Inspection on 11/05/06 for Warwick Road, 17

This inspection was carried out on 11th May 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

Warwick Road, 17 16/08/07

Warwick Road, 17 29/11/05

Warwick Road, 17 13/06/05

Warwick Road, 17 25/10/04

Warwick Road, 17 04/08/04

Warwick Road, 17 06/01/04

Warwick Road, 17 04/06/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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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 09/07/2008.

CARE HOME ADULTS 18-65 Warwick Road, 17 Ealing London W5 3XH Lead Inspector Ms Jean Bovell Unannounced Inspection 11th May 2006 11:30 Warwick Road, 17 DS0000027719.V292693.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 Warwick Road, 17 DS0000027719.V292693.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. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Warwick Road, 17 Address Ealing London W5 3XH 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) 0208 840 3109 Ealing Consortium Limited Ms Paulette Mohammadi Care Home 8 Category(ies) of Learning disability (0), Learning disability over registration, with number 65 years of age (0) of places Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two named service users, can continue to be accommodated under the categories of Mental Disorder (1) and Physical Disabilities (1) as agreed with the Commission for Social Care Inspection on the 19th November 2004, whilst the home can meet the needs of all service users. The home must advise the CSCI when a service user no longer resides at the home. 29th November 2005 Date of last inspection Brief Description of the Service: The home is registered for eight service users with learning disabilities, including those over 65. There are currently four female and three male service users. The home is situated in a quiet residential area of central Ealing and is within walking distance of Ealing Broadway’s shops, facilities and public transport links. Notting Hill Housing Trust owns the premises. Ealing Consortium Ltd, a voluntary organisation, provides the care. The house is semi-detached, and has three floors, with two mezzanine floors. There is no lift and service users require good mobility to access all but the ground floor. The home has eight single bedrooms and the bedroom on the ground floor is en suite with its own shower. There are three additional bathrooms. The ground floor is wheelchair accessible and has a lounge, a kitchen with a dining area, and a laundry room. There is a small lounge on the top floor which is used as the smoking area. The sleeping-in room is on the first floor and the top floor has an office with staff toilet and shower. There is a large rear garden, with seating, which has ramped access from the kitchen. A parking area is available at the end of the garden which has now been made more secure. The staff team consists of the Registered Manager, one senior support worker and six support workers. There are usually two staff on duty on each shift, and one member of staff sleeps in at night. There are no waking night staff. A variety of day facilities are accessed by the service users, including college courses in Ealing and Acton. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on Thursday 11th May between 11:30 am and 5:35 pm. The Registered Manager, two care support workers and five service users were present. The Inspector was advised that two service users were involved in activities within the community and that there was one vacancy. The home’s records, policies and documents were viewed. A tour of the building was undertaken and observations were made. The Inspector spoke to six service users, one of whom returned to the home during the later stages of the inspection, and five members of the care support staff team over separate day shifts. The requirements made at the last inspection and all key Standards were examined. The Registered Manager was co-operative and provided appropriate assistance throughout the inspection. What the service does well: The service users appeared appropriately dressed, well cared for, settled and comfortable within their environment. They interacted in a friendly and spontaneous manner with care support workers and also with the Registered Manager. Care support workers were observed being attentive and competent in meeting the needs of the service users who reported being happy with the standard of care and support they received at the home. All records viewed were satisfactory and indicated that the safety and welfare of the service users was being protected. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 6 Overall, the home was found to be clean, hygienic and essentially well maintained. The atmosphere was lively and homely. 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. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 7 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 Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 8 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): 2 Prospective service users are being appropriately assessed prior to admission to the home. A requirement made under Standard 2 at the last inspection had been met. EVIDENCE: The Inspector was informed by the Registered Manager that the home was in the process of a assessing a prospective service user. It was evidenced on records inspected, that a prospective service user was referred to the home by a social worker from the local community team for people with learning difficulties and that background information had been submitted. A representative from the home visited the prospective service user and a needs led assessment was subsequently initiated. This process involved meetings with relatives, carers, social workers and medical professionals. The Registered Manager confirmed that all new service users would be placed on a six-month trial period and that a review would be held after three months. This was in compliance with a requirement at the last inspection. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 9 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 and 9. Individual care plans and risk assessments are being appropriately undertaken and service users are able to make decisions regarding their daily living routines. EVIDENCE: The care plans that had been drawn up in relation to four service users were examined at random and were indicative of users’ participation in assessing specific personal, educational, social and health care needs. Agreed action plans and set goals had been put into place, and care plans were reviewed on a six-monthly basis. The Registered Manager confirmed that service users managed their own finances and made decisions relating to personal purchases and day-to-day routines such as activities, meals, what they wore, personal purchases and when they retired at night. Two service users were independent within the community. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 10 Service users were observed making individual decisions in regarding activities and lunch options at the time of the Inspection. Risk assessments in relation to specific activities identified within care plans had been undertaken and were regularly reviewed. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 11 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): 12, 13, 15, 16 and 17. Service users receive appropriate opportunities for personal development and are involved in activities of their choice within the community. Contact with relatives and friends are maintained and wholesome meals are being provided. EVIDENCE: It was evidenced on care plans viewed that service users received educational opportunities and had attended various college courses including literacy and information technology. Service users were also involved in voluntary work within the community. The records also indicated that out-door activities that were organised on behalf of the service users included annual holidays, outings, shopping trips, bowling and visits to pubs, cinemas and theatres. Service users attended the day centre, were involved in voluntary work, visited the theatre and participated in a picnic at a local park, during the inspection. An open visiting policy is in operation at the home and contact with relatives and friends is encouraged and facilitated. Service users are also able develop and maintain personal relationships. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 12 There were adequate stocks of dried, fresh and frozen foods at the home and apart from uncooked poultry being placed uncovered alongside cooked food in the refrigerator, foods were generally stored appropriately. The home does not employ a cook and service users may assist care support workers with the preparation of meals. Varied and nutritious meals were reflected on the menu and service users were offered wholesome choices at the time of the inspection. Snacks and drinks were readily available. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 13 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): 18, 19 and 20. The health care needs of the service users are being met and the service users are protected by the home’s medication policies and procedures. EVIDENCE: The Inspector was informed by the Registered Manager that the service users required prompting, supervision or assistance with personal care. All personal tasks were undertaken by same gender care support workers and in privacy within bedrooms or bathrooms. Service users were, however, able to choose what they wore, hairstyles and make up. This was reflected among individual service users at the time of the inspection. The health care needs of the service users were identified within care plans. It was evidenced that they received annual dental and optical checks and that access to general practitioners and therapists were arranged when required. The Registered Manager confirmed that service users were accompanied to medical appointments. The home’s medication policy was in place and the storage, disposal and administration of medicines were satisfactory. None of the service users were self-administering their medication at the time of the inspection. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 14 The records indicated that medication training had been delivered to all members of the care support staff team. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 15 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 and 23. The home’s complaints procedure is satisfactory and the service users are being protected from abuse. EVIDENCE: The home’s complaints procedure is clearly written and illustrated in a format that is suitable for meeting the needs of the service users. One complaint was made to the home since the last inspection and was satisfactorily investigated and resolved. The service users are responsible for their own finances. Weekly benefits are paid directly into individual bank accounts but the home maintains responsibility for the safekeeping of cashed monies. The financial records of several service users were inspected at random and no discrepancies were identified. The accident and incident book had been accurately documented. The home’s policy and procedures on the protection of vulnerable adults and the London Borough of Ealing manual were in place. Staff training on the protection of vulnerable adults was reflected on training certificates. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 16 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, 25 and 30. The home is clean and hygienic and the environment is safe and homely. The garden was not, however, satisfactorily maintained. Requirements under Standards 24 and 25 at the last inspection had been complied with. EVIDENCE: The communal areas within the home are adequately spacious and suitable for shared and/or individual activity. The ground floor accommodation and rear garden are accessible to wheelchair users. Although the interior of the house was clean and hygienic, the garden/patio required attention. There were no issues regarding the laundry. Overall, the home was found to be clean, hygienic and essentially well maintained. The environment was safe and homely. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 17 In compliance with requirements under Standards 24 and 25 at the last Inspection, the Registered Manager confirmed that the kitchen cupboards were scheduled for replacement on 24th May 2006 and that the central heating system had been repaired. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 18 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): 32, 33, 34 and 35. The care support staff members are appropriately trained and competent in meeting the needs of the service users. The home’s recruitment policy and practices are satisfactory. EVIDENCE: The Registered Manager, one senior and five service users are employed at the home. It was reflected on the staff rota that a minimum of two members of the care support staff team were on duty during waking hours and that one care support worker covered sleep-in duty at night. One new member of staff had recently been appointed and met with a requirement at the last inspection. The staffing levels at time of the inspection were appropriate for meeting the separate needs of the service users. The Registered Manager confirmed that one member of the care support staff team had obtained National Vocational Qualifications in levels 2 and 3 and that one care support worker had commenced level 2 – National Vocational training. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 19 A number of personnel files were examined at random and all contained the required documents such as CRB clearance certificates, photo-identities, application forms, references and signed contracts/statement of terms and conditions. The home’s training and development programme was in place and it was reflected on training certificates that training delivered to staff included protection of vulnerable adults, health and safety, first aid, moving and handling and fire safety. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 20 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): 37, 39 and 42. The Registered Manager is appropriately qualified and the safety and welfare of the service users are being protected. EVIDENCE: The Registered Manager has been in post for six years and has obtained the Registered Managers Award and Level 4 National Vocational Qualification in care. Members of the care support staff team who spoke to the Inspector reported that the Registered Manager was approachable and supportive. It was evidenced on documents viewed that effective quality assurance systems had been put into place and that the views of service users, relatives and stakeholders were being sought. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 21 There was documented evidence that health and safety checks for the gas boiler, electrical appliances, hot water systems and fire safety had been carried out and were up to date. The Registered Manager confirmed that Head Office was responsible for ensuring that legionella tests were undertaken at the home. This was a requirement at the last inspection. Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 22 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 3 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 23 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 YA17 Regulation 16(2)(j) Requirement The Registered Person must ensure that raw and cooked foods are appropriately stored within the refrigerator. The Registered Manager must ensure that the garden is maintained to a good standard. The Registered Providers must clarify that the tests for Legionella are sufficient to maximise safety. This is restated from the last inspection. Previous timescale 28/02/06. Timescale for action 31/05/06 2 3 YA30 YA42 23(2)(o) 13 (4)(a) &(c) 15/06/06 30/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 Warwick Road, 17 DS0000027719.V292693.R01.S.doc Version 5.1 Page 25 - 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. 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