Inspection on 05/02/06 for 18 London Road

This inspection was carried out on 5th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found 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

18 London Road 18/06/08

18 London Road 05/07/06

18 London Road 05/06/05

18 London Road 15/10/04

18 London Road 04/04/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 18 London Road Luton LU1 3QU Lead Inspector Georgia Chimbani Unannounced Inspection 5th February 2006 12:00 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 18 London Road Address Luton LU1 3QU 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) 01582 877383 01582 721098 Fairhome Care Group Limited Annette Yvonne Robinson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th June 2005 Brief Description of the Service: 18 London Road is a home registered to provide long term personal and social care for up to 6 adults with a learning disability aged over 18 years. The home is a large detached property situated on a busy main road near to Luton town centre and local amenities. All service users have their own individually decorated bedrooms but five out of six share bathing facilities. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a Saturday evening and lasted one and a half hours. Present at the start of the inspection were two Support Workers, Ms Ololade Odebiyi and Ms Amanda Joyce. Towards the end of the inspection Ms Saima Khan a Senior Support Worker arrived. All members of staff involved in the inspection were very co-operative. The home had no vacancies at the time of this inspection. The inspector attempted to speak to all six service users during the course of the inspection but feedback was limited due to the their limited verbal communication. Despite this, the inspector was able to get a sense through observation and non-verbal language that they were well cared for and happy with the provided by the home. There were no requirements issued at the last inspection. Two requirements are issued following this inspection relating to a minor repair and staff training. The inspector is confident that the registered persons will achieve compliance within the stated timescales. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that repairs required to a service user’s side cabinet are carried out. All staff must have the necessary training required for them to competently carry out their duties and therefore meet the needs of service users. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 6 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. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The key standards relating to this section were inspected at the last inspection. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The key standards relating to this section were inspected at the last inspection. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 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 the following standard(s): 13 and 17 The range of social activities arranged by the home together with a varied and healthy diet ensures that service users lead a fulfilling life. EVIDENCE: Discussions with staff on duty revealed that service users are involved in a variety of activities in the local community. Service users are able to go shopping, to the cinema and eat out. Last year some service users went for a day trip to Blackpool and to Lakeside shopping centre just before Christmas. A member of staff described a trip they made to Butlins with two service users to see Jason Donovan perform. This was in response to a request by a service user who regarded Jason Donovan as their favourite singer. On arrival at the home the inspector was able to talk to a service user waiting to go out to a local youth club. They informed the inspector that they were looking forward to the outing, as it was their birthday. The inspection commenced as service users were completing their evening meal. Discussions with service users regarding their meal were limited due to their varying levels of verbal communication but through observations the inspector was able to conclude that they were enjoying their meal. A tour of the kitchen revealed a large stock of fresh and frozen food appropriate to the 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 11 needs of service users. For example there was Soya milk for a service user who did not drink dairy milk. Provision had been made for service users for instance a diet designed with input from a dietician for a service user who needed to lose weight. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 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 the following standard(s): 18 The privacy and dignity of service users is maintained through appropriate levels of personal care. EVIDENCE: Interviews with staff on duty revealed that all 6 service users require varying levels of support with their personal care. A service user who requires a higher level of support has an en-suite room with appropriate aids. The inspector was able to observe staff giving appropriate levels of support to a service user who had made it known through various actions that they wanted to go to bed. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: The key standards relating to this section were inspected at the last inspection. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 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 the following standard(s): 24 and 30 The high standard of hygiene maintained in the home ensures that service users live in safe and comfortable environment. EVIDENCE: A tour of the home revealed a high standard of cleanliness and no offensive odours were detected. Service user bedrooms were decorated individually and comfortably furnished however a drawer was missing from the side cabinet in a bedroom on the ground floor. This must be replaced. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 The home must ensure that all staff working in the home receive training in core areas relating to their work so as to ensure that the needs of service users are effectively met. EVIDENCE: In the absence of the manager, staff training records were not available, however a discussion with two members of staff on duty gave the inspector insight into their training. Both members of staff confirmed that they had received in fire safety, infection control, basic first aid and moving and handling. One member of staff informed the inspector that they had not received training in food hygiene and adult protection. The inspector was concerned that this member of staff had still not received training in these areas despite working at the home on and off for about 3 years. A discussion with the senior carer on duty at the time of the inspection revealed that management were aware of outstanding training and plans were underway to meet these needs. The inspector was also informed that the member of staff in question had been working at the home for about week after a year’s break. The registered persons must ensure that all staff working in the home have up to date training in fire safety, moving and handling, infection control, food hygiene, basic first aid and adult protection. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 Regular health and safety checks demonstrate the home’s commitment to the health and safety of service users. EVIDENCE: At the start of the inspection staff informed the inspector that a member of staff had taken a service user to a local walk in centre after they suffered a fall. The service user suffered no apparent injuries but was taken to the clinic as a precaution. Discussions with the service user and the member of staff on their return from the clinic satisfied the inspector that staff had taken the necessary precautions to safeguard their health. Records were viewed confirming that up to date checks relating to gas, electrical installations, fire alarm and fire equipment had been carried out. 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 17 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 X 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 X 23 X 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 X 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X X X X 3 X 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 18 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)(b) Requirement Timescale for action 05/06/06 2 YA35 The registered persons must ensure that the drawer missing from a side cabinet in a service user’s room is replaced. 18(1)(c)(i) The registered persons must ensure that all staff working in the home have up to date training in fire safety, moving and handling, infection control, food hygiene, basic first aid and adult protection. 05/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 18 London Road DS0000014932.V281054.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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