Inspection on 12/08/09 for Station Road 159

This is the latest available inspection report for this service, carried out on 12th August 2009.

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

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.

Other inspections for this house

Station Road 159 26/01/07

Station Road 159 16/01/06

Station Road 159 21/07/05

Station Road 159 01/12/04

Station Road 159 19/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Station Road 159 159 Station Road Hendon London NW4 4NH     The quality rating for this care home is:   three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Susan Woolnough-Singh     Date: 2 2 0 8 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2010) Commission for Social Care Inspection (CSCI). 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 CSCI 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 25 Information about the care home Name of care home: Address: Station Road 159 159 Station Road Hendon London NW4 4NH 02082036074 02084571256 159stationrd@norwood.org.uk bucketsandspades@norwood.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Norwood Ravenswood Ltd T/A Norwood care home 5 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: PC Care home only 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 159 Station Road is run by Norwood, a Jewish charity operating services for adults and children with learning disabilities. The building opened in June 1997. The home is a large detached property that has been adapted to accommodate 5 people. The kitchen/diner, the lounge and managers office are situated on the ground floor. 4 bedrooms and laundry are on the second floor and another bedroom on the third floor. There is an enclosed garden facility. The home has good access to local shops and the Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 5 Brief description of the care home transport and other amenities of Hendon. The stated aim of the service is to provide high quality individualised residential care that will, together with day opportunity programmes enable people to maximise their educational and personal development. To develop a strong sense of religious and cultural identity, ensuring each person can self-determine their lifestyle and achieve their goals in life. Placements at the home cost between #650 to #950 for each person per week. Service users are expected to pay separately for some items and activities, such as eating out. Following Inspecting for Better Lives the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Care Homes for Adults (18-65 years) Page 5 of 25 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: three star excellent 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: This was an unannounced inspection of 159 Station Road. The first visit took place on the 12th August and was unannounced. The second visit took place on Sunday 23rd August, this was planned and we met with the Registered Manager. During the inspection we spoke with four of the people living in the home. On the first day of the inspection people who use the service were out to lunch; we toured the building with a support worker and met with the Registered Manager on her return. A tour of the premises took place and various records and policies were viewed including the written records for three of the people living in the home and of two care staff. The medication records, complaints record, accidents and incidents and environmental risk assessments were also viewed. Care Homes for Adults (18-65 years) Page 6 of 25 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. 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 7 of 25 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 8 of 25 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. Information is available for people wishing to move into the home. An assessment format is in place to ascertain peoples needs. The home is aware of the need to have a process of moving in that consults with people about their environment and helps them to settle. Evidence: The most recent person to move into the home did so in 2005. Therefore we did not assess records relating to assessment, and the process of moving in. The Annual Quality Assurance Assessment (AQAA) informed us that Norwood have an assessment process; and that people are consulted about their bedroom and how they would like this to look. A Statement of Purpose and Service Users Guide are available for people considering moving into the home.This contains the aims and objectives and services available. The documents were not examined at this inspection, however this standard was met at the last inspection on 2007. Care Homes for Adults (18-65 years) Page 9 of 25 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have good, clear care plans. They can make decisions relating to their lives with assistance. Risk to residents is generally managed in an appropriate manner. Evidence: We spoke with four people who live in the home. People spoke of their life at the home and the things that are important to them; from these discussions we ascertained that people are happy and comfortable at Station Road. The inspector reviewed the written records for two people living in the home. In each case, these included good quality care plans, along with risk assessments that were relevant to the needs, preferences and lifestyles of each person. The care plans we looked at contained information and guidance on personal care, health care, activities, behaviour, cultural preferences and finances. Monthly summaries had been completed Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: and were written in the first person We viewed risk assessment and could see that these related to individual areas of risk and how risk would be managed. Regular meetings take place for people who live in the home. We looked at the