Inspection on 29/11/05 for 24 Northcroft Road

This inspection was carried out on 29th November 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

24 Northcroft Road 02/11/06

24 Northcroft Road 07/04/05

24 Northcroft Road 08/09/04

24 Northcroft Road 21/04/04

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Northcroft Road (24) 24 Northcroft Road Ewell Surrey KT19 9TA Lead Inspector Suzanne Magnier Announced Inspection 29th November 2005 10.45 Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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 Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Northcroft Road (24) Address 24 Northcroft Road Ewell Surrey KT19 9TA 020 8394 2119 01999 999999 abiddurri@hotmail.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) Mr A H Akbarally Mrs D Akbarally Mr A H Akbarally Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be 30 - 65 YEARS Date of last inspection Brief Description of the Service: 24, Norhcroft Road is a Care Home providing accomodation to 4 residents. The semi detached house issituated in a residential area near local amenities. All residents have their own bedrooms on the first floor. There are two lounge areas on the ground floor one of which has a dining area with comfortable furnishings. The kitchen is also situated on the ground floor with free access to residents. The area to the front of the home has an attractive paved area for visitors or the homes vehicle. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection lasted 3.5 hours. Part of the main focus of the inspection was to ascertain that that the previous standards not assessed during the unannounced inspection in April 2005 had been met. During the inspection the inspector met with all the residents and both Managers. One resident, with supervision had made part of the lunch, which the inspector was invited to share. During the inspection there was opportunity for the inspector to speak with residents and hear and observe their thoughts and experiences about their home and their lifestyles. Comments from the residents included ‘ I love it here and never want to leave’, ‘if it wasn’t for Ali and Dori I don’t know where I would be’. Two resident’s had been on holiday to Tunisia and one resident told the inspector they had never flown before but and ‘felt excited and nervous but safe because Dori was sitting next to me’. Another resident had gone on a Pilgrimage with their local church and showed the inspector photographs of the occasion. A comment card received from a relative stated ‘all three residents are always very happy, this is their home and it shows, a tribute to Ali and Dori and their staff’. What the service does well: What has improved since the last inspection? What they could do better: Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 Page 6 The home has consistently offered a very high standard of care and support to the three residents. No requirements or recommendations have been made during the inspection. 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. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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 Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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): 5. The home is taking time to fully assess any prospective resident wishing to reside in the home to ensure that their needs are met and that the family atmosphere in the home is maintained. EVIDENCE: There have been no admissions to the home since the previous inspection. During the inspection the Manager advised that there had been interest in the new accommodation and people have visited the home. The residents told the inspector that they had been involved in the decisions about who should live with them in their home. Each resident has a contract of terms and conditions of their stay in the home, which is stored in their personal file. The home would promote any new resident to visit and stay in the home prior to full residency to ensure that all the residents felt secure and able to settle to the changes. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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): 8, 10 The home continues to encourage, support, and enable residents to live active and full lives with support from each other and from staff. EVIDENCE: During the inspection the inspector observed that all the residents helped and supported each other to do tasks for example laying the table, getting food items from the fridge, making tea and setting the table. A recommendation made during the previous inspection has been met and the residents care plans and risk assessments are placed in individual folders (rather than all in one folder), which has promoted the residents rights to confidentiality, individuality and ownership of the care plans and risk assessments. The care plans and risk assessments remain under review and the Registered Manager demonstrated a sound knowledge of the care needs of the residents. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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): 11,14,16,17. The standards set in the home to enhance and promote the residents lifestyles is commendable. EVIDENCE: The residents were eager to share their excitement and enthusiasm about the things they had been doing since the previous inspection, which included a holiday to Tunisia and one residents pilgrimage to France with their local church. The residents showed the inspector their photos and souvenirs from their holidays. One resident explained that the Registered Manager had had a ride on a camel but they wouldn’t have done it and said that the Manager was very brave. They also had been Zulu dancing, went to the market and several shows. It was apparent to the inspector that the bond between all the residents and staff remains close and the service is service user led. The home continues to promote residents to participate in other activities, which include regular shopping to Asda, Karaoke and dancing, the Tuesday club, which includes dancing to a live band and also means a late night home. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 Page 11 Playing Bingo and cards and also attending several day centres where organised sessions, of cooking, gardening and social events take place. The Managers and staff continue to have a wide network of professional friends and colleagues and include residents to share leisure time with others. Staff support residents to continue relationships with their family and friends and one resident told the inspector that they were going to visit their sister over the Christmas holidays. The residents told the inspector that during the Christmas holidays they were involved in a play Mr Scrooge where one resident was dancing and also going to see Cinderella at the Epsom Playhouse. One resident told the inspector that they went to the golf club and played mini golf and then gave a speech to say thank you’. The inspector was invited to share a curry or salad lunch which one resident had made. The tableware and meal was presented in an attractive manner and residents clearly enjoyed their meals and told the inspector that they always can choose what they eat. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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): 19, 20, 21 The home continues to offer individualised care to the residents to ensure that all their needs are met in a person centred way. EVIDENCE: Written comments received from a relative included ‘ The quality of care received is exemplary,’ ‘we are very happy with the care our sister receives. She is very happy and well looked after’. One GP comment card stated ‘ Very good care for my patient’. All the residents had recently received flu vaccinations. The home continues to promote the care needs of the residents and care plans include clear guidelines on any intervention of support each resident required with personal care. The homes medication system, including policy and procedures are in place. The inspector sampled medication administration charts and a recent medication audit undertaken by the local dispensing Pharmacist following the recommendation made during the previous inspection, which were favourable and accurate. The home has a policy on ageing and death. Each resident has their choices and wishes for their final affairs documented in their care plans. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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): The home continues to promote and support residents to air their views and talk about concerns or issues that they are not happy about. EVIDENCE: The home has not received any complaints and has a compliant procedure. Whilst talking with the residents about any complaints or concerns they may have they told the inspector that they would speak with Ali or Dori and any other staff. In May 2005 the home had been subject to a local authority referral under the protection of vulnerable adults. Following a planning meeting arrangements were reconsidered with social services and the home in the continued delivery of specific health care treatment for two residents. The home continues to promote the health care needs of all the residents. All staff have attended and are aware of their role in respect of safeguarding and protecting vulnerable adults. The Registered Manager advised that the homes policy and procedure of adult protection had been updated. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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): The home continues to offer a homely comfortable and safe environment for residents. EVIDENCE: The homes environment is clean and maintained by residents and staff. There is a sense of resident ownership in the home and their individual bedrooms reflect their lifestyles and preferences. The toilets and bathrooms in the house were clean, attractive and offered privacy. One comment card received from a relative stated ‘ the owners and staff provide a very caring environment’. The home has recently purchased a new lounge suite and DVD recorder, which the residents said was really good. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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): 36. The home continues to employ a stable and efficient staff team who provide a competent quality of care to the residents. EVIDENCE: The staff team have remained stable and well supervised by the Registered Manager. No new staff have been recruited. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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): The Management of the home continues to be efficient and effective. EVIDENCE: The Manager has achieved the Management in Care Certification and the Registered Managers Award. She has also achieved and undertaken training in safe handling of medicines and infection control. A comment card received from a relative stated ‘all three residents are always very happy, this is their home and it shows. A tribute to Ali and Dori and their staff’. The homes policies and procedures continue to safeguard the residents and promote their independence. Following a reccommendation during the previous inspection the home has otained DVD’s to raise staff and residents awareness regarding moving and handling issues within the home for example shopping bags, hoovers. Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 LIFESTYLES Standard No Score 11 4 12 x 13 x 14 4 15 x 16 4 17 Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Northcroft Road (24) Score x 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x DS0000013468.V249075.R01.S.doc Version 5.0 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. Refer to Standard Good Practice Recommendations Northcroft Road (24) DS0000013468.V249075.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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