Inspection on 21/02/06 for 231 Stafford Road

This inspection was carried out on 21st 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 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

231 Stafford Road 04/09/09

231 Stafford Road 06/09/07

231 Stafford Road 21/08/06

231 Stafford Road 05/10/05

231 Stafford Road 24/02/05

231 Stafford Road 07/06/04

Similar services:

Ashlong House

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Edenvale

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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 Stafford Road (231) 231 Stafford Road Wallington Surrey SM6 9BX Lead Inspector Deborah Yapicioz Unannounced Inspection 21st February 2006 08:45 Stafford Road (231) DS0000007214.V285214.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 Stafford Road (231) DS0000007214.V285214.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. Stafford Road (231) DS0000007214.V285214.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stafford Road (231) Address 231 Stafford Road Wallington Surrey SM6 9BX 020 8647 1271 0208 647 1271 manager.staffordroad@careuk.com 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) Care Solutions Limited Mrs Tina Edwards Care Home 6 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Stafford Road (231) DS0000007214.V285214.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 6 people with a learning disability, 3 of who may also have a physical disability. 5th October 2005 Date of last inspection Brief Description of the Service: 231 Stafford Road Wallington is a residential home for people with learning disabilities. Some service users may also have physical disabilities. The home is owned, managed and staffed by Care U.K. The premises are a modern two-storey building, with most bedrooms being on the ground floor. The service users all have a private bedroom. The home does not provide any emergency or respite provision. The communal space on the ground floor consists of an open plan living room, dining room and kitchen. There is a separate laundry room. There is also a small garden to the rear of the home as well as a patio area to the front. The office is situated on the first floor. The home is on a busy road, close to shops, parks and public transport. The home is within easy access of Sutton and Croydon. The home has its own mini-bus, which is accessible for wheelchair users. Stafford Road (231) DS0000007214.V285214.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second unannounced inspection for the year 2005/6. The previous inspection took place on 5th October 2005. The home was inspected under the National Minimum Standards Care Homes for Younger Adults. Methods of inspection included talking to service users, a partial tour of the premises, and observation of contact between staff and service users and meeting with the manager. Records examined included service user plans, medication records, complaints, and health and safety and fire records. The inspector would like to thank the service users, the staff team and Ms Edwards for their help in facilitating the inspection. Overall the home continues to provide a good standard of care to the people living there. What the service does well: What has improved since the last inspection? What they could do better: The management team at the home have worked hard to comply with the requirements set at the previous inspection. There were no new issues identified as a result of this inspection, therefore no requirements or recommendations were set at this visit. One recommendation Stafford Road (231) DS0000007214.V285214.R01.S.doc Version 5.1 Page 6 regarding service users holidays was carried over as the staff team at the home are in the process of planning holidays. 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. Stafford Road (231) DS0000007214.V285214.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 Stafford Road (231) DS0000007214.V285214.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): 1,2 The home provides good information and introduction opportunities for prospective service users and their families to make an informed choice about moving to the home. A comprehensive pre-admission assessment is undertaken so that service users and their families can be confident that their needs will be met by the home. EVIDENCE: The home has a statement of purpose and service user guide, which are regularly reviewed to ensure information about the home is up to date. Service users are only admitted to the home once a full assessment of their needs; compiled by their care manager or other relevant person has been received. This would be done in conjunction with Care U.K, S own assessment procedure. A care manager’s assessment was seen on the service users files sampled during the inspection. Compatibility with others already living in the home is also taken into account. Any prospective service user would have a gradual introduction to the home with a series of short visits and overnight stays. The time frame would be flexible depending on the service user. Service users files looked at during the inspection demonstrated that the service users had visited the home for “tea” etc before moving in fully. Stafford Road (231) DS0000007214.V285214.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): 6,7 The service users have individual care plans with contain information on their needs and personal goals. Individual care plans include consultation with service users and are regularly updated by the key-worker to reflect current and changing needs and ensure service users wishes are represented. EVIDENCE: The home is in the process of introducing Person Centred Plans to the assessment process used by the home. The new format sets out goals and aims as well as care needs. The service users are involved in the process. Main reviews occur every year. The service users all have a key worker. Care plans are internally reviewed every six months and updated by key workers regularly. Key workers have individual meetings with service users to discuss any relevant issues, or concerns. The service users have access to advocates where necessary. One of the service users has had a long term advocate another service users was due to meet with his new advocate on the day of the inspection. Stafford Road (231) DS0000007214.V285214.