Inspection on 25/06/09 for Newburgh Road, 13

This is the latest available inspection report for this service, carried out on 25th June 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newburgh Road, 13 19/10/06

Newburgh Road, 13 04/07/06

Newburgh Road, 13 21/02/06

Newburgh Road, 13 25/11/04

Newburgh Road, 13 21/07/04

Newburgh Road, 13 23/01/04

Newburgh Road, 13 26/06/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: Newburgh Road, 13 13 Newburgh Road Acton London W3 6DQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Jean Bovell     Date: 2 5 0 6 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 28 Information about the care home Name of care home: Address: Newburgh Road, 13 13 Newburgh Road Acton London W3 6DQ 02089935992 02089935992 HM13newburgh@ealing.org.uk www.supportforliving.org.uk Support for Living care home 7 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia physical disability Additional conditions: Service Users to include Learning Disability Users who are Elderly or have a Physical Disability or are Mental Health Illness Date of last inspection Brief description of the care home Newburgh Road is currently registered for seven adults with learning disabilities, that may be associated with a physical disability and/or mental health needs. Those service users with physical disabilities are accommodated on the ground floor. The registered provider is Ealing Consortium Limited and the building is owned by Acton Housing Association who have responsibility for its maintenance. The home is located on a quiet residential street, close to Acton town centre, its shops, facilities and bus links. The building has three floors, linked by an elevator, but access to certain upstairs rooms involves negotiating stairs. On the ground floor there are two en-suite bedrooms that are suitable for service users who use a wheelchair, a large communal Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 0 7 7 7 Brief description of the care home kitchenette/diner, an office and staff sleeping in room, a laundry, and a large garden and wheelchair friendly patio area to the rear. On the first floor there is the nonsmokers lounge, bedrooms, adapted bathroom, and the managers office. On the top floor are further bedrooms, a bathroom, and the smokers lounge. The staff team comprises a manager, two senior support workers, eight support workers and domestic staff. Fees are not quoted as the home has a block contract with London Borough of Ealing. Care Homes for Adults (18-65 years) Page 5 of 28 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: The quality rating of this service is two stars. This means the people who use this service experience good quality outcomes. This unannounced inspection was carried out between 1:30pm and 5:30pm on 25th June 2009. Three support staff and five residents were initially present. We were informed by a support worker that the Registered Manager was not at the home. One resident accompanied by two support workers - was on holiday and another was independently involved in an activity within the local community. During the course of the inspection: records, documents, policies and procedures in relation to key Standards were examined. A tour of the premises was undertaken and observations were made. Care Homes for Adults (18-65 years) Page 6 of 28 Discussions were held with a total of five support workers on separate shifts and five residents were spoken with. A completed annual quality assurance assessment (AQAA) submitted by the service was considered. Requirements made at the last inspection and all key Standards were examined. Support workers were co-operative and provided appropriate assistance throughout the inspection. The Registered Manager visited the home for a short period at the time of the inspection and confirmed that he had been delivering training within the organisation. Care Homes for Adults (18-65 years) Page 7 of 28 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 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 10 of 28 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 needs and aspirations of prospective residents are appropriately assessed prior to admission. Evidence: Five residents files were viewed at random. Each file contained documented evidence that the separate needs and aspirations of prospective residents were fully assessed by the service prior to admission. It was indicated also, that relatives, friends, social workers and health care professionals, where appropriate, were involved in assessment processes. Care Homes for Adults (18-65 years) Page 11 of 28 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. Care plans and risk assessments are being appropriately undertaken. People who use the service are able to make decisions regarding their daily living routines. Evidence: Personal care support plans regarding five residents were examined. It was indicated that the changing personal, healthcare and social needs of people who use the service were being assessed as required. Risk assessments in relation to specific activities identified within care plans were carried out. These included: smoking, having front door keys, moving and handling and wheelchair use. Care plans and risk assessments viewed were reviewed annually or following significant changes in relation to separate needs and/or aspirations. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Support workers reported that residents were able to make decisions regarding their daily living routines including activities, meals, personal purchases and what they wore each day. People with capacity are independent in the local community and manage their own finances. There was recorded evidence that decisions regarding issues such as food choices, menu planning and holidays were discused during monthly residents meetings. Residents appeared well adjusted and moved freely around the house. Individual choices were reflected in personalised lockable bedrooms in which people were able to keep appropriate pets such as budgerigars or items for maximising independence including electric kettles. We were informed by a support worker that at the time of the inspection a resident was being supported at a chosen holiday destination of particular interest. This was endorsed by documented evidence. People spoken with confirmed being happy with the levels of support and encouragement they received in maintaining their independence. Care Homes for Adults (18-65 years) Page 13 of 28 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. People who use the service participate in regular activities within the community and maintain contact with relatives and/or friends. Residents undertake appropriate housekeeping tasks. Varied meals that are adequately wholesome are being provided to residents. Evidence: The emotional wellbeing and community and leisure needs of residents were identified in individual care plans. It was indicated that people were able to be independent in the commiunity or were supported in separate and/or joint outdoor activities including annual holidays, meals out and visiting local pubs. People also attended day resource centres or received payment for working within the organisation. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: At the time of the inspection a resident, supported by care staff, was at a holiday destination of his/her choice. Others were independent or were supported in separate activities within the local community. Residents were observed in the garden. An open visiting policy is in place and contact with relatives and/or friends are encouraged and facilitated. An individual spoken with reported receiving regular visits from his/her mum. There was recorded evidence that residents participated in housekeeping tasks such as food shopping, menu planning, meals preparation, laundry and tidying bedrooms. Varied and adequately nutritional cooked meals were listed on current menus. Support workers confirmed that drinks and snacks were readily available. Care Homes for Adults (18-65 years) Page 15 of 28 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. The personal care of people who use the service are adequately met. Residents receive access to healthcare professionals as required. Policies and procedures on medication are satisfactory. Evidence: The personal needs of residents were identified within separate care plans. It was reflected that people who use the service were essentially self-caring but particular individuals required prompting, reminding or assistance. Personal preferences in relation to gender appropriate carers were also noted on care plans. All residents independently chose what they wore each day. Although residents were generally clean, tidy and appropriately dressed, one persons Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: clothing was observed being unclean and he/she needed toileting assistance during the latter stages of the inspection. Two support workers covered the afternoon/evening shift but one collected a prescription while the other prepared supper. As a consequence, a residents needs had not been met prior to concluding our inspection. The changing healthcare needs of residents were assessed within care plans and there were indicators that people received access to healthcare professionals as and when required. Medicines were safely and appropriately stored and accurately recorded and signed. Records were maintained of medicines received and returned to the Pharmacist. Medication information sheets regardinging individual residents were on file and detailed information regarding types prescribed medicines, reasons for taking them and possible side effects. Policies and procedures for dealing with medicines were in place. It was reflected on training programmes that staff training and refreshers, on medication, were delivered by Boots Chemist. People who use the service appeared healthy and happy. Care Homes for Adults (18-65 years) Page 17 of 28 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 complaints procedure appropriately detailed and accessible. People who use the service are being protected from abuse. Evidence: The complaints procedure was clearly detailed and accessible to residents. There was recorded evidence that complaints regarding the service were appropriately investigated and satisfactorily resolved. Although accidents and incidents were being appropropriately recorded, it was not evident that notifications were at all times submitted to CQC where required. We were informed by a support worker that all residents received state benefits and held bank accounts. Three were financially independent but cash monies in relation to personal allowances were being secured at the home. Separate financial records relating to personal allowances expenditure were examined at random and no discrepancies were identified. Policies and procedures on Safeguarding Adults were in place and inclusive of Whistle Blowing. