Random inspection report
Care homes for adults (18-65 years)
Name: Address: Rethink Recovery House 13-17 Roxborough Road Harrow Middlesex HA1 1NS two star good service 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: Simon Smith Date: 2 5 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Rethink Recovery House 13-17 Roxborough Road Harrow Middlesex HA1 1NS 02088613717 02088611939 joao.botas@rethink.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Rethink Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 7 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 7 The maximum number of service users who can be accommodated is: 7 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 Date of last inspection Brief description of the care home 13-17 Roxborough Road is a registered care home providing personal care and accommodation for a maximum of seven adults who have mental health needs. The home is run and staffed by Rethink.
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home The home is located in a quiet residential road in central Harrow, close to shops, pubs and other community leisure and transport amenities. The building offers purpose-built accommodation to people using the service, and was first registered as a care home in 1997. It offers short-term placements to people using the service, either on a crisis (one place) or assessment (six places) basis. All the homes bedrooms are single. One downstairs room has en-suite bathroom facilities. There is a walk-in shower downstairs and a bathroom upstairs. The home has a garden to the rear that is well-maintained and accessible through the communal areas of the house. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
We visited the home unannounced on 25th June 2010 and spoke to three members of staff and two residents. The manager was not at the service when we visited but we spoke to him by telephone after the inspection. We checked some written records including residents care plans, staff files and health and safety checks. We also took into account any information about the home we have received since the last inspection. This included notifications of any accidents, incidents, complaints or safeguarding alerts. The residents we spoke to were positive about the support they get at the home. One resident said, You couldnt get any better. The staff are wonderful. Theyre friendly and theyve always got time for you. Staff said they get good support to do their jobs and that they work well together as a team. Staff also said that communication amongst the team is effective and that morale is good. What the care home does well:
Provides good information about the service to residents and people thinking of moving to the home. Each new resident receives a welcome pack, which includes a copy of the Service User Guide. This sets out residents rights and responsibilities whilst they are at the home. The service has clear aims and objectives and a structured admissions procedure. Residents sign up to the homes rehabilitation programme when they move in. This includes a commitment to participating in rotas for cleaning, cooking, laundry and other domestic tasks. Supports residents to achieve goals that are important to them and gives them opportunities to develop important skills. Involvement in tasks such as shopping, menu planning and cooking are designed to equip residents with the skills they will need when they move on. Supports residents to involve themselves in the running of the home and to raise issues if they are unhappy about something. There is a clear complaints procedure which outlines how concerns will be dealt with. Encourages residents to use their free time positively and provides opportunities for residents to take part in college courses, voluntary work, swimming, sports and to visit places of interest. Staff said that the service also aims to support residents if they indicate they would like to pursue a particular interest that is not currently available. Provides a healthy, well balanced menu. The service promotes healthy eating and the development of skills in menu planning and meal preparation. Care Homes for Adults (18-65 years) Page 4 of 10 Provide good support for residents when they are ready to move on. This may include advocating for residents who have reached a point when they are ready to move but have limited options available to them. The service also provides continued support for people who have moved on in the form of outreach work. Promotes effective communication amongst the staff team. There are handovers between shifts and a communication book, which all staff are expected to read before beginning their shift. Team meetings are held regularly and sometimes include guest speakers. Staff are supported with appropriate training, individual supervision sessions and through a system of annual appraisal. On-call management support is always available to staff on duty. Liaises effectively with other appropriate agencies about residents care and treatment. We found evidence that staff communicate with relevant people, including consultants, community psychiatric nurses and care managers. Provides a clean, tidy and welcoming environment. We did not inspect bedrooms but found that the communal areas of the home were homely, hygienic and well maintained. 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 10 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 9 13(4) There must be a risk15/12/2007 assessment in place for each resident, to reflect the person?s current placement and situation, and for the service to be responsible for this. This was not always the case. There must be a documented 15/02/2008 in-house process of assessing and approving of staff to be able to safely provide medication. This should include occasional review of abilities. Staff must also receive formal training in medication management from a suitably competent person, unless they already have up-to-date training in this respect. This is all to minimise the risks of medication errors occurring. 2 20 13(2) 3 20 13(2) To enable stock-taking to be 01/12/2007 accurate, and hence to better protect residents? medications, tablets in dosette boxes must be included when making stockPage 6 of 10 Care Homes for Adults (18-65 years) 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 taking records. 4 23 13(6) There must be a copy of Harrow Council?s current Safeguarding Adults procedures available for use in the home. 01/12/2007 5 35 18(1)(c) Team training gaps in key 01/03/2008 areas such as food hygiene, abuse-prevention, and medication, must be promptly attended to. This is to ensure that residents receive a service from staff who have had service-specific training in all key areas. Regulation 26 visits must take place on a monthly basis. Previous timescale of 1/4/07 not met. This is to help ensure that any significant concerns are identified promptly. Copies of the visit reports must be provided to the local CSCI office in a timely manner. 01/03/2008 6 39 26 7 42 23(2)(b) There must be an appropriate electrical-wiring certificate in place at the home, to show that a 15/01/2008 Care Homes for Adults (18-65 years) Page 7 of 10 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 professional is confident that there are no fundamental flaws with the wiring. 8 42 23(4) The fire risk assessment 15/12/2007 must be reviewed annually, to help ensure that fire hazards are being minimised. Care Homes for Adults (18-65 years) Page 8 of 10 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 9 of 10 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 10 of 10 - 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!