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): 14,15,16 The daily routines and house rules promote residents’ rights and encourage independence. The home has an open visitors policy to ensure friendships and family links are maintained. EVIDENCE: The service users are supported to access local day centres and colleges where they attend a variety of sessions depending on their individual interests and goals. The home manager has recruited some more drivers to the staff team, which, should ensure that the service users are able to attend their daytime activities with no interruptions. The service users are in the process of planning their annual holidays. Some of the service users do not enjoy the “traditional” week away on holiday and become quite distressed when in a strange place away from the care home. At the last inspection it was felt that it would be more beneficial to have five individual days outing to places that are of interest to them. The staff team at the home are in the process of planning the days according to the preferences of the service users and this will be monitored at the next inspection. Not all service users have contact with their families. Some service users have advocates. There was evidence on service users files and from discussion with Stafford Road (231) DS0000007214.V285214.R01.S.doc Version 5.1 Page 11 the service users that the home encourages good links with family and friends who can visit and are visited regularly. Stafford Road (231) DS0000007214.V285214.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): 18,20 Personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Residents’ medication is well managed to ensure good health. EVIDENCE: The level of support a service user needs would be detailed at their review meetings and their preferred routines are set out in their files and personal records. Personal care is provided in private, and timings of this are also flexible, for example service users can have a bath when they wish. The home provides consistency and continuity through designated key workers. Service users have access to relevant professional support to maximise independence, including the Community Team for People with Learning Disability. Significant events and accidents are recorded and monitored. Staff members monitor service user’s health and maintain up to date records. The home has a policy and procedure in place for the receipt, recording, storage, handling, administration and disposal of medication. The service users are encouraged to self medicate, where appropriate. All medication records were complete at the time of the inspection. Stafford Road (231) DS0000007214.V285214.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): 22,23 There is complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users. EVIDENCE: The complaints procedure was clear and contained all of the elements required to meet standard 22 including a minimum response time of less than 28 days. There have been no complaints since the last inspection. The home has a copy of the local authority Adult Protection Policy on site. The staff team have attended training on adult protection issues. Stafford Road (231) DS0000007214.V285214.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): 24,30 The home is homely, bright and clean thus providing the service users with safe, comfortable surroundings that meet their needs. EVIDENCE: The home has undergone some improvements over the last twelve months, which has created a more comfortable environment. Several of the service users bedrooms have been redecorated and the communal areas including the open plan lounge, dining and kitchen have been repainted. The hallway has been wallpapered and painted. Service users spoken to during the inspection were happy with the redecorating and were involved in choosing the colour schemes. The home has appropriate laundry facilities separate from the kitchen and the preparation of food. The washing machine is capable of washing clothes at high temperatures, which helps with the control of infections. The laundry has suitable flooring. There is a locked cupboard for the Control of Substances Hazardous to Health products. On the day of the inspection the home was clean, bright and well ventilated. Stafford Road (231) DS0000007214.V285214.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): 34 The staff team have now all had Criminal Records Check, as a safeguard to offer protection to the homes service users. EVIDENCE: The home manager confirmed the home now has a copy of the staff Criminal Records Checks on each of the files, which are taken as part of the recruitment and selection policy. The home has a rolling programme of staff training in place including issues such induction training, fire safety, adult protection and autism. Training records are kept on the staff members file. All staff has completed National Vocational Qualification training and certificates are kept on staff files. The atmosphere in the home is friendly and welcoming and all of the service users spoken to were complimentary about the staff and management team. Stafford Road (231) DS0000007214.V285214.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 Health and safety arrangements are adequate to ensure potential risks to service users health and safety are as far as reasonably possible identified and minimised. EVIDENCE: Records required for the safety and well being of service users are in place including accidents, water temperatures, risk assessments, complaints, incidents, food records, staff and service users case files, medication records and so forth. Staff meetings are held regularly which are recorded. Fire drills take place regularly and a fire risk assessment has been completed and was seen on file. A representative of the proprietor is carrying out monthly regulation 26 visits, and a report of each visit is produced and a copy is sent to the Commission for Social Care Inspection. Stafford Road (231) DS0000007214.V285214.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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X X X X X X 3 X Stafford Road (231) DS0000007214.V285214.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA14 Good Practice Recommendations The home manger must ensure that all service users who do not go away on an annual holiday have at least five days out to places that are of particular interest to them. A record of the activities should be kept on their file. Stafford Road (231) DS0000007214.V285214.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Stafford Road (231) DS0000007214.V285214.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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