Inspection on 16/08/07 for Warwick Road, 17

This inspection was carried out on 16th August 2007.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Warwick Road, 17 11/05/06

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

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 09/07/2008.

CARE HOME ADULTS 18-65 Warwick Road, 17 Ealing London W5 3XH Lead Inspector Ms Jean Bovell Key Unannounced Inspection 16th August 2007 11:00 Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 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.V341485.R01.S.doc Version 5.2 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.V341485.R01.S.doc Version 5.2 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 HM17Warwick@ealing.org.uk 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.V341485.R01.S.doc Version 5.2 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. 11th May 2006 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. A stair lift onto the first floor is in place. There is a small lounge on the top floor which is used as the smoking area. The sleepingin 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. The staff team consists of the Registered Manager, one senior support worker and six support workers. There are usually two care staff on duty on each shift, and one member of staff sleeps in at night. A variety of day facilities are accessed by the service users including college courses in Ealing and Acton. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 11:00 am and 3:30 pm on 16th August 2007. One Support Worker and four residents were initially present. The Inspector was informed that one resident accompanied by a Support Worker was attending a medical appointment. Another was at the day centre and two residents supported by two Support Workers, were on annual holiday. The Registered Manager was on leave. During the course of the inspection: The home’s records, documents, policies and procedures were viewed. A tour of the building was undertaken and observations were made. Two Support Workers, one Senior Support Worker and four residents were spoken with. The requirements that were made at the last inspection and all key Standards were examined. In the Registered Manager’s absence, the Inspector received assistance from two Support Workers and one Senior Support Worker. What the service does well: Separate religious and cultural needs are being met at the home. People who use the service appeared appropriately dressed, calm and content. They related in a friendly manner with Support Workers who were attentive and competent in responding to their needs. Residents who were spoken with indicated that they were happily settled at the home. All health and safety records were up-to-date and reflected that the welfare of residents was being protected. Overall, the home was found to be clean, hygienic and adequately maintained. The atmosphere was calm, pleasant and homely. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 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.V341485.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal records of individual residents were inspected and it was indicated that their separate needs and aspirations were assessed prior to admission. EVIDENCE: A Senior Support Worker confirmed that prospective residents were referred to the home by social workers based in hospitals or community teams for people with learning difficulties and that background information and a written needs led assessment were submitted at the point of referral. A subsequent assessment of need is carried out by the home and initiated with a visit to the prospective resident in hospital or at home. The records relating to individual residents were examined at random. It was reflected that prior to admission, relevant professionals, relatives and prospective residents were involved in an assessment process which Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 9 determined the capacity of the home to meet separate identified needs, interests and aspirations. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans that had been drawn up regarding individual residents were inspected and indicated that their changing needs and personal goals are appropriately assessed and that related risk assessments carried out. People are able to make decisions in relation to their daily living routines. EVIDENCE: A number of care plans were viewed at random and it was evidenced that the healthcare, personal, cultural and religious needs, and social interests and aspirations of individual residents were assessed. Action plans, and six monthly and long terms goals were put into place. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 11 Risk assessments associated with specific activities identified within care plans had been undertaken and included moving and handling, horse-riding, swimming and anti-social behaviours. All care plans and risk assessments viewed were signed by respective residents and key workers and were reviewed on a regular basis. Weekly residents’ meetings are being held at the home and it was indicated on minutes taken, that people discussed and made decisions relating to holiday destinations and other shared activities, menus and shopping lists. Residents were also given information regarding staffing issues and the progress of people who may be in hospital. People who use the service receive state benefits, hold separate bank accounts into which payments are made and are able to make decisions in relation to personal purchases. The Inspector was informed by a Senior Support Worker that one person independently handled his/her own finances. People also choose what they wore each day, hairstyles and when they retired at night. Residents were observed moving freely around the home and being offered choices at lunch. Personal choices and interests were also reflected in separate lockable bedrooms. One person chose to have a late lie in and planned a shopping trip at the time of the inspection. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The records were indicative of people receiving opportunities for personal development and being involved in appropriate activities within the community. Contact with relatives, advocates and/or friends are encouraged. People are able to participate in various housekeeping tasks and wholesome and varied meals are being provided. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 13 EVIDENCE: It was reflected on individual care plans that people attended Church Services, college courses and day centres, and held part-time employment. A Senior Support Worker confirmed that people were able to be independent in the community. However, the majority received support during shared or individual outdoor activity such as - swimming, bowling, horse riding, visiting pubs and the cinema. At the time of the Inspection, daily newspapers were on display, people were observed sitting together and chatting in the dining area or watching television in the main lounge. Two people were being supported on annual holiday and one person attended a day centre. An open visiting policy was in place. The Inspector was informed by a Support Worker that contact with relatives, advocates and/or friends were encouraged and facilitated at the home. People were also able to make and/or receive private telephone calls. It was confirmed, also, that residents participated in various tasks around the home. These included gardening, making cakes, tidying bedrooms and clearing the dining table. The home does not employ a cook but cooked meals are prepared by Support Workers. Varied and adequately nutritious meals, chosen by residents, were listed on the menus. Light lunch options were provided at the time of the inspection but one person independently prepared his/her own meal. An open kitchen was in operation and snacks, including fresh fruit, and drinks were readily available. