Please wait

Inspection on 07/06/10 for Talgarth Road

Also see our care home review for Talgarth Road for more information

This is the latest available inspection report for this service, carried out on 7th June 2010.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

Talgarth Road is an established service for people with enduring mental health needs. There is an experienced Manager who works at enabling staff to gain experience and qualifications for the interest of the people who live in the project. People are encouraged to be involved in all aspects of their care, their environment and the running of the home.

What the care home could do better:

In order to maintain a good service to the people who live in the project there needs to be a consistent level of staffing. There is also a need for a permanent deputy Manager. The bathrooms are in need of an upgrade or redecoration to create a more homely environment and enhance people`s quality of life.

Random inspection report Care homes for adults (18-65 years) Name: Address: Talgarth Road Talgarth Road 41-43 Talgarth Road West Kensington London W14 9DD three star excellent 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: Ann Gavin Date: 0 7 0 6 2 0 1 0 Information about the care home Name of care home: Address: Talgarth Road Talgarth Road 41-43 Talgarth Road West Kensington London W14 9DD 02076038607 Telephone number: Fax number: Email address: Provider web address: lyris.ofosu@hestia.org www.hestia.org Name of registered provider(s): Name of registered manager (if applicable) Ms Lyris Ofosu Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hestia Housing care home 10 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 10 The maximum number of service users who can be accommodated is: 10 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 Talgarth Road is a registered care home providing personal care and accommodation for up to ten people with mental health support needs. At the time of this inspection, 4 men and 5 women were living in the home and there was one vacancy. The home is Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home managed by Hestia Housing and Support and the building is owned by the Shepherds Bush Housing Association. The home is situated in the West Kensington area with access to local amenities and good transport links. Each service user has his/her own bedroom and shared use of lounges, kitchen, bathrooms and toilets. There is a large garden. The weekly fees are #970. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: This was an unannounced visit which was carried out on the 7th June 2010 from 11:30am until 4:30pm. The visit was made as there had been an unexpected death at the project in March 2010 and it has been three years since a visit has been made to the service. Time was spent talking with residents, the Manager, staff, as well as looking at care plans and other documentation. Everyone was very open and welcoming to the inspection. The interactions observed were positive. People living at the project related well to the staff. The investigation into the death of the resident is ongoing. The home has completed an interim report and met with the Police, Coroner and Social Services. The home will advise the commission the outcome of the investigation. All the documents related to this persons care are no longer in the home. The inspection focused on peoples care, the support they receive, how their health and mental health is monitored, medication and finances. Staffing levels were also reviewed. The care of two people who live in the project was tracked through talking with them, their key worker, looking at their care plan along with all documentation relating to them. One of the people were also happy to show their room. The two people spoken with understood their plan of care and goals. These were written clearly and were up to date. There were regular reports of peoples key working sessions which picked up on issues from previous sessions along with looking at how they were, and if they were achieving their goals. Talking with staff and observing people within the project it was noted that peoples own needs for personal care had increased. Staff say that some of the people require more than prompting for personal care and they need more time to be able to support them at the persons own pace. One persons health has deteriorated and there is a medical need for them to cut back on smoking. This has resulted in an agreement for the staff to hold onto their cigarettes and ration them to no more than one every 2 hours.They have also agreed to receive less daily allowance so as to also help in their smoking. Talking with this person they initially spoke of how they were not happy with the arrangement but then said that they were as it has helped them and they feel better smoking less. When asked what they would do if they received more money each day they acknowledged that they would probably buy more cigarettes which they did not want to do Both peoples financial records were looked at. They had receipts for each purchase and a clear account of their monies which was regularly checked by staff. Care Homes for Adults (18-65 years) Page 4 of 10 Peoples physical and mental health is commented on in the daily records and staff monitor more closely those people who show signs of relapse or any health issues. There was evidence in the care plans seen of close working with other professionals with the project regularly both seeking advice and sharing information. There were risk assessments in place for the people whose care was tracked. People said that they helped with preparing a meal every so often. The project used to have the main meal in the evening and the residents helped to prepare it. However now the main meal is at 1pm and the staff prepare it on their own. All the staff on duty eat with the residents. Cooking for twelve people is quite time consuming for the staff and takes time away from being with the residents. The preparation of meals and involvement of residents must be looked at again and discussed with the residents and staff. If it is not going to be part of a therapeutic or enabling tasks for residents the project may wish to consider the employment of a chef. This would ensure both a balanced diet and the ability of staff to use their time more with residents. The people spoken with all commented on how much they enjoy the food. Currently all the people who live in the project are compliant with their medication. This is one of the conditions of admission. There is one person living in the project who has a history of substance dependency. The staff spoke of how they monitor and note this persons mood, physical health and if they present with any signs of possible substance use the staff they will challenge them. This person has a very full programme which takes them out of the project most of the day and some evenings. The person is relating well to staff and responds well to being challenged. People agree to their rooms being checked and there is no tolerance to any substances being used in the premises. The project has a clear system for the administration and storage of medication. People come to the office for their medication and staff have a clear plan of who is due medication when so that if they do not appear they can see them. There is one person at present who is self medicating. The medication of the two people was checked and they were in order. Staff check medication at the beginning of each shift. People continue to have medication training about their own medication why they are taking it and possible side effects. The overall impression of the project was that it was clean and harmonious. They employ a part time cleaner who was there on the day of the inspection. People are supported by the staff to clean their own rooms and manage their laundry. Walking around the project the bathrooms were seen to be in need of upgrading and decoration in order for them to be a well kept homely and relaxing for people. The manager said that they were planning to do the bathrooms this year. The one room that was seen was clean and tidy. There was however only one picture and no other personal items in the room. It is recommended that staff facilitate this person to personalise their room. The person said that they liked the bed covering and the one picture that they had. Care Homes for Adults (18-65 years) Page 5 of 10 At the time of the inspection there was the Manager the acting deputy manage and one other staff on duty. There are normally the Manager plus three staff but one person had called in sick and the acting deputy did not think it was necessary to replace them that day. It is important given the level of support needs the people in the project have that there is a full compliment of staff at all times. The deputy manager is working away from the project and is also studying. The staff member currently acting as deputy Manager is leaving on the 18th June. This person has worked at the project for five years and is leaving to take up social work studies. The providers must clarify the position of the deputy Manager and appoint or replace their vacancy. They must ensure they cover the other staff vacancy to be sure that staffing level is maintained to meet the needs of the residents. What the care home does well: 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 6 of 10 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 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 1 17 16 The preparation of meals and 31/07/2011 involvement of residents should be looked at again and discussed with both residents and staff If it is not going to be part of a therapeutic or enabling tasks for residents the project may wish to consider the employment of a chef allowing the staff more time with residents 2 27 16 The bathrooms are in need of 31/07/2010 an upgrade or redecoration to create a more homely environment and enhance peoples quality of life 3 32 18 The providers must clarify the position of the deputy Manager and appoint or replace their vacancy. They must ensure they cover the other staff vacancy In order that the staffing 31/07/2010 Care Homes for Adults (18-65 years) Page 8 of 10 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 level is appropriate to meet the needs of the people who live in the home. 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!