Random inspection report
Care homes for adults (18-65 years)
Name: Address: Elwin Lodge Care Home 58 Fishponds Road London London SW177LG zero star poor service 06/05/2010 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Louise Phillips Date: 1 5 0 7 2 0 1 0 Information about the care home
Name of care home: Address: Elwin Lodge Care Home 58 Fishponds Road London London SW177LG 0000000000 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Mark Anthony Peake Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 2 Number of places (if applicable): Under 65 Over 65 2 learning disability Conditions of registration: 2 The maximum number of service users who can be accommodated is: 2 The registered person may provide the following category of service only: Care Home only - code 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 Elwin Lodge Care Home is situated in a residential street close to Tooting High Street. The home is a terrace house which has been split into two flats, which share the same front door and small entrance area, though have separate lockable doors to each flat. 0 6 0 5 2 0 1 0 Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home Metered parking is available on the roads around the home. People who live at the home are funded by Wandsworth local authority. The Registered Person informed us that the fees for the service range from £1870.17 to £2659.72 per week Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
This was a Random Inspection visit to check compliance with the Statutory Requirement Notices that we issued in April 2010. This inspection took place over one day and included a visit to the service by a Compliance Inspector. During the inspection we spoke to the Registered Person, manager, service manager and consultant employed by the service to identify areas that need to be developed. We also looked at records and relevant documentation held at the service. This inspection involved looking at information to check compliance with the Statutory Requirement Notices only. We found that work has taken place to meet the requirements of the Statutory Requirement Notices, and that these have been complied with. What the care home does well:
The service has taken positive action to comply with the Statutory Requirement Notices. The service has employed a consultant to look at all aspects of the quality of the service and make recommendations for improvement. Observations during the inspection indicate that developments have been made in a number of areas to improve the lives of the service users. These include photographic boards to improve communication with one person who uses the service, and much improved care planning to ensure that all aspects of each persons needs are identified and supported. The Registered Person has commenced monthly visits in accordance with Regulation 26 of the Care Homes Regulations 2001. The policies and procedures at the service are being reviewed, and a robust system of quality monitoring is being introduced to all areas of the service. An independent auditor was employed to undertake a thorough audit of the monies held for the service users, and the recording of these. The report of this audit was looked at and identified a number of areas of improvement, all of which the service has acted upon. We saw that there are clear records of each transaction that takes place, and regular checking of the balance and records by two staff and the Registered Person. There are now clear and transparent recording processes to ensure that there are appropriate measures to reduce the risks of financial abuse of service users monies. We also looked at a sample of training certificates of staff who work at the home, and found that they had all completed recent training in safeguarding vulnerable adults.
Care Homes for Adults (18-65 years) Page 4 of 11 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 1 4 The Registered Persons must 30/06/2010 ensure that the Statement of Purpose accurately details all the services to be provided, and updated as necessary. To provide relevant and accurate information about the service. 2 9 17 The Registered Persons must 30/06/2010 ensure the risk assessments detail how peoples monies are managed by the service To clearly detail how peoples monies are looked after by the home 3 13 16 The Registered Persons must 30/06/2010 ensure that activities for people who use the service are ongoing, varied and take place during the day, evenings and at weekends. So that people have the opportunity to be involved in varied activities throughout the week. 4 14 16 The Registered Persons must 30/06/2010 ensure a programme of activities is provided by the home Care Homes for Adults (18-65 years) Page 6 of 11 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action To ensure people who use the service have regular leisure and social activities provided for them 5 16 16 The Registered Persons must 30/06/2010 promote the independence of people who use the service through appropriate signage and use of symbols To promote the independece of peoploe who use the service 6 19 15 The Registered Persons must 30/06/2010 demonstrate that all the health needs of people who use the service are properly assessed and planned for. So that people receive the right support for their needs. 7 20 13 The Registered Persons must 30/06/2010 ensure that a system of robust auditing of medication is consistently and regularly undertaken To demonstrate that the home is carrying this out, and to minimise risks to people who use the service. 8 20 13 The Registered Persons must 30/06/2010 ensure they hold accurate records of the administration and disposal of medicines into the home. So that medication is given safely and correctly. Care Homes for Adults (18-65 years) Page 7 of 11 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 9 24 23 The Registered Persons must 30/06/2010 ensure that fire doors in all areas must be self closing To ensure the safety of the people who live there 10 30 16 The Registered Persons must 30/06/2010 make suitable arrangements for maintaining satisfactory standards of hygiene in the home So the service is clean and hygienic 11 32 18 Staff must receive specific 31/05/2010 training to meet the needs of the people who use the service. So that people who use the service receive the right support to meet their needs. 12 33 18 The Registered Persons must 30/06/2010 ensure there are appropriate levels minimum of two staff working in the building at all times throughout the 24 hour period To minimise risks to people who live and work at the service 13 34 19 The Registered Persons must 30/06/2010 ensure information held in respect of persons working in the home includes a recent photograph So that full information is maintained about the staff Care Homes for Adults (18-65 years) Page 8 of 11 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 14 35 18 The Registered Persons must 30/06/2010 ensure that all staff receive training in the work that they are expected to perform, and all statutory training, including fire safety, first aid and basic life support. So that staff are competent to support the people who use the service 15 35 18 The Registered Persons must 30/06/2010 ensure all staff receive a structured induction. So that staff are inducted properly to their work 16 41 17 The Registered Persons must 30/06/2010 ensure that full records relating to the service are kept at the home at all times To demonstrate that the service is being run in the interests of the people who use the service. 17 42 23 The Registered Persons must 30/06/2010 ensure that a detailed fire risk assessment is developed for the service. To minimise risks to people who live and work at the service Care Homes for Adults (18-65 years) Page 9 of 11 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, 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 Care Homes for Adults (18-65 years) Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 11 of 11 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
