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Inspection on 18/12/09 for Randall House

Also see our care home review for Randall House for more information

This is the latest available inspection report for this service, carried out on 18th December 2009.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Randall House The quality rating for this care home is: The rating was made on: two star good service 1 2 1 1 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Julie Schofield Date of this annual service review: 1 6 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 75 Randall Avenue Neasden London NW2 7SS 02084520336 02084528544 rc.homes@btinternet.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Mrs Lucille Rabor Number of places (if applicable): Under 65 Over 65 5 0 The maximum number of service users who can be accommodated is: 5 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: Mental Disorder, excluding Learning Disability or Dementia - Code MD Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Randall House is situated within walking distance of the shops at Neasden. Randall Avenue is close to a bus route and there is access to/from the North Circular Road. The nearest underground station is Neasden. Randall House is a large detached house with a small area at the front of the house and an attractive garden at the rear of the property. The house has a driveway providing on site parking. There is also parking space available on the street outside the house. The home is registered to accommodate 5 adults with mental health needs and at the time of the inspection Annual Service Review Page 2 of 7 1 2 1 1 2 0 0 8 there was 1 vacancy. There are bedrooms on both the ground and first floor with bathing and toilet facilities on both floors. One of the first floor bedrooms has an en suite facility. Communal space consists of a lounge and of a dining area within a large open plan kitchen/diner. There is an office on the ground floor and a small laundry room. The manager is also the manager of another of the Randall care homes and is the proprietor of 3 care homes and a nursing agency. Please contact the home for information about its services, including a statement of purpose and service users guide and level of fees. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? At the last key inspection on the 12th November 2008, the home achieved a quality rating of 2 Stars. This means that the people who use this service experience good quality outcomes. We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Information we have about how the service has met any statutory requirements identified during the previous key inspection. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The service was asked to send us their annual quality assurance assessment (AQAA). Although it has not been placed on the service folder we are assured that it was returned in August 2009 and a copy is on its way to us. A manager of Randall Care Homes summarised the progress made by the home during the last 12 months. They told us that one of the strengths of the home is that they ensure residents access the community on a daily basis. One of the improvements that they have implemented has been in terms of communication between staff and communication regarding the needs of residents. Looking forward to the future they intend to introduce a computer system to enable the staff team to have a central data base where records e.g. care plans can be updated as changes occur. We received 2 completed survey forms from members of staff working in the care home. They told us that they are either usually or always given up to date Annual Service Review Page 4 of 7 information about the needs of the people they support and that their manager often or regularly meets with them to discuss how the member of staff is working and gives them enough support. When asked whether their induction had covered everything they needed to know to do the job when they started they both ticked mostly. Since then the training that they have received has been relevant to their role, helps them to understand and meet the individual needs of people, keeps them up to date with new ways of working and gives them enough knowledge about health care and medication. They told us that in regard to staffing levels in the home there are always enough staff to meet the individual needs of all the people that use the service. They agreed that they felt they had enough support, experience and knowledge to meet the different needs of people who live at the home. When we asked what the home does well we were told that the home keeps up to date on information and on the well being of the residents. We received 2 completed and 1 partially completed survey forms from residents currently living in the home. They told us that 2 of the 3 residents received enough information before they moved in to help them decide if the home was the right place for them. They agreed that they had been given written information about the homes terms and conditions. We asked whether they receive the care and support they need and and 1 resident ticked always and 2 residents ticked sometimes. When asked whether there are staff available when the resident needs them 1 resident ticked sometimes, 1 resident ticked usually and 1 resident ticked always. They told us that staff either never or sometimes or always listen to the resident and act on what the resident says. When asked whether the home makes sure the resident gets the medical care they need 1 resident ticked sometimes and 2 residents ticked always. They told us that the home either sometimes or always arranges activities that the resident can take part in and that they sometimes or always like the meals in the home. Residents were satisfied with the cleanliness of the home. It is recommended that some of the information given by residents is discussed at a residents meeting or during key working sessions as part of the homes quality assurance process. We asked residents what the home does well and they told us that it provides good staff, meals and activities. One resident added that they are happy living here and happy with the service received. Another resident said that they enjoy living in the home because it supports me. We received 2 survey forms that had been completed by social or health care professionals. They told us that the services assessment arrangements usually ensure that accurate information is gathered and that the right service is planned for people. When asked whether the residents social and health care needs are properly monitored, reviewed and met by the service they ticked either usually or always. They also ticked either usually or always when asked whether the service seeks advice and acts on it to meet residents social and health care needs and improves their well being. They told us that the service usually respects the privacy and dignity of the residents and supports them to live the life they choose, wherever possible. When asked whether all the member of the staff team have the right skills and experience to support the residents social and health care needs they ticked either sometimes or usually. They told us that the service usually responds to the diverse needs of individual residents. When we asked what the service does well they told us that good quality, clean accommodation is provided. The service encourages residents to be active and occupied and it provides boundaries and model acceptable behaviour. Annual Service Review Page 5 of 7 During the previous key inspection the service achieved a judgement of good in the key outcome areas of Health and Personal Care, Safeguarding and Management. We contacted the service on the 16th November 2009 and spoke with one of the managers of Randall Care Homes about the statutory requirements made during the key inspection of the home in November 2008, to review progress made towards compliance. Two requirements had been made. These were in respect of ensuring that when drawing up the rota minimum staffing levels are maintained by entering the appropriate number of names for each shift during the day. The second requirement was to ensure that when accepting the name of a referee for a prospective member of staff the name of any relative of the applicant was not included. The manager said that compliance with each statutory requirements had been achieved. This will be verified during the next key inspection. The manager told us that it has received 2 complaints since the last key inspection that have been resolved under their complaints procedure within the timescale of 28 days. They were in respect of the environment and noise at night. No complaints have been made directly to the CQC about the home. All of the residents told us that they knew how to make a complaint. When we asked members of staff whether they knew what to do if someone has concerns about the home they agreed that they did. Social and health care professionals told us that the service usually or always responds appropriately if they, or if a person using the service, or another person has raised any concerns. The home continues to let us know about things that have happened since our last key inspection and they have shown us that they have managed issues well. They have made 1 safe guarding alert to the local authority in October 2009 and notified the CQC of this, at the time. It is currently under investigation. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by the 11th November 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. 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