Inspection on 07/04/05 for 24 Northcroft Road

This inspection was carried out on 7th April 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 29/11/05

24 Northcroft Road 08/09/04

24 Northcroft Road 21/04/04

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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 Ms S Magnier Unannounced 07 April 2005 09.30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Northcroft Road (24) Version 1.10 Page 3 SERVICE INFORMATION Name of service Northcroft Road (24) Address 24 Northcroft Road, Ewell, Surrey, KT19 9TA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 3942119 Mr A H Akbarally Mrs D Akbarally Mr A H Akbarally CRH Care Home 4 Category(ies) of LD Learning Disability, 4 registration, with number of places Northcroft Road (24) Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: The age/age range of the persons to be accomodated will be 30 - 65 Years Date of last inspection 08 September 2004 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 fisrt 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) Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection lasted 5 hours. Two residents and the Managers assisted the inspectors. Daily records, care plans, risk assessments and activities of daily living records were inspected and were written clearly to assist the residents in achieving their goals and aspirations. One resident told the inspectors ‘I feel so free and happy’ and another ‘I like being here, I can do lots of things’. The residents help each other and take pride in their home, which is clean and comfortable. With support from staff residents clean their bedrooms, lounges and kitchen. What the service does well: What has improved since the last inspection? The home has built an extra bedroom, and made an existing bedroom larger and built a new bathroom, which includes a shower and toilet. The front garden has been paved over to provide parking space for the vehicle used by the residents. The home has replaced the lounge, hall and stair carpet and the extended bedroom has been redecorated, newly furnished and has a new carpet. Since the last inspection comments have been received from various people connected to the home which include ‘It is a very safe environment. The carers provide 100 dedication to the home and clients’. Northcroft Road (24) Version 1.10 Page 6 ‘I am very happy with the care (name) receives; they are very happy and have plenty of outings and well looked after in all aspects’. ‘I like living at 24 Northcroft Road and I am very happy there. Everybody is kind to me’ ‘As a neighbour I am impressed with the dedication shown by owners and staff. There is a wonderful family feel about the place- a lot of contentment and happiness obviously exists (very lucky clients)’. ‘If it wasn’t for Ali or Durri I don’t know what would have happened to me’. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Northcroft Road (24) Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Northcroft Road (24) Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4. The open management and empowerment of the Managers and staff new enable to have up to date and adequate information about the home and arrangements are in place to ensure a full a full assessment takes place before any new admission. EVIDENCE: The resident meeting notes told the residents that they would be fully informed ‘that any new person referred to our home as a fourth service user, all issues regards that referral will be discussed with them and decisions will be made according to the home policy and they will be involved in the process’. The home has recently built and extra bedroom bringing the total occupancy to four people. It was observed that the Managers are striving to ensure that any new person choosing to live at Northcroft Road will be able to settle in well and have compatibility with the other residents in the home. There has been interest in the new accommodation and people had visited the home with a view to residency and to ensure that their needs are met. Northcroft Road (24) Version 1.10 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10. The home continues to encourage, support, and enable residents to live active and full lives with staff support where needed. EVIDENCE: Care plans included clear daily living skills of housekeeping, personal care, and ironing, making tea for each other, laying the table, and taking a bath. The close bond of the residents at Northcroft Road enables them to help and support each other with some tasks they may find challenging or do not particularly have an interest in doing e.g. dusting or hovering. The residents who have the skills and interest support one another in a companionable way. Staff were at hand to also support and offer supervision to any resident that needs help whilst also being mindful of residents choice. Each resident has their own communication book, which details their daily activities and any events, which have happened during the day with incidents written in differing colour ink. The risk assessments for each resident are very well developed and include all actions taken to ensure the safety and choice of residents in the assessment. Both care plans and risk assessments are updated on a regular basis. Northcroft Road (24) Version 1.10 Page 10 A recommendation has been made that the care plans and risk assessments are placed in individual folders (rather than all in one folder), which would enable more individuality and ownership of the care plans and risk assessments by the resident. Northcroft Road (24) Version 1.10 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17. The home offers opportunities for the residents to make choices about their lifestyles, encourages and supports residents to have wide variety social contacts and enhance self worth and achievements with the residents. The standards set in the home to enhance and promote the residents lifestyles is commendable. EVIDENCE: Each care plan includes a statement, which details what each resident wants to do and achieve. The statements are about daily living skills, support in the community e.g. helping to cross the road safely and also aspirations for holidays. The residents were eager to share their enthusiasm about the things they do which include the regular shop to Asda, (describing the logo!) Karaoke and dancing, the Tuesday club, which includes dancing to a live band and also means a late night home. Playing Bingo and cards and also attending several day centres