Inspection on 24/02/06 for 11 Kenton Road

This inspection was carried out on 24th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

11 Kenton Road 03/01/07

11 Kenton Road 28/08/05

11 Kenton Road 06/01/05

11 Kenton Road 14/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 11 Kenton Road 11 Kenton Road Harrow Middlesex HA1 2BW Lead Inspector Dia Balraj Unannounced Inspection 24th February 2006 09:00 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 11 Kenton Road Address 11 Kenton Road Harrow Middlesex HA1 2BW 020 8423 8090 020 8933 0307 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Residential Care Providers Ltd Mr Nigel Brookarsh Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2005 Brief Description of the Service: 11 Kenton Road is a registered care home providing personal care and accommodation for 6 adults aged between 18 and 65 who have learning disabilities. The registered provider is Residential Care Providers Ltd. The manager is Mr Nigel Brookarsh. The home is a three-storey house situated on a busy main road in Harrow. It is close to all community facilities and amenities. Community transport is accessible but the home has its own transport. Initial registration was in 2000. All the bedrooms are single with no en-suite. There is a rear garden with seating which is accessible through the kitchen or the dining room. At the time of the unannounced inspection, the home had full occupancy. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a Friday morning and lasted about four and a half hours. The Inspector was able to meet all of the residents before they left for their daily activities. The inspector looked around the building and a number of records and policies were inspected. The inspection process was assisted by the manager and one member of staff. Four residents and two members of staff were spoken to. The Inspector is most grateful for the contribution and support of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This standard was not assessed. EVIDENCE: 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Residents’ assessed and changing needs are reflected in their care plans. The documentation of the action taken to meet objectives not always available. Residents are enabled to make decisions about their lives. EVIDENCE: Regular fortnightly residents’meetings are held to discuss aspects of home life. A resident stated that a number of topics were discussed including holidays, outings, menus. The meetings also gauged the level of satisfaction of residents with the service and what changes they wanted. Staff stated that the meetings are held to encourage service users to make their personal wishes known. The resident is present at the six monthly review of their care plan where they are encouraged to participate in any decisions about changes in their care. The inspector viewed a care plan, which was detailed but needed to be more specific about the action taken to meet objectives with resident’s input. The individual care plans are generated from a comprehensive set of assessment documents covering all aspects of personal, social and health care needs. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 14, 15, 17 Residents have the opportunity for personal development through a variety of educational and leisure activities. Residents engage in cultural appropriate activities. Residents are offered a healthy and varied diet. EVIDENCE: Each resident has an individualised programme of activities, which is documented in the care plan. On the day of inspection, residents were getting ready to attend various day centres and courses. One resident was playing the organ and has music tuition on Monday afternoons. The inspector was informed by the senior carer that four service users attend college. They are enrolled on courses such as music, computing, art, craft, gardening and pottery. One service user works at a garden centre once a week. Service users have been on two group holidays last year - to Butlins and Centre Park. The inspector was told that they are encouraged to holiday with their family. Management reported that they document family contact and are pro-active in organising family contact. Service user are encouraged to entertain friends and family in their own rooms. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 10 Residents are encouraged to take part in cultural activities. One service user is taken to Asian films or Asian theatre productions when possible. Two residents have their food prepared in accordance with Kosher rules. One of them is involved in the performing of a religious ceremony on Fridays. African food is served once a week to meet the needs of one resident. The staff reflect the cultural diversity of residents. The weekly food menu is recorded and displayed on the kitchen wall. The week of the inspection, the menu was varied and nutritious. One resident who likes only particular foods has her own menu. The inspector saw residents who attend college or day centre take a packed lunch of sandwiches and fruit. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20. Residents’ physical and emotional health needs are met. The administration of medication was in order. EVIDENCE: Individual plans informed that residents have access to health professionals. The GP has regular contact with the home. There was evidence of visits to the audiologist, ophthalmologist, Psychiatrist. There has also been contact with a dietician whose recommendations were reflected in the care plan. The epilepsy nurse visits the home but staff have not yet had epilepsy training. The medication sheets checked were in order. There is one resident who self medicates. There is good communication between staff and the local pharmacist. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, Residents feel they are able to put forward their views and these are listened to. EVIDENCE: The inspector spoke to 2 residents. Both stated that residents meet with staff to discuss their needs and wishes. They are also asked if they are satisfied with their care and if they would like to discuss any problems. Residents felt that they were listened to by staff and management. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 The home was clean and hygienic. A number of areas throughout the building were not in good decorative order. The carpets in the lounge and dining room were not in good condition. EVIDENCE: A number of areas throughout the home required refilling and repainting. It was noted that the carpet in the lounge and the dining room was badly stained and requires deep cleaning or replacing. The home had a good standard of hygiene. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 35 The recruitment policy ensures the protection of residents. Residents are supported by an effective staff team, who are clear about their roles and responsibilities. Residents’ needs are met by trained staff. EVIDENCE: The inspector spoke to 3 members of staff. They demonstrated knowledge of their roles and responsibilities and knowledge of residents’ individual needs. . The inspector observed the interaction between staff and residents. Residents appeared comfortable with staff and communicated their needs in a confident manner. The inspector checked 2 staff’s files and interviewed 3 members of staff. The files confirmed all necessary checks had been carried out. Staff have followed a number of training courses including Moving and handling, food handling, POVA training. Staff were knowledgeable of residents’ individual needs. The examination of three residents’ files showed that risk assessments for all activities of daily living had been carried out including bathing procedures for residents with special needs. Staff reported that they were happy with staffing levels and that this meant that stress levels were in control and that the service user benefited. There were 3 or 4 staff members on the morning shift with 3 staff on the evening shift. One person slept in over night. The night staffing must be reviewed on a regular basis and depending on the needs of residents to ensure that 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 15 adequate cover (e.g. the employment of a waking night staff if judged necessary) is provided. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 42 Residents’ views are sought and acted upon. The health and safety of residents are protected. EVIDENCE: Regular meetings of residents, staff meetings and senior meetings ensure that issues affecting residents are discussed. Management report that the home follows the person centred approach where the focus of discussion is what is best for the resident and what the resident wishes. This was confirmed by two of the residents interviewed. Staff have followed courses on Moving and Handling, First Aid, fire safety, food handling. Risk assessments for safe working practice topics had been completed. The two new members of staff are required to undertake all training relating to Health and Safety. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 2 3 X X X 3 X X 2 X 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 18 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 12(2) Requirement The registered person must ensure that the care plan details the action taken to meet objectives with resident’s input. The registered person must ensure that the lounge and dining room carpets are deep cleaned or replaced. The two new members of staff are required to undertake all training relating to Health and Safety. Timescale for action 24/05/06 2 YA24 23(2)d 24/05/06 3 YA42 12 24/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard 35 Good Practice Recommendations The night staffing must be reviewed on a regular basis and depending on the needs of residents to ensure that adequate cover (e.g. the employment of a waking night staff if judged necessary) is provided. 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 11 Kenton Road DS0000017542.V258335.R01.S.doc Version 5.1 Page 20 - 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. 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