Inspection on 16/01/09 for El Shaddai

This is the latest available inspection report for this service, carried out on 16th January 2009.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

El Shaddai 27/02/06

El Shaddai 29/09/05

El Shaddai 28/02/05

El Shaddai 07/09/04

El Shaddai 11/11/03

El Shaddai 25/08/03

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Chatsworth Care - Tudor Lodge

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: El Shaddai 17 Octavia Close Mitcham Surrey CR4 4BY     The quality rating for this care home is:   two star good service 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. Lead inspector: Emma Dove     Date: 1 6 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 22 Information about the care home Name of care home: Address: El Shaddai 17 Octavia Close Mitcham Surrey CR4 4BY 02086468350 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Ms Brenda Willis care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home El Shaddai is a registered care home for up to three adults with learning disabilities. The home is a three storey town house situated in a residential area of Mitcham, close to local shops, leisure facilities and public transport links. The property is in keeping with neighbouring houses and is not identifiable as a care home. The ground floor of the home consists of a kitchen/dining room and a toilet. The lounge and one bedroom are situated on the first floor with a bathroom and the remaining two bedrooms on the second floor. Care Homes for Adults (18-65 years) Page 4 of 22 Over 65 0 3 Brief description of the care home Fees for this home are 340.00 pounds per week at the time of this inspection. Care Homes for Adults (18-65 years) Page 5 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This short notice announced inspection was carried out over two and a half hours on the 16th January 2009 by one regulation inspector. We spoke to people who use the service and the owner and looked at records. We received an annual quality assurance assessment (AQAA) from the owner in December 2008. This gave us good information about the service, what it does well and what will be developed over the next year. We looked at other information received from the service since the last inspection in January 2007. Care Homes for Adults (18-65 years) Page 6 of 22 What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service understands the importance of having information to help people decide to move in. People thinking about moving into the home are invited to visit, meet the other people who live there, the owner and staff. Assessments are completed before someone moves in, ensuring the service can meet their needs. Evidence: A Statement of Purpose and Service Users Guide have been developed to help people decide whether to move in. These documents include information about the home, the facilities and the owner. The owner told us that a full assessment is completed by the placing social worker with the person and their relatives before any decisions are made about moving in. We saw information about individuals needs in their case files. One person told us they visited and chose to come here. People told us they are happy here and are settled. Care Homes for Adults (18-65 years) Page 9 of 22 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are invovled in planning and reviewing their care, developing care plans and making decisions about their future. Risk assessments are in place. Evidence: We saw care plans detail the care and support individuals need. People told us they get the support they need. The owner said they review and update care plans regularly. We saw records of annual reviews and changes in care plans between times when necessary. The owner told us people are allowed to take reasonable risks. We saw risk assessments completed which give a balance between safety and people living a full life. People told us they feel safe and are not prevented from doing things they want. The owner told us files are kept securely and confidentiality is maintained. We saw files to be securely stored. Care Homes for Adults (18-65 years) Page 10 of 22 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is commited to enabling people who use the service to maintain and develop their social, emotional, communication and independent living skills. People are supported to maintain important family relationships. People take part in activities of their choice. People are offered a varied menu and are invovled in meal planning and preparation. Evidence: People told us they go to day centres, go out for drives, go to a cafe and sometimes go shopping. People said they are happy with what they do during the day, evening and weekends. We saw people return from the day centre, watch television, listen to music, do some colouring and make patterns and pictures with beads during our visit. People told us that they keep in contact with family and friends and are able to have visitors at the home. One person said they went to stay with their family over Care Homes for Adults (18-65 years) Page 11 of 22 Evidence: Christmas. The owner told us that people who use the service have at least one holiday each year. People who use the service confirmed that they go on holiday to places of their choice. We saw a varied menu which takes into account peoples food preferences as well as any medical or religious dietary needs. People told us they like the food, the owner is a good cook and help with the clearing up. Care Homes for Adults (18-65 years) Page 12 of 22 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health care needs are recorded and met. People do not need help with personal care. People manage their own medication with some support. Evidence: The owner said people are registered with a GP and attend health appointments when required. People told us the owner helps them attend any medical appointments. We saw daily records include details of health appointments and any actions required. The owner told us that people do not really need support with personal care. People confirmed that they manage their own personal hygiene and the owner and staff are available for support if required. The owner told us that all people self medicate and an assessment has been completed with each individual. People told us the owner does their medication. We saw records of medication received at the home and records of what medication individuals take. Peoples wishes regarding end of life care are recorded. Care Homes for Adults (18-65 years) Page 13 of 22 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a clear, accessible complaints procedure. Policies are in place for safeguarding and the owner has completed training in adult protection. Evidence: One person told us they had no worries. People knew how to make a complaint and said they would speak to the owner or ring family if they had any issues or complaints. The owner told us they have open communication and information about how to complain is available to people who use the service and their representatives. The owner has completed training in the protection of vulnerable adults and is aware of how to respond to issues. Care Homes for Adults (18-65 years) Page 14 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is appropriate to meet the needs of the people who live there. People have their own bedrooms which they have personalised to their choice. The home is well maintained, clean and fresh. Evidence: People have access to a kitchen/dining room on the ground floor and a lounge on the first floor. Bedrooms are single and are on the first and second floor. We saw bedrooms have been personalsied to the individuals taste and choice. There is a toilet on the ground floor and a bathroom with toilet on the second floor. All areas were seen to be maintained to a good standard, clean and fresh. People told us they keep their rooms clean. Care Homes for Adults (18-65 years) Page 15 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the staff who support them. Staff levels are sufficient to meet peoples needs. Staff recruitment is in line with regulations to keep people safe. The owner and staff have access to training to help them carry out thier role. Evidence: The service is a small family run home with two staff employed on a part time basis and the owner. We did not see staff during our visit. We saw people who use the service to be settled and relaxed with the owner. People told us staff are nice and staff help. Staff files were found to include all required checks at the last inspection in January 2007 and no new staff have been employed since this time. The owner is aware of the checks needed when new staff are employed in future. The owner told us she uses training courses arranged by the London Borough Of Merton and has completed training in Basic Life Support, Fire Safety, Communicating with Adults with Learning Disabilities, Infection Control and the protection of vulnerable adults. She has also attended courses on safe caring and supporting independence, run by the National Association of Adult Placement Schemes. Care Homes for Adults (18-65 years) Page 16 of 22 Evidence: The owner told us she sees staff when they work at the home for support and supervision. Staff have previously told us they feel supported in their work. Care Homes for Adults (18-65 years) Page 17 of 22 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owner has the experience to run the home. The service is well run, in the best interest of the people who live there. The annual quality assurance assessment included clear information about what the service does well, with evidence to confirm this. The owner has plans to develop and improve the services provided. Health and safety is well managed with records up to date. Evidence: The owner has many years experience working in health care settings and running this and a similar small home in the local area. She is currently managing the home and told us she is looking to employ a person to be the manager in day to day charge. People told us they feel listened to and that the service is run for them. We saw good relationships between the owner and people who use the service. The owner gave surveys to people who use the service in December 2008. Responses included positive comments about the care and support given with no isses raised. We saw records for health and safety checks to be up to date. The smoke alarm is Care Homes for Adults (18-65 years) Page 18 of 22 Evidence: tested every week and fire drills take place every three months. People who use the service were clear about what they should do in the event of a fire. Hot water temperatures are tested and safety sheets are in place for cleaning materials used at the home. The electrical supply was tested in June 2003, this check should be completed every five years. Care Homes for Adults (18-65 years) Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 20 of 22 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 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. No Refer to Standard Good Practice Recommendations 1 42 The electrical supply should be tested every five years, to ensure the safety of the people who use the service, staff and visitors is maintained. Care Homes for Adults (18-65 years) Page 21 of 22 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 22 of 22 - 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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