This is the latest available inspection report for this service, carried out on 24th February 2010.
CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: Randolph Avenue, 248 248 Randolph Avenue London W9 1PF one star adequate service 05/10/2009 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: Ann Gavin Date: 2 4 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Randolph Avenue, 248 248 Randolph Avenue London W9 1PF 02076258975 02076248948 randolphavenue@together-uk.org www.together-uk.org 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) : Together Working for Wellbeing care home 12 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 12 The maximum number of service users who can be accommodated is: 12 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Male whose primary care needs on admission to the home are within the following categories Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Randolph Avenue is a home for up to 12 service users with a mental health disorder. The aim of the project is to provide a structured, rehabilitative accommodation for a maximum period of two years. The home is managed by Together Working for Wellbeing and Octavia Housing Association is responsible for maintenance. The home is situated in Maida Vale with good transport links and access to community services. Each service user has their own single bedroom and have access to communal areas. The home has a lounge equipped with TV, video and hi-fi. There is a kitchen on the
Care Homes for Adults (18-65 years) Page 2 of 9 0 5 1 0 2 0 0 9 Brief description of the care home lower ground floor, which opens into a spacious garden. There is also a quiet room on the lower ground floor equipped with a computer printer and TV. The weekly fee for the service is #537.54. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This unannounced visit took place on the 24th February from 11 am until 1.15 pm. The purpose of the visit was to look at compliance of the requirements made at the last inspection in September 2009 Time was spent talking with the two staff on duty, one permanent and one agency, with the residents who were at home, looking at care plans and other documentation. The Manager was away on annual leave, on his return he gave a full update on the information requested. The Manager and staff have been working hard and the requirements and the recommendations made at the last inspection have been met with the exception of the registration of the Manager which has been held up due to delays in obtaining a medical reference. Three care plans were looked at. All had risk assessments with an action plan. The written key working sessions were up to date and were much more focused. All care plans were more specific and the staff member spoken with said that they were all finding their way with the new format but it was very helpful. Talking with two of the people who live in the project and observing interactions with staff gave evidence of more support being available. The staff are continuing to develop their support to people in all aspects of their life and life skills. The staff on duty said that particularly with the new clients they were seeing a greater difference. There was more food in the cupboard in the main lounge and the menus had greater choice and more healthy options. There was a bowl of fruit in the lounge. The staff member said they were constantly working with residents on creating more healthy option menus. The Manager is in process of devising a user friendly format to record peoples meals. Staff are presently recording, in the daily notes, what people are having for their main meal. The general cleanliness of the project had improved. They have employed a new cleaning company who are providing a satisfactory standard of cleaning. One bathroom was locked as it was being tiled. The others had not been touched in any real way. The Manager, who was on annual leave at the time of the inspection sent, as requested, an update of the situation. It said how they have had an initial discussion with Octavia housing about making changes to the bathrooms and toilets on the two landings to make them more spacious. This would be achieved by removing the partition wall between the toilet and bathroom. The Manager has also spoken to the probation service who have assisted with internal decoration in the past to and they are willing to offer this service again. They are awaiting a visit to assess what work needs to be done. The Manager also gave an update about the staff sleep in facilities. Stating We have had two visits from Octavia surveyors and a meeting with Octavia, Social Services commissioner and ourselves. The plan the surveyor from Octavia recently proposed is to extend the downstairs space (by the quiet room)
Care Homes for Adults (18-65 years) Page 4 of 9 further into the back garden and create a lounge for service users downstairs next to the communal kitchen. The lounge would include the present dining space and the quiet room. The present upstairs lounge would be converted into an office and staff sleep in area, the office would be partitioned from the sleep in area which would have on suite facilities utilizing the current plumbing in the staff toilet. The present staff office could be converted into a quiet room for service users. The next step is for Octavia to get someone in to do draw up a plan .Octavia surveyor is suggesting approximately three months before the plan is in place At the time of the inspection there was one permanent part time member of staff on duty with one agency staff who was on their first day. They said that the new shift is working better. The staff member said that they have received training on the new way of working and on the guidelines that the Manager drew up. This is ongoing. Speaking with the Manager following the inspection he explained how he felt that personal one to one training on the new way of working would be more beneficial to staff. He has been doing this to good effect and is planning to continue to do so. He is also planning other training for staff. Discussing supervision the Manager said that he is supervised by the Service Manager. He then supervises the team of five Seniors and one Social Care Worker. Two Senior Social Care Workers will be supervising the Cleaner, Relief Social Care Workers and the new full time Social Care Worker. The Manager said the Service Manager was making frequent visits to the service and that they will be forwarding ,by post, their monthly unannounced visit reports. The Manager said that the lack of GP reference was holding up his application for registration as Manager. Once the reference is back he will proceed with his registration without delay. The project must make sure that everyone who comes to the project sign in and out in to ensure all safety in the case of any emergency or fire. What the care home does well: What they could do better:
Continue to develop and consolidate the focused way of working with people with clear goals and outcomes. Randolph Avenue need to carry out the work on the bathrooms to improve the experience of the people in the project. They also need to agree and carry out the plans to develop appropriate sleep in facilities for staff. The project must make sure that everyone who comes to the project sign in and out in to
Care Homes for Adults (18-65 years) Page 5 of 9 ensure all safety in the case of any emergency or fire. 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 6 of 9 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 37 8 The Manager must complete their registration with the Commission 31/12/2009 Care Homes for Adults (18-65 years) Page 7 of 9 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 1 42 23 The project must make sure 20/03/2010 that everyone who comes to the project sign in and out in to ensure all safety in the case of any emergency or fire. 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 8 of 9 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 9 of 9 - 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!
