Inspection on 15/08/05 for 129 London Road

This inspection was carried out on 15th August 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

129 London Road 12/06/06

129 London Road 16/01/06

129 London Road 18/10/04

129 London Road 21/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 129 London Road Redhill Surrey RH1 2JQ Lead Inspector Mr P Benthom Unannounced Inspection 15 August 2005 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 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 Stationary 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. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 129 London Road Address Redhill Surrey RH1 2QJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01737 779552 Prospect Housing Association Ltd Mr Simon Churcher CRH (PC) 5 Category(ies) of Learning Disability (LD) 5. registration, with number of places 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 20 - 65 years. Date of last inspection 18 October 2004 Brief Description of the Service: 129 London Road is owned and managed by Prospect Housing Association. The home is an older style property situated on a busy residential road close to Redhill town centre and provides care to five men who have a learning disability. The home benefits from a number of communal areas including a lounge, dining room, kitchen, conservatory and a large garden. One bedroom is situated at ground floor level with the remaining four being on the first floor. All bedrooms are a good size. There is a downstairs shower room and toilet and further bathroom facilities upstairs. There is also a very small office / staff sleeping-in facility at first floor level. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. On the day of the inspection the service users appeared well cared for and were being supported by two permanent members of staff. Some service users were out at day centres or in the local community. One Service User freely spoke of how he likes living at the home.. The Home’s performance was measured against the National Minimum Standards for Care Homes for Young Adults. A tour of the premises took place and care, training and Health and Safety records were inspected. One Service User were spoken with during the course of the inspection. What the service does well: The home provided a high level of individualised support to service users. This was a commendable part of the home’s operation. The menus provided were appetising and well presented using fresh foods where possible. Links with service users friends and family were well developed and maintained by the operation of the home. Service users’ health needs were well met. The home has a thorough complaints procedure. There have been no complaints received either by the service or by the CSCI in relation to this service. The home is well maintained and furnished to high standard. It offers spacious and well-equipped accommodation to its service users. There is a commitment from the organisation to provide staff with continual training and development. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 6 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. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 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 standard(s) 1, 2, 3, 4, 5 Service users are admitted only following a full assessment undertaken by people trained to do so. The registered person was able to demonstrate the homes capacity to meet the assessed needs. All service users have a written contract and care plan. The home is clear in the care it offers to service users. EVIDENCE: The Home has a Service User guide, which is informative and easy to read. Details of the practical provision the Home provides is included in the Statement of Purpose. All potential service users are assessed prior to admission. It was reported that the service only admits new service users based on an assessment of needs, and appropriateness of placement The initial assessment was used to form the basis of the care and the support plan, which identified the actions that carers should follow to assist an individual living at the home. Prospective service users would visit the home prior to moving in and visits are made to potential service users at their homes or in hospital. Prospective service users would be admitted on an initial month’s trial period and this information is reproduced in the contracts and the statement of purpose. All current service users in this home have been living there from its early days of operation. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 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 standard(s) 6, 7, 8, 9 and 10 The systems for Service User consultation are good with evidence that their views are sought and acted upon. EVIDENCE: Extensive care plans have been drawn up, with the help of the service user wherever possible and relatives/representatives. Care plans were well documented and highlighted all areas of care needs for each service user. All care plans showed evidence of regular reviews. Risk assessments were in place where appropriate. During the inspection it was evident that staff respect the Service Users’ right to make decisions. Evidence was provided with examples of the Service Users’ opportunities to participate in the day-to-day running of the home e.g. helping with food shopping, assisting with meal preparation. Staff enabled Service Users to take responsible risks - wherever possible – and this was clearly documented in each individual care plan. Risk assessments were being carried out as/when necessary and existing ones regularly updated. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 10 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 standard(s) 12, 13, 14, 15, 16 and 17 Links with relatives, friends and the local community are good. These links support and enrich Service Users social and educational opportunities EVIDENCE: Examination of the home’s records confirmed a high degree of personal empowerment and choices in services users daily lives. They were encouraged and supported in the use of community amenities and in maintaining relationships with friends and families. Service Users attend various day centre and adult education activities. A different variety of community-based activities are available. The activities programme was individualised in accordance with Service Users wishes and made appropriate use of college courses, community amenities and facilities. All Service Users go out into the local community on a regular basis supported by members of care staff. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 11 Service Users had access to a range of appropriate leisure opportunities in accordance with individual preferences. They were encouraged to pursue individual interests and hobbies. Staff attempt to maintain links with Service Users’ families. Any visitors could be entertained either in the service user’s own room or in the garden. Friends are invited to visit. The home has maintained some good family links. There are no restrictions in terms of visiting times. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 12 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 standard(s) 18, 19 and 20 The healthcare needs of Service Users are well met with evidence of good multi – disciplinary working taking place on a regular basis. EVIDENCE: The home has a key work system in place. Key workers are responsible for ensuring that Service Users receive personal support in a way they prefer and/or require and this is documented in the care plans. Bathrooms and toilets were fitted with locks for privacy. The organisation has a policy governing all administration of medication and the medication is stored securely in a locked cabinet in the office. The records showed assessed medical needs were followed up properly and notes taken of the care given. Medication is stored in a locked metal cabinet and nine of the eleven staff are trained in the administration of medication. The Homes’ policies and procedures placed particular emphasis on the core values of caring, such as independence, privacy and dignity. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 13 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 standard(s) 22 and 23 The home has a satisfactory complaints system that is made available to all Service Users and staff. Arrangements were in place in respect of adult protection matters. EVIDENCE: The home had a complaints policy and procedure in place and a copy of this is included in the service users guide. There have been no complaints made in relation to the service since the last inspection. All service users are registered to vote. To date, service users have not voted. The manager has stated that they would ensure service users had independent legal advice if this was necessary. The home has an Adult Protection and a Whistle Blowing policy and procedure to safeguard service users. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 14 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 standard(s) 24,25, 26, 27, 28, 29 and 30 The standard of décor and equipment in this home is very good with evidence of improvement through continual maintenance and refurbishment. EVIDENCE: The location of the home is suitable for its stated purpose; it is accessible, safe and well maintained, meeting service users’ individual and collective needs in a comfortable and homely way. All areas were found to be clean, tidy and well organised. The garden was observed to be well maintained and easily accessible. The location of the home is suitable for its stated purpose; it is accessible, safe and well maintained, meeting service users’ individual and collective needs in a comfortable and homely way. All areas were found to be clean, tidy and well organised. The garden was observed to be well maintained and easily accessible. The home had a spacious communal sitting room and a separate dining room and conservatory, which was also used for activities. All areas met the required standard and were tastefully decorated and furnished. All rooms were bright and adequately ventilated There were arrangements in place to control the temperature of the water to prevent legionella and scalding of service users. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 15 Standards of cleanliness in the home were seen to be very high. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 and 36 The staff have a good understanding of the needs of the Service Users in this home. This is evident from the positive relationships that have been formed between the staff and the Service Users. EVIDENCE: There are good training opportunities in place for staff. There are arrangements in place for all staff to have regular access to training and a commitment from the organisation to provide staff with NVQ training. The manager is involved in all aspects of staff recruitment and policies and procedures were in place for recruitment and employment. Records of good practice were seen in the Home. The recruitment procedure was observed to be robust. There are arrangements to carry out CRB checks and two written references are required for all staff. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42 and 43 The manager is well supported by the senior staff team and by the organisation in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: The manager has almost completed NVQ Level 4 and the Registered Managers Award and has had extensive relevant experience. He is employed full time and works alongside other staff on the rota. Records examined included; care plans, medication procedures, staff meeting minutes, risk assessment policies and service user activity programmes. Detailed policies and procedures were in place in relation to safe working practices. Staff were trained in First Aid, Food Hygiene and other aspects of Health and Safety. 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 129 London Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 19 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 Regulation Requirement There are no requirements from this inspection Timescale for action 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 Good Practice Recommendations There are no recommendations from this inspection 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 20 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 129 London Road H58 H09 s13446 129 London Road v239785 150805 Stage 4 unn.doc Version 1.40 Page 21 - 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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