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive assistance, prompting or supervision with personal care as required and their healthcare needs are being met satisfactorily. The policy and procedures on medication are in place and comprehensive. EVIDENCE: The separate personal and healthcare needs of people were reflected within care plans. The Inspector was advised by a Support Worker that people who use the service required prompting, supervision or assistance with their personal care routines. However, personal care tasks were carried out in privacy within bathrooms or separate en suite bedrooms and people independently chose what they wore each day, hairstyles and makeup. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 15 The records were indicative of people receiving access to appropriate healthcare professionals including therapists as required. They were routinely weighed and medication reviews were being held. One person was supported during a medical appointment at the time of the inspection. Medicines were being administered to residents and were safely stored and disposed of. Medication administration sheets were accurately documented and signed. The home’s policy and procedures on medication were in place and the records indicated that staff training on medication had been delivered. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is in place and accessible. People are being satisfactorily safeguarded from abuse. EVIDENCE: The complaints procedure is clearly written and accessible to residents and their relatives. The home’s policy and procedures on abuse were in place and it was reflected on training records that Support Workers had received training on the Protection of Vulnerable Adults. The Inspector was advised by a Senior Support Worker that people who use the service have separate bank accounts into which weekly benefits are deposited. People are able to handle their own finances. Others receive support during cash withdrawal transactions and their personal allowances are safeguarded at the home. However, they receive ‘pocket money’ for day-today purchases such as sweets, drinks, magazines and/or newspaper. The financial records of residents were inspected and no discrepancies were identified. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is essentially well maintained but appropriate attention is required to the carpet in the main lounge. The overall environment is pleasant and homely. EVIDENCE: The Inspector was informed by the Senior Support Worker, that a proposed plan for redecoration and refurbishment would be discussed during a meeting at Central Office scheduled for 27th September 2007. A tour of the building was undertaken. The home was essentially maintained, comfortably furnished and suitable for shared or individual activity but there was a large stain on the carpet in the front lounge. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 18 The kitchen had been refurbished and the garden was being maintained and accessible to residents. There were no issues regarding the laundry. The overall environment was clean and hygienic, calm, pleasant and homely. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The records are indicative of Support Workers being appropriately trained and qualified for meeting the needs of people who use the service. Staff recruitment files were in place but all required documents were not within each file viewed. EVIDENCE: The Senior Support Worker confirmed that of the seven permanent Support Workers at the home, three had achieved levels 2 and/or 3 National Vocational Qualification and one Support Worker had completed training on the Learning Disability Award Framework. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 20 Staff recruitment files were inspected at random. Documents were not filed in order and CRB Disclosure Certificates, Application Forms and References were not within every file viewed. Staff training/refreshers delivered during 2006/2007 were reflected on training records and included Handling People with Special Needs, Moving and Handling, Fire Awareness, Food Hygiene and Choking and Resuscitation. Members of the care support staff team who covered duty during separate day shifts at the time of the inspection, were observed being attentive and competent in meeting the needs of residents. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager is suitably qualified and the home is organised and well run. Records indicated that effective quality assurance had been undertaken. The health and welfare of residents are being protected satisfactorily. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 22 EVIDENCE: The Registered Manager has been in post for seven years and has obtained the Registered Managers Award. Support workers that were spoken with reported that the Registered Manager was approachable and supportive. She was also protective of residents and committed to ensuring that their individual needs are being met. Systems for effective quality assurance were in place. It was evidenced on responses from surveys and completed summaries that quality assurance was appropriately undertaken during 2006. Health and safety records were up-to-date and included checks for fire safety, portable appliances, gas maintenance and water temperature. Fire drills were being regularly undertaken and it was evidenced that tests for legionella had taken place. Environmental risk assessments had been carried out. The records indicated that Support Workers received training on Health and Safety, Food Hygiene, Fire Safety and Moving and Handling. Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 23 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 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 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Warwick Road, 17 DS0000027719.V341485.R01.S.doc Version 5.2 Page 24 No 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 YA24 Regulation 23(2)(d) Requirement The Registered Person must ensure that the carpet in the main lounge is shampooed to ensure that all parts of the home are kept clean. The Registered Person must ensure that all required documents and information are held within individual personnel files. Timescale for action 30/09/07 2. YA34 19(1)(b) 30/09/07 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.V341485.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V341485.R01.S.doc Version 5.2 Page 26 - 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!