that they have consistent agency staff so that they are able to get to know residents’ needs. All agency staff are given an in-house induction prior to starting and have to work alongside an experienced member of staff initially. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 19 Staffing records showed that staff are only employed following a thorough recruitment procedure. Two written references and Criminal Records Bureau and Protection of Vulnerable Adults checks are undertaken before staff are employed. Each new staff member undertakes a four to five week induction period. A new member of staff told us that she was assigned a mentor when she started work and is currently doing her induction. She told us that she is shadowing experienced staff prior to working unsupervised. She said she has received very good support since she started working at the home. Training records show that all staff receive a core training programme that covers Health and Safety, Protection from Abuse, Administration of Medication, Challenging Behaviour, Autism and other mandatory courses relevant to the job they do and the needs of the residents in the home. Other training is identified in supervision. Each member of staff has an individual training plan. The company has a full time training manager who organises the training programme and a Clinical Manager who provides training, support and guidance to staff to enable them to meet the clinical needs of the residents. New staff receive weekly supervision sessions during their induction. After this supervision is held every six weeks. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home. Their views and those of their representatives inform the development of the home. The health, safety and welfare of residents are promoted and protected. EVIDENCE: The registered manager has the experience and qualifications necessary to run the home, including the Registered Managers’ Award. The home has a thorough quality assurance system in place that seeks the views of residents, staff, relatives and other stakeholders in the community. The manager reviews the results of questionnaires and makes any changes needed. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 21 As mentioned in the previous section staff receive mandatory training in Health and Safety that includes, among other things, Manual Handling, Food Hygiene and Infection Control. Hazardous substances are safely stored and contracts are in place for the maintenance of boilers, hot water systems etc. Tests are regularly carried out on small electrical items and the fire fighting equipment. All the test certificates seen were up to date. Window openings are restricted on the first floor, radiators are covered and water delivered at a safe temperature. All accidents are recorded and monitored by the management of the home. Comprehensive health and safety risk assessments are in place. He home has an annual development plan. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 Consideration needs to be given to replace or clean the carpet in the resident’s bedroom that was discussed during the visit. Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Huntley Residential Care Home DS0000014580.V369177.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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