Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 29/11/08 for 18, Crescent Road

Also see our care home review for 18, Crescent Road for more information

This inspection was carried out on 29th November 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 18, Crescent Road 18, Crescent Road Wimbledon London SW20 8EU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Emma Dove     Date: 2 9 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 22 Information about the care home Name of care home: Address: 18, Crescent Road 18, Crescent Road Wimbledon London SW20 8EU 02089467439 F/P02089467439 crescent.road@unitedresponse.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: United Response care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home 18, Crescent Road is a registered care home for six adults with learning disabilities. Six people are currently living there. The home is a detached property in a cul-de-sac off the Worple Road in Wimbledon and 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. Information regarding the CSCI is included in the Statement of Purpose and Service Users Guide to the home. 6 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection was carried out over two hours on the 29th November 2008, by one regulation inspector. We spoke with people who use the service and staff and looked at records. We looked at the information we have received from the home since the last inspection on the 3rd July 2006. Care Homes for Adults (18-65 years) Page 5 of 22 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 6 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 7 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service understands the importance of having sufficient information when choosing a care home and has developed appropriate information. Assessments are completed before admission to ensure the service is the right place for an individual. Evidence: The Statement of Purpose and Service Users Guide contain information to help prospective people and their representatives make the decision about moving in. One person told us they chose to live here and are happy here. Assessments are completed before someone moves in. These assessments are kept under review and updated when required. People are invited to visit the home, to meet other people and staff as a part of the assessment and introduction to the service. Care Homes for Adults (18-65 years) Page 8 of 22 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are person centred. The service involves people in planning their care. Staff understand the importance of people being supported to control their lives. People are encouraged and supported to make decisions. Risk assessments are in place. Evidence: We saw case files contain details about individuals needs and how they should be met. Staff have information about the choices individuals make and how these choices should be presented to the individual. We saw people offered choices of drink, food and activity during our visit. One person confirmed that they are always offered choices. Risk assessments are in place. Staff said they are aware of individuals risk assessments and the balance between risk and letting people live full lives. We saw staff follow guidelines to keep people safe. Care Homes for Adults (18-65 years) Page 9 of 22 Care Homes for Adults (18-65 years) Page 10 of 22 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a strong commitment to enabling people to maintain and develop social, emotional, communication and independent living skills. Individuals have goals and are supported to achieve them. People are supported to maintain relationships with family and friends. Individuals are encouraged to be invovled in all areas of meal times and any dietary needs are catered for. Evidence: We saw people involved in household tasks, doing activities they enjoy, watching television, listening to music, spending time with staff and out at a club during our visit. People looked comfortable and relaxed doing what they wanted. Two people confirmed that they are happy doing household tasks. Staff told us people still go out in the local community. One person told us they are Care Homes for Adults (18-65 years) Page 11 of 22 Evidence: planning an outing. Staff told us they are planning outings and activities for Christmas, including a party. One person told us they are looking forward to the party. People are supported to maintain links with family and friends. The menu is chosen in consultation with people who use the service and health professionals, to ensure medical needs are met. Any religious and cultural dietary needs are catered for. We saw people enjoy lunch and be involved in either preparing or clearing away. People told us they like the food and the food is good. Care Homes for Adults (18-65 years) Page 12 of 22 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive healthcare support using a person centred approach. Staff listen and offer people appropriate support. People access healthcare services to meet their needs. Medication is well managed. Evidence: Staff told us people are registered with a GP and see other community and specialist health professionals as required. Good records are kept of individuals health needs and how they should be met. We saw records of health appointments and any changes in medication or treatment are clearly documented. We saw staff offer people discreet support with personal care. Appropriate medication policies and procedures are in place. Medication is securely stored and labelled. We saw Medication Administration Record Sheets signed and up to date. Care Homes for Adults (18-65 years) Page 13 of 22 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a complaints procedure that is clearly written, easy to understand and accessible to people who use the service and their representatives. Appropriate procedures are in place for safeguarding adults. Staff complete training in protection as a part of their induction with refresher sessions provided. Evidence: Staff told us that they have not received any complaints. We have not received any complaints or concerns since the last inspection in July 2006. One person told us they would speak to the manager if they had any worries. No issues were raised during our visit. Staff were aware of how to respond to complaints and concerns. We saw records of individuals finances to be well recorded and checked daily by staff. Staff completed training in adult protection as a part of their induction. The organisation has regular sessions to keep staff up to date in issues regarding safeguarding. Care Homes for Adults (18-65 years) Page 14 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides an appropriate physical environment for the people who live there. All areas are well maintained and kept clean. Bedrooms are single and have been personalised to suit individuals taste. Evidence: People have access to a lounge, dining room and kitchen on the ground floor. There is an accessible garden which people told us they use when the weather is warm. The kitchen has been refurbished with new cupboards and worksurfaces, providing a better environment for the people who live there. There are sufficient bathrooms and toilets on the ground and first floor to meet peoples needs. We saw people to be comfortable in their bedrooms, lounge and dining room. People have bought their own furniture and have personalised their rooms with pictures, photographs and other items. Two people are happy with their rooms and have all they need. We saw all areas of the home to be clean and fresh. Care Homes for Adults (18-65 years) Page 15 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the staff who care for them. Staff have access to training and support to help them do their job. The organisation has appropriate recruitment policies. Evidence: We saw three members of staff on duty during our visit, this is enough to meet the needs of the people who are currently living there and takes into account peoples changing needs and risk assessments. Staff generally feel there are enough staff but acknowledge that it gets harder as peoples needs increase. There is one member of staff awake and one asleep but on call at the service at night. Staff told us that there have not been any new staff since the last inspection in July 2006. We were not able to see staff files during our visit, but there were no issues previously and recruitment practices were good. The organisation has a good training and development programme available to all staff. Staff said they have excellent opportunities for training. Staff said they feel supported in their job and to carry out the necessary tasks. Care Homes for Adults (18-65 years) Page 16 of 22 Care Homes for Adults (18-65 years) Page 17 of 22 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the qualifications and experience to run the home. The manager understands the focus of the service and where it fits within the organisation. The organisation has quality assurance systems to check on the services provided. Good systems are in place to monitor health and safety and keep people who use the service and visitors safe. Evidence: The manager has experience of running the home and has a good knowledge of the people who live there and how their needs should be met. The organisation has quality assurance systems in place to monitor the services provided. These include a representative visiting the home, speaking with people who live there and staff and looking at records. Reports from these visits are sent to the CSCI. Weekly meetings are held, where people are invited to discuss the menu, activities and Care Homes for Adults (18-65 years) Page 18 of 22 Evidence: anything else to do with the home. We saw people given the choice to attend these meetings. Systems are in place to monitor health and safety with records of the fire alarm test and portable electrical appliances up to date. Care Homes for Adults (18-65 years) Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 21 of 22 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 22 of 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. 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!