Inspection on 16/08/05 for 18, Crescent Road

This inspection was carried out on 16th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

18, Crescent Road 29/11/08

18, Crescent Road 03/07/06

18, Crescent Road 20/12/05

18, Crescent Road 24/01/05

18, Crescent Road 11/05/04

18, Crescent Road 03/02/04

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 Crescent Road, 18 18 Crescent Road Wimbledon London SW20 8EU Lead Inspector Emma Dove Unannounced 16 August 2005 15:40 th 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. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Crescent Road, 18 Address 18 Crescent Road Wimbledon London SW20 8EU 0208 946 7439 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) United Response Ms Teresa Jordan CRH Care Home 6 Category(ies) of LD Learning Disability (6) registration, with number of places Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/01/05 Brief Description of the Service: 18, Crescent Road is a registered care home for six adults with learning disabilities. Six people are currently residing at the home. The home is owned by a housing association and managed and staffed by the organisation, United Response. The home is a detached property in a cul-de-sac off of Worple Road in Wimbledon. It is not identifiable as a care home and is in keeping with neighbouring houses. It is close to public transport, local shops, churches and leisure facilities. Accommodation is provided over two floors with five bedrooms and a bathroom available on the first floor and the remaining bedroom, bathroom, lounge, dining room and kitchen on the ground floor. The home has a large garden. There is a car for staff to use. The home is staffed twenty-four hours a day. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over the course of four hours one afternoon by one regulatory inspector. The inspection consisted of examination of records, inspection of communal areas of the home, two residents bedrooms, speaking with residents, staff and the registered manager. The inspector had the opportunity to spend time with all six residents and two members of staff. Residents made positive comments regarding the home, their bedroom and staff and were comfortable and relaxed at the home. The inspector took a meal with residents, which was well received and of appropriate quality and quantity. One resident said ‘I like the food and that it is usually good like this’. What the service does well: What has improved since the last inspection? What they could do better: The social history for one residents requires updating to ensure staff have access to correct information regarding the individuals family. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 6 The garden requires attention to ensure that it is safely maintained for residents to use. The toilet, which makes a loud noise when flushed, requires attention to ensure residents continue to live in a peaceful environment. 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. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.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 Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.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 Prospective residents receive appropriate information regarding the home and services provided, enabling them to make an informed decision regarding moving into the home. Residents needs are assessed, however further work is required to develop goals for each resident. EVIDENCE: The Statement of Purpose has not changed since the last inspection when it included information required to assist residents, their relatives and placing social workers to make an informed decision regarding moving into the home. Current residents have been at the home for over four years, on admission needs assessments were completed which have been updated and developed into care plans. Further work is required to develop individual goals for each resident to ensure they have clear direction to work towards each year. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.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 Residents needs are appropriately assessed and developed into a care plan. Further work is required to develop goals for each resident. Residents are encouraged and assisted in making decisions regarding their lives. Residents participate in the day-to-day running of the home. EVIDENCE: Case files are separated into three sections covering finances; health and well being and lifestyle. These files have been updated with old information archived, ensuring staff have access to clear up to date information regarding residents. Care plans are in place and have been reviewed. Care plans include sufficient details for staff to meet residents needs. Communication profiles, residents likes and dislikes, personal care needs and risk assessments are included in case files. Residents have not identified goals to achieve in their care plans and this should be completed to ensure goals are identified and can be worked towards. Residents are involved in daily decisions regarding meals, activities and holidays at the home. Risk assessments are in place for individual residents ensuring staff have up to date information regarding residents safety needs. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.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, 14 & 15 Residents take part in age and culturally appropriate activities. Residents are assisted and encouraged to maintain contact with family and friends. EVIDENCE: Residents attend day centres, sessions and clubs during the week, depending on their needs and choices. One resident said ‘I enjoy attending the day centre’. One resident was observed to be pursuing activities of their choice during the inspection. One resident reported that they had been out shopping with staff, that this is a regular occurrence and that this is something they enjoy doing. Residents are assisted to maintain contact with family and friends by staff at the home. One resident said that they enjoy seeing their family, which is enabled by staff at the home. Letters to the home from relatives confirm that they greatly benefit from the support from staff with contacting their relative at the home. Friends and relatives are invited to parties and events at the home. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 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 standard(s) 18 & 21 Residents receive appropriate support to meet their needs. The aging, illness and death of a resident are handled with respect and dignity. EVIDENCE: Assistance with personal care tasks is completed in privacy. The home aim to provide same gender care to individual residents when this has been requested. Residents needs are met by policies and procedures for staff regarding assisting residents with personal care tasks. There are no set times for residents to get up and go to bed, however if residents have a day centre or club to attend, staff will wake them in the morning to ensure residents are ready on time. Policies are in place regarding the illness and death of a service user, ensuring staff are aware of their responsibilities and actions they should take. One case file examined contained the individuals wishes regarding illness, terminal care and death, enabling staff to respect these wishes and act appropriately. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 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 standard(s) 22 Complaints are well managed at the home, with residents, relatives and placing social workers able to access the procedures. No residents raised concerns regarding the home and the services they receive. EVIDENCE: The complaints procedure is included in the Statement of Purpose and Service Users Guide to the home and is available to each resident in pictorial format. One resident said ‘if I am unhappy I would speak to the manager’, another resident said ‘I am happy here’. Records would be maintained of complaints received at the home. The CSCI has not received any complaints regarding the home. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 27 & 28 The home provides a homely, comfortable and safe environment for residents to live in, however attention is required to one toilet and the garden to continue to provide a good environment. EVIDENCE: A tour of the home identified that it is decorated and maintained to a good standard. The home is suitable for its purpose, is accessible to current residents and is comfortable and homely. Residents have their own single bedrooms, which were observed to have been personalised to the individuals tastes. One resident said ‘I like my bedroom, I chose the colour it is painted and the posters’, another resident said that they like their bedroom and another resident was observed to be relaxed amongst their belongings in their bedroom. A bathroom with toilet is available on the ground floor and first floor with a separate toilet on the first floor. Attention is required to reduce the unacceptable noise level when the first floor toilet is flushed. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 14 The home provides a dining room and separate lounge, both rooms are appropriately furnished to meet residents needs. Residents have access to a purpose designed garden with quiet areas for relaxing, scented flowers and plants for a sensory experience and a patio with garden furniture for enjoying the good weather. The grass needs cutting and the garden requires general attention to ensure it is maintained to a safe standard for residents to enjoy. The home is in keeping with neighbouring houses and is situated close to public transport links to Wimbledon shopping centre and leisure facilities with local shops and amenities also available. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 15 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) 33, 35 & 36 Residents needs are met by a group of longstanding and newly appointed members of staff who demonstrated detailed knowledge of residents needs, providing consistency of care to residents. EVIDENCE: The published staffing rota identified that two members of staff are on duty during the day with one member of staff awake and one member of staff asleep but on call at the home at night. These staffing levels were observed to be appropriate at the time of the inspection. The manager reported that the home is fully staffed with the support of relief staff employed by the organisation. The deputy manager is on maternity leave. The organisation has a training and development programme which is available to all staff. Staff have completed training in first aid, health and safety, medication, prevention of harm, challenging behaviour and autism. This ensures that residents receive support from staff who are suitably trained. New staff complete the Learning Disability Award Framework (LDAF) induction. The manager reported that staff receive supervision from senior staff who have completed training in supervision. Two members of staff confirmed that they Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 16 receive regular supervision and have the opportunity to raise issues and concerns during supervision, at staff meetings and when on duty at the home. This ensures that residents receive support and assistance from appropriately supervised staff. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.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, 39, Residents benefit from a well run home, the manager has a clear understanding of the service, the residents and their needs and the areas for improvement. The management of staff is in line with organisational policies and procedures. EVIDENCE: Staff meetings are held with the minutes available to all staff. The manager reported that she is in the process of completing the Registered Managers Award and has been managing the home for over five years and has a detailed understanding of residents needs and how to meet them. The area manager for the organisation visits the home every month and speaks with residents and staff, examines records and writes a report, which is available at the home with a copy sent to CSCI. This ensures residents have the opportunity to speak with managers regarding the services they receive. The organisation has representatives who visit the home to ascertain residents comments regarding the care and services they receive at the home. The Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 18 manager reported that the home had increased the involvement of residents in the daily running of the home and seeking residents opinions regarding the services provided. Residents participate in the day-to-day running of the home. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 19 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 2 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 2 2 x x Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x x Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Crescent Road, 18 Score 3 x x 3 Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 20 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 6 Regulation 17 (1) a Schedule 3 (3) 23 (2) a & b 13 (4) a & 23 (2) o Requirement The reigstered person must ensure that the information regarding one resident is updated to include their family situation. The registered person must ensure that the toilet which makes a loud noise when it flushes is repaired. The registered person must ensure that the grass is cut and the garden is attended to. Timescale for action 10/10/05 2. 27 10/10/05 3. 28 10/10/05 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 2 Good Practice Recommendations The registered person should ensure that residents identify goals with their care plans. Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Ground Floor - CSCI 41-47 Hartfield Road Wimbledon SW19 3RG 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 Crescent Road, 18 G54-G04 S27208 Crescent Road V245219 160805 Stage 4.doc Version 1.40 Page 22 - 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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