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: Training records were indicative of current training on Safeguarding Adults being delivered to support staff. Care Homes for Adults (18-65 years) Page 19 of 28 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 accommodation is adequately spacious and appropriately furnished. However, redecoration in communal areas and specific repairs are required. The overall environment is safe and supportive. Evidence: The premises are adequately spacious and furnishings and equipment are of good quality and appropriate. Redecoration is nonetheless required in communal areas and knobs were missing on cupboards in the bathroom on the second floor. The garden was adequately maintained. No issues were identified in relation to the laundry. Overall, the premises were reasonably clean and tidy and no unpleasant odours were detected. The environment was safe and supportive and residents appeared settled and content. Those spoken with reported being happy in their environment. Care Homes for Adults (18-65 years) Page 20 of 28 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. Care staff are appropriately trained and qualified for meeting the needs of the people who use the service. However, staffing levels are not at all times appropriate for meeting the immediate personal needs of residents who require assistance. Staff recruitment files were not accessible for viewing at the time of the inspection. Evidence: It was indicated on staffing rotas that three care support workers covered duty during waking hours and there was one sleep-over at night. Staffing levels were appropriate during the early/middle shifts at the time of the inspection. However, only two care staff covered later shifts and neither were available to meet the toileting needs of a resident when it was required. The records indicated that four of seven support workers had achieved NVQ level 2 or above. We were informed by a support worker that new members of staff received six weeks induction training. Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: It was reflected on training programmes that regular staff training and refreshers delivered for meeting the needs of residents, included Epilepsy, Disability Awareness and Challenging Behaviour. Although the Registered Manager visited the home for a short period during the course of the inspection, he did not - at that time - have the necessary keys for accessing staff recruitment files. As a consequence, this key Standard could not be inspected as required under Care Home Regulation 19 (1)(a)(b)and(c). Care Homes for Adults (18-65 years) Page 22 of 28 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 Registered Manager is appropriately trained, qualified and experienced. Annual quality assurance is being effectively undertaken. The health, safety and welfare of residents are being protected. Evidence: The Registered Manager is appropriately, trained, qualified and experienced. He was not ,however, present during the majority of the inspection. Rota entries were not at all times made or were unclear and no contact details had been entered in the house diary. Care staff spoken with confirmed that the Registered Manager was open, approachable and supportive but difficulties were created in relation to administrative demands and meeting the needs of residents in his absence. Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: The Registered Manager was present for a short period during the course of the inspection and explained that he was also a trainer within the organisation. The Commission is aware of the Registered Manager has achieved the A1 NVQ Assessors Award. The annual quality assurance assessment (AQAA) was completed satisfactorily and submitted to the Care Quality Commission at the required time. It was clear and gave us the information we asked for. Health and safety records were up-to-date. Records were also reflective of regular fire drills being undertaken and were clearly and appropriately detailed. Environmental risk assessments were in place. Training programmes were indicative of staff training and refreshers being delivered in Moving and Handling, Fire Safety and Food Hygiene. Care Homes for Adults (18-65 years) Page 24 of 28 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 25 of 28 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 1 18 12 The Registered Person must make sure that needs of residents are met when required. This is to ensure that the welfare of residents are at all times safeguarded. 31/08/2009 2 23 37 The Registered Person must make sure that notifications are at all times submitted to CQC where appropriate. This is to ensure that the health and welfare of residents are being safeguarded as required. 31/08/2009 3 24 23 The Registered Person must make sure that communal areas at the home are redecorated. This is to ensure that all areas of the home are reasonably decorated. 01/04/2010 Care Homes for Adults (18-65 years) Page 26 of 28 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 4 24 23 The Registered Person must 30/09/2009 ensure that all necessary repairs are carried out including the replacement of missing knobs on bathroom cupboards. This is to ensure that all fittings are maintained in good order. 5 34 19 The Registered Person must make sure that staff recruitment files are accessible for inspection by CQC Inspectors. This is to ensure that all care staff are fit to work at the care home. 31/08/2009 6 43 25 The Registered Person must make sure that there is management accountability at the home at all times. This is to ensure that residents benefit from competent and accountable management of the service. 31/08/2009 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 27 of 28 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!