minutes of the last meeting and saw that summer activities had been discussed. Care Homes for Adults (18-65 years) Page 11 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to take part in activities arranged by the home and appear to enjoy these. The home arranges activities for people many of which take place in the local community. The home supports family links and friendships. People take part in menu planning and a healthy and varied diet is available. Evidence: People are treated as individuals and are encouraged to have their own interests. They benefit from a range of activities both on an individual and group basis, activities take Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: place mainly in the community. One the first day of the inspection a small group had been out to lunch and on the second day of the inspection people had been to a bring and buy sale. We spoke with three people about their interests and their weekly routines and schedules. Some of the activities that people mentioned were gardening, singing, going out to restaurants and art work. On talking to people, shopping and lunch out appeared to be a popular activity. We were informed by the Manager that Norwood Ravenswood has been looking at improvements with more appropriate activities and outings for people depending on their age and interests. One person using the service has two voluntary placements. Norwood Ravenswood have recruited recently an Employment Manager for the organization and two employment coaches with the aim of supporting people in skills training and into suitable work. The celebration of Jewish traditions is an integral part of life in the home and staff assist people. Staff receive training as part of the induction process for new employees on how they will work within this tradition. Shabbat and Jewish festivals are celebrated; on the tour of the premises staff explained briefly how the Kosher kitchen is managed. People have differing levels of contact with family and friends; people discussed their individual circumstances and we were able to see in the care plan arrangement for family contact. During the inspection we were aware that one person has email contact with a relative. The (AQAA) informs us also that a personal computer ha been set up for people and they are encouraged to use the services available on this such as email and the INTERNET. The menu is discussed and planned each week with people who use the service. We were informed by the manager that people have a choice, however advice on healthy Eaton is given and healthy eating is promoted. Care Homes for Adults (18-65 years) Page 13 of 25 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. Personal care is provided in a manner appropriate to individuals needs. People have access to a range of health care services and their health care needs are monitored. The home has appropriate medicine procedures in place. Evidence: Peoples care plans showed arrangements for providing personal care and clear guidance was in place for staff about encouraging peoples independence. A key worker system is in operation to increase the individuality of service users in respect of care giving. We looked at two care plans, information was available for both on personal care and health care with corresponding risk assessments. we were able to see from the records that people had access to health care professionals as and when needed and on a regular basis. The (AQAA) informed us that there is an emergency procedure for staff to contact a Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: senior person in the case of emergencies. The home is also working with people to improve their diet and chose a more healthy menu. The home operates a monitored dosage system of medicine administration. Staff administer medication, people who you the service do not self administer. Staff receive training on medication administration as part of their induction course. We looked at the medication administration records for two people, we could see that clear records are in place. The home has a procedure for staff to follow if there are any medication errors. Care Homes for Adults (18-65 years) Page 15 of 25 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. A suitable complaints procedure is in place. A policy is in place for the safeguarding of vulnerable adults. Staff have received training in adult protection. Evidence: The home was found to have suitable complaint policies and procedures in place. There had been no complaints made about the home since the last inspection. Staff have signed to verify that they have read and understood the complaints policy. The home also had a copy of the London Borough of Barnets Protection of Adults policy. Staff have received training in what constitutes abuse and how to deal with and report any potential abuse situations. A Whistle Blowing policy is in place, we were able to see that staff had signed to verify that this had been read. The (AQAA) informed us that the home would support people to take a complaint forward, sighting the example of making a complaint with regard to poor premises maintenance issues. We did not sample financial records as part of this inspection. Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: Care Homes for Adults (18-65 years) Page 17 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A comfortable and homely environment is provided for people. The home is well equipped, well maintained, homely, clean, tidy and hygienic. Evidence: We toured the home with a staff member and found it to be very pleasant, well decorated and homely in appearance. The home was clean, tidy and warm with no evidence of safety hazards. There are sufficient toilets and bathrooms providing the choice of a shower or a bath. Peoples rooms were found to be very much their own, being personalised with items such as photographs and ornaments. We looked at the kitchen and found that the standard of cleanliness and hygiene is high. Since the last inspection new leather sofas and dining furniture has been purchased. There is a secluded garden to the rear of the premises. People who use the service informed us that a gardener comes in and they assist with planting flowers. There was no offensive odours to be found anywhere in the home. The equipment and furnishings were generally in good condition. Care Homes for Adults (18-65 years) Page 18 of 25 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. The people living in the home are supported by sufficient numbers of competent and qualified staff. Staff have received mandatory training and this is due to be updated. The recruitment procedures are supportive and protective of people who use the service. One to one supervision needs to be offered to all staff on a regular basis. Evidence: We viewed the personnel records for one member of staff and found that records indicate that the home is following appropriate recruitment policies and practices. References and CRB checks are sought and maintained on peoples files along with proof of identity and right to work. The personnel file examined was of the most recent member of staff to join the team. We were ale to the application form, references, identity verification, Criminal Records Bureau disclosure reference number and paperwork verifying permission to work in the United Kingdom. Interview questions and answers had been recorded, Skills for Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: Care Induction booklet and terms and conditions of employment were also on file. The (AQAA) informs us that the organization would like to involve people who use the service in the recruitment an interview process. This is a point for further improvement, and that user friendly paperwork needs to be developed. The supervision notes on this file were not up to date which meant that the member of staff had not had the required number of one to one supervision sessions as prescribed in the National Minimum Standards. However, during the inspection dates were verified to be recent. The records were not at the home but with the supervisor. We looked at new staff induction for 156 Station Road. The induction material we looked at covered administrative procedures, health and safety, and food storage, complaints, medication, fire procedures,and knowledge on the Jewish Way of Life. The (AQAA) informs us that member of staff is working toward a National Vocational Qualification, the remainder of the team have complete the NVQ. Two staff have a Learning Disability Qualification. We were able to see a spreadsheet with the dates of mandatory training, this was forwarded on request after the inspection visit. The Registered Manager informed us that staff had been booked on mandatory training courses where these needed updating. A minimum of two members of staff are on duty during waking hours, with the addition of the Registered Manager. We observed on both days of the inspection that people were able to go out with staff and staff were working with people in a relaxed manner. Care Homes for Adults (18-65 years) Page 20 of 25 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 manager is competent and experienced and promotes the welfare and independence of people who use the service. The quality of the service is kept under review, although this needs to be formalized. Health and safety in the home is minored to provide a safe environment. Evidence: The Registered Manager has been in post for five years. She has the National Vocational Qualification Level 5 and the Registered Managers Award. The Registered Manager also has the NVQ Assessors Award. People who live in the home are consulted. Regular house meetings take place; we looked at the minutes of the last meeting. Summer activities and new furniture had been discussed. We were able to see a copy of the survey sent out to people, although no completed surveys were available at the time. The Annual Quality Assurance Assessment states how the national minimum standards are being met, and any Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: improvements that need to be made. We could see from the last (AQAA) to be completed that full consideration had been given to the quality of the service and actions to be taken to improve further. We recommended that formal Quality Assurance Assessment tool be introduced and a quality assurance exercise take place on an annual basis the end result being an annual business plan for 156 Station Road. We looked at a small sample of health and safety records. A fire evacuation plan was in place and the last fire drill had taken place in February 2009. A fire risk assessment for the premises had been completed. Electrical testing had taken place in December 2007. The fire evacuation system had been last serviced in December 2008. We looked at the risk assessment file this contained risk assessments for the building and grounds, water temperatures, first aid, infection control and moving and handling. Care Homes for Adults (18-65 years) Page 22 of 25 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 23 of 25 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 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 1 36 The Registered Manager must look at ways to ensure that supervision records are updated within a reasonable time frame. The Registered Manager should ensure that annual quality assurance assessment is formilised and an annual development plan is produced. 2 39 Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or 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 © (2010) Commission for Social Care Inspection (CSCI). 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. 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