Care Home: Olive House

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What the care home does well The facilities of the home are very good. The person who uses the service benefits from the home where the facilities are of a high quality standard and safe. The system of updating and reviewing care plans and risk assessments on a regular basis has enabled the home to identify and meet the needs of the person who uses the service. There are good opportunities for the resident to go out and engage themselves in suitable activities. The home has good policies and procedures, for example, complaints and safeguarding, to ensure that the person who uses the service is safeguarded and their concerns are listened to and investigated by the staff. What has improved since the last inspection? The home`s statement of purpose and service users` guide have been rewritten in a format suitable for people who use the service. However, these are yet to be printed and given to the resident. All the staff have attended training in fire safety, basic food hygiene, and safeguarding adults, as required at the last inspection. What the care home could do better: It is needed that the owner of the home prints out and gives the person who uses the service the improved version of the statement of purpose and service users` guide. This will enable the resident to know the services and facilities available top them. Even though the home is good and the person who uses the service appears to be comfortable, it would be useful for the home to contact relevant people and review assessments and care plans to determine how the person`s needs, especially, their social needs, can be met. The concerns of the resident regarding some members of staff must be investigated and addressed. The home must create a situation, which provides the resident with confidence to make complaints. This includes the implementation of a system of quality assurance, which aims at receiving feedback from all the stakeholders. It is important for the home to have a manager. CARE HOME ADULTS 18-65 Olive House 142 Mays Lane Barnet Hertfordshire EN5 2LS Lead Inspector Mr Teferi Degeneh Key Unannounced Inspection 15th September 2008 09:00 Olive House DS0000066500.V371825.R02.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 Olive House DS0000066500.V371825.R02.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. Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Olive House Address 142 Mays Lane Barnet Hertfordshire EN5 2LS 020 3234 4078 020 3234 4078 ppcomservice@aol.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) P&P Community Services Ltd Manager post vacant Care Home 1 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (1) of places Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2006 Brief Description of the Service: Olive House is owned and managed by P & P Community Services Ltd. The home is registered to provide care and support for one service user with learning disabilities. It consists of a house with all facilities and rooms on one floor. The home is close to shops and public transport links. The home is appropriately furnished and adaptations have been made to meet the needs of the service user. The home’s stated aim is to support people with learning disabilities to live in the community. The fees are between £1000 and £2000 a week. This report is available through the internet. Copies may also be obtained from the provider of this service. Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection was undertaken over a period of five hours, starting at 9:00 am and concluding at approximately 2:00 pm. The person in charge was present throughout the inspection. The inspection activity undertaken included a tour of the building, the examination of the files and records such health and safety, policies, procedures, and the person who uses the service and the staff. Other documents such as the staff rota and, menu and medication administration records were also examined. The person who uses the service and the staff on duty were interviewed. It was evident from this inspection that the person who uses the service is well looked after. From the observations and discussions the resident appeared to be relaxed and comfortable. The home was clean and comfortable to live in. However, the resident feels that their social life could improve if they move to a shared accommodation where they can have more social interaction. What the service does well: What has improved since the last inspection? The home’s statement of purpose and service users’ guide have been rewritten in a format suitable for people who use the service. However, these are yet to be printed and given to the resident. All the staff have attended training in fire safety, basic food hygiene, and safeguarding adults, as required at the last inspection. Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 6 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. Olive House DS0000066500.V371825.R02.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 Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, and 2 People who use the service experience good outcomes in this area. This judgement has been made from evidence gathered both during and before the visit to this service. New residnets are confident that their admission to the home is based on the outcome of their assessment and the availability of proper service and facilities to meet their needs. EVIDENCE: No new residents have been admitted since the last inspection. The person in charge said no new person would be admitted to the home without an assessment. The home has admissions/referral policy which states that The prospective client will be assessed ensuring that the service provided will meet their needs and that they are happy with the accommodation and service provided. P&P Community services Ltd will work closely with the referring agent, other professionals and relatives to ensure that the placement is successful. At the last inspection the manager was required to ensure that the service user guide and statement of purpose are available in a format that can be understood by the service user. The person in charge confirmed that the statement of purpose and service users guide have been updated but are being typed at the head office. The person in charge said the amended copies of both the statement of purpose and and service users guide will be given to the resident as soon as they are printed. Olive House DS0000066500.V371825.R02.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, 9 The people who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are good systems for reviewing risk assessments and care plans. These have enabled people who use service to identify and meet their needs. EVIDENCE: The person who uses the service said that they are able to talk to staff about their needs and they are supported to go to shops, cafes, cinemas. They said that they are encouraged to do a number of things by themselves, such as, making hot drinks and tidying their room. From the file of the person it was clear that their care plans are reviewed and the person has had a risk assessment. The care plan and risk assessment contain details of the needs and risks, and the methods of meeting or managing them. A multidisciplinary review of the persons care plan has also taken place. The resident seemed to be comfortable on the day of the inspection but repeatedly said they wanted to move to be with other people. They said they are happy with most of the staff but there are some staff they did not like. This was discussed with the person in charge who said they would make further investigation about the persons Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 10 concerns and take appropriate action. From observations it was evident the resident has been provided with a tool (walker) to aid them to walk independently. Records seen in the residents file and discussions with the person in charge confirmed that the walker was provided by a physiotherapist who had carried a needs assessment of the person. Olive House DS0000066500.V371825.R02.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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are good systems in place to engage the person who uses the service both at the home and in the community. The person who uses the service is confident that their needs are met. The meals provided at the home reflect the needs and preferences of the resident. EVIDENCE: Discussions with the person who uses the service revealed that they attend a day centre three days a week. They said that they enjoy going to the day centre and meeting friends. They said on the weekends and other days when they do not have a day activity, they go out with the staff to shops, cafes, cinema and restautrants. From observations and discussions with the resident it is clear that they enjoy listening to the radio in their rooms. The reisident said they do not have a visitor who comes to visit them at the home. The resident said they feel lonely, at times while in the home. They said they have been on holiday with a member of staff. Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 12 The person who uses the service have their money paid directly into their account. However, the resident is supported by the staff to manage their money. Records of day-to-day transactions in respect of the resident’s finances are kept kept by the home. These records and some of the changes were checked and found to be correct on the day of the inspection. The resident said they are happy with the people who they meet in the streets and shops. They said they like meeting and talking to the people. The resident said they like the meals prepared by the staff. Records and discussions with the person in charge confirmed that the person is involved in planning the menus and in shopping food stuff. Observations during breakfast showed that the resident was able to chhose what they wanted to eat or drink. The resident has been provided with a walking tool to help them access facilities within the home. The person in charge said the resident is registered on the electoral roll to vote. Olive House DS0000066500.V371825.R02.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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of the person who uses the service are met by the facilities and services provided by the home. EVIDENCE: As mentioned above, the resident is involved in menu planning and shopping food stuff that meets their personal preferences and health needs. From records it was evident that the resident has regularly medical checks. The resident is registered with their own general practitioner. The file has evidence of visits to a dentist, optician, a chiropodist and a psychiatrist. A physiotherapist, who carried out an assessment, has provided a walking tool to help the resident with walking. The resident said that they were waiting for an appointment at a hospital for further treatment. From discussions it was clear that the resident is satisfied with most of the staff. They said that the staff are good and are available to support them within the home or when the go out in the community. Care plans are clear in their description of how to provide appropriate support for the person. On the day of the inspection, the resident appeared comfortable and were happy to share their experiences. The resident explained how they can make hot drinks Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 14 for themselves and for others. They also stated they can do their personal care. Medication is administered by the staff and it was evident from the files and discussion with the person in charge that all staff who administer medication have attended training. The staff have also signed to verify their signiture. The medication administration record sheets (MARS) were checked and were found to be in order. The side-effects of all the medication administered are written and kept with MARS for staff reference. Olive House DS0000066500.V371825.R02.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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are good safeguarding and complaints procedures to ensure the safety and wellbeing of the person who uses the service. EVIDENCE: The resident said they are able to tell their concerns to the staff. The home has a policy and procedure on complaints and safeguarding. The person in charge confirmed that all the staff have attended training on safeguarding adults. As mentioned above, the person who uses the service has not been happy with some staff. From discussions with the resident and the person in charge, the resident has not informed the staff or the person in charge about their concern. The person in charge said she will investigate the concerns and let them know the actions they would take. Olive House DS0000066500.V371825.R02.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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The person who uses the service is satisfied with the safe and comfortable environment in which they live. EVIDENCE: The home is located in a quiet residential area near to shops and public transport links. All the facilities are on one floor. The person who uses the service said they are happy with the facilities. The rooms are decorated and well furnished. Records showed that maintenance works have taken place regularly and as needed. The resident have equipment and facilities that meet their needs in their bedroom. All the rooms were clean and hygienic on the day of the inspection. Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 17 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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The person who uses service can be reassured that the staff employed at the home are vetted, trained and experienced to provide good quality of care. EVIDENCE: It was clear from the three staff files, which were assessed, that the staff have criminal record bureau (CRB) checks and have provided two written references as part of their employment. There are also job descriptions and terms and conditions of employment in the staff files. From staff records and conversation with the person in charge it was confirmed that the staff have attended a range of training programmes including health and safety, fire safety, basic food hygiene, challenging behaviour, adult safeguarding, and first aid. One member of staff is on duty at all times. As mentioned above, the person who uses the service said they are happy with most of the staff but there have been times when they have not been happy with some staff. From discussions with the person in charge or the resident it was clear that this was the first time the resident has spoken to anyone about their unhappiness with a member of staff. The person in charge has been Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 18 asked to investigate the concerns and put an action in place to address the issue. Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 19 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 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is currently well run but the person in charge can be more reassured if there were a registered manager. Even though there are regular internal auditing systems, the service can be further improved by establishing a system of quality assurance and by involving the person who uses the service and relevant people in the system. EVIDENCE: The home is managed by an acting manager who, in this report, is referred to as the person-in-charge. The person-in-charge said they have completed a national vocational qualification (care) and have a previous work experience in a care home. The home has an internal quality assurance system whereby a senior employee of the organisation, which runs the home, comes and audits the Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 20 facilities and services on a regular basis. The staff also undertake a monthly aaudit of the services. A risk assessment of the home and the fire risk assessment have been completed. The gas boiler was tested on 23rd January 2008. The water system was checked for legionnella and the certificate indicated that bacteria were “not isolated”. Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 21 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 2 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 3 X X X X X X Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 YA1 Regulation 6(a) Requirement Timescale for action 31/10/08 2 YA22 22(3) 3 YA37 8(1)(2) 4 YA39 24(1) The amended copies of the statement of purpose and service user guide must be given to the person who uses the service. This will enable the person to know the range of facilities and services available to them. Investigate the resident’s 31/10/08 concern and let the resident and the commission know of the outcome A manager must be appointed to 31/12/08 run the home. This will make the resident confident in the services provided. A formal quality assurance 31/12/08 system must be established. In this way the views of the person who uses the service and that of the other stakeholders would be sought and used to improve the facilities and services. Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 23 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 YA15 Good Practice Recommendations The assessment and care plans of the person who uses the service must be reviewed, with the involvement of the resident and their representatives, to ensure that their social needs are met and they are not bored while at the home. Olive House DS0000066500.V371825.R02.S.doc Version 5.2 Page 24 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 Olive House DS0000066500.V371825.R02.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. 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. 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