• Care Home
  • Care home

Archived: H C S (Enfield) Limited - 20-24 Southbury Road

Overall: Good read more about inspection ratings

20-24 Southbury Road, Enfield, Middlesex, EN1 1SA (020) 8364 6923

Provided and run by:
HCS (Enfield) Limited

All Inspections

21 August 2015

During a routine inspection

HCS (Enfield) Limited, 20-24 Southbury Road, provides accommodation, care and support for 12 people with a learning disability or people on the autistic spectrum. There were 11 people using the service on the day of our inspection.

This inspection took place on 21 August 2015 and was unannounced. Two inspectors carried out the inspection. The home was last inspected on 08 July 2014 and was compliant in all areas inspected.

There was no registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of law; as does the provider. The registered manager had left the home several weeks prior to inspection. A new manager had been appointed, was in post and was planning to apply for registered manager status.

Procedures relating to safeguarding people from harm were in place and staff understood what to do and who to report it to if people were at risk of harm. Staff had received training in the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS), although some staff were unable to explain how this would impact on people when we spoke to them.

There were person centred care plans written from the point of view of the people they were supporting. Care plans were detailed and provided information to allow staff to carry out their duties and support people properly. People were involved in their care and where this was not possible, there were records of best interest meetings and decisions involving families and healthcare professionals.

People told us that they felt safe within the home. Relatives said that they felt their loved ones were safe. People were well supported by staff appropriate for the role. Staff received on-going training and support from the manager. People were treated with respect and dignity and relaxed  around staff.

People were supported to have healthcare appointments and staff were aware of how to refer people to healthcare professionals when necessary. There were records of appointments and reviews in people's files. People were supported to have their medicines safely and on time. There were records of medicines audits and staff had completed training on medicine administration. The home had a clear policy on administration of medicine which was accessible to all staff.

People were supported to have enough to eat and drink. Staff ensured that people had adapted cutlery and crockery that enabled people to be as independent as possible. Staff were aware of specialist diets, such as pureed food and had a good understanding of ensuring that food was appetising and were offered a choice of meals.

People using the service and relatives told us that they were happy with the care provided and felt that staff were kind and caring. Staff were trained and appropriately skilled to care. Training was regularly reviewed and updated and monitored by the manager. Staff had regular supervisions and annual appraisals that helped identify training needs and improve quality of care.

The manager was present and accessible and spent a lot of time with people. We were told, and saw, that there was an open culture at the home. Staff felt able to raise any concerns with the manager.

There was a complaints procedure as well as an accident and incident reporting. Where the need for improvements were identified, the manager used this as an opportunity for learning and to improve care practices where necessary. There was evidence of audits around medicines and health and safety which helped identify areas for improvement or good practice.

10 July 2014

During a routine inspection

A single inspector carried out this inspection. The focus of the inspection was to gather evidence to answer five questions; Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well led?

During this inspection we spoke with one person who used the service and three relatives of people who used the service. We also spoke with four members of staff who included the registered manager, deputy manager and care staff.

Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at.

If you want to see the evidence that supports our summary please read the full report.

Is the service safe?

One person who used the service told us, 'I generally feel safe' and 'Staff are good. They always help'. Relatives we spoke with told us that they were confident that their relative was safe in the home.

When we discussed safeguarding with staff, they were aware of the signs of abuse. All staff we spoke with were aware of the action to take when responding to allegations or incidents of abuse. They stated that they would report it to their manager. However, not all staff were aware that they could report allegations to the local authority, police and the Care Quality Commission (CQC) and the police.

We saw evidence that people were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. There was evidence that staff had received appropriate supervision and appraisals which enabled them to perform their work appropriately and ensure people using the service were safe and protected.

CQC monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. While no applications have been submitted, appropriate policies and procedures were in place.

The service had systems in place to identify assess and manage risks related to the health, welfare and safety of people who used the service. Care records contained risk assessments which provided guidance to staff on actions to take to keep people safe.

Is the service effective?

People we spoke with said that they were satisfied with the care provided in the home. One person who used the service told us, 'I like staff. Some carers are lovely'. Relatives of people who used the service were positive about the care provided in the home. One relative said, 'Staff are nice and friendly and they answer questions' and another said, 'Care is very good. I can't praise them enough there'. One relative told us, 'It is a nice little home'.

We looked at four care files and saw that people's care needs had been assessed and care and treatment were planned and delivered in line with their individual care plan. Risk assessments had been carried out where necessary. Care plans included information about people's preferred routines and healthcare needs.

Staff we spoke with told us that they were well supported by their manager and that there was good communication amongst staff. This enabled them to carry out their roles effectively, which in turn had an impact on the quality of care people received.

Staff had received appropriate training to meet the needs of the people living in the home.

Staff, family members, healthcare and social care professionals were involved in decisions about people's care and we saw evidence of this. Relatives of people who used the service told us that they were kept informed about people's progress.

Is the service caring?

One person who used the service and three relatives we spoke with were generally positive about the staff at the home. They told us that they had been treated with respect and dignity in the home.

During our inspection, we saw that there was good interaction between staff and people who used the service. People looked well cared for and we saw that the atmosphere was relaxed in the home. We saw that care staff were patient and supported people to meet their needs.

Staff we spoke with said that they were aware that all people should be treated with respect and dignity and were able to give us examples to demonstrate how they ensured this.

Is the service responsive?

One person who used the service and relatives we spoke with told us that if they had any concerns or complaints, they would feel comfortable raising them with staff or the registered manager at the home. Relatives told us that all staff were approachable.

We saw that the home had a complaints policy and procedure. We looked at records of satisfaction surveys that had been carried out by the home. The results indicated that people were generally satisfied with the care provided.

People's care was monitored closely. Written notes about people's health and care were completed by staff. People's care plans and their health needs were regularly reviewed.

Is the service well-led?

The home had quality assurance processes in place to help ensure that people received a good quality service.

One person who used the service and relatives told us that members of staff and the registered Manager listened to them.

Staff told us that staff meetings took place regularly and we saw evidence that staff received regular supervisions with management. This enabled staff to raise queries and concerns and discuss their progress.

We saw evidence that people who used the service had monthly one to one reviews with their key support worker and this enabled people to discuss how satisfied they were with their care.

Staff told us that they felt able to consult the registered manager if they had concerns or queries and said that they felt supported. Staff training and supervision records showed that staff received appropriate training and support.

4 June 2013

During a routine inspection

People we spoke with were positive about the care and treatment provided at the home. One person commented, 'that lady helps me a lot. I do a lot of things myself.' Another person commented 'they do what you want them to do.' Because people at the home were not always able to communicate verbally with us, we spent time observing interactions between staff and people using the service to see what effect those interactions had on people's well-being. We saw that the way staff were interacting with people had a positive effect on their well-being.

Staff we spoke with understood the importance of obtaining the consent of the person before any care or treatment took place. Staff confirmed they had undertaken training in the Mental Capacity Act 2005 (MCA) and were aware that the service must always act in the best interests of the person when they lacked capacity.

People told us they had no complaints about the service but knew how to make a complaint if they needed to. They said they were confident that the service would take any complaint seriously. One person commented, 'I'd talk to the manager, she would listen.'

The provider had taken steps to provide care in an environment that is suitably designed and adequately maintained. Staff told us that the newly refurbished bathroom had increased people's choice and access to bathing and toilet facilities.

28 January 2013

During a routine inspection

The service inspected provided care for people who had complex needs. People we spoke with described the service as "nice" and " a pretty house which is better than where I used to be". Another person thought that "the staff have a tough time". We were unable to speak with everyone due to their disabilities so we observed people's interactions with each other and staff.

We read comments from relatives of people who use the service were cared for and one said that "mental stimulation is always well catered for" and another said "thank you for what you have done". We saw that the service had established a good working relationship with the local services for people with learning disabilities who assisted the service in providing specialist support and advice. For example, speech and language therapy advice or the support from the psychiatrist in the management of a person with behavioural problems. The small staff group provided care based on their skills and experience, however we identified that there are some gaps in their training.

The property required some important refurbishment and updating to meet the needs of the people who use the service especially as their needs change.

15 February 2011

During a routine inspection

Not everyone in the home can communicate verbally so we spent time observing people who use the service to see what effect the environment and staff interactions had on peoples' wellbeing. People told us that staff were kind and respected their privacy. One person commented, 'They help me'. Another person told us, 'They never grumble'. We observed staff supporting people in a friendly and professional way and saw that people were being offered choices. People told us that staff listen to them and involve them in aspects of their care and the general activities in the home. One person commented, 'They ask what you want and write it down'.

We asked people who use the service what they thought about the care and treatment they receive at the service. They responded positively and one person commented, 'It's good'. Another person said, 'It's alright'.

People told us they were happy with the food at the home and that they were given a choice of menu. A person commented, 'They ask what you want for breakfast'. Another person told us, 'The cook asks what you want'

People who use the service and relatives we spoke to told us they were satisfied with the way the service communicates with the doctor and other health care professionals. One person commented, 'He is a very nice doctor'.

People who use the service told us they felt safe at the home. They told us they felt the staff treated them properly and listened to them.

People told us they were happy with the general environment of the home and their rooms. One person told us, 'I like my room, it's nice and quiet'.

People told us that they had confidence in the staff team and that staff responded to their needs appropriately. Comments included, 'They work hard', 'They do know what they are doing' and 'Very helpful staff'.

A relative told us that, 'I'm more than pleased about the quality of staff'.

A person commented in the latest survey, 'If I'm not happy about something then I raise it with the manager and we sort it out'.

People told us they had no complaints about the service. Everyone we spoke with said they knew how to make a complaint and who they would talk to if they needed to.

Relatives said they felt confident to approach the staff or management if they had any concerns about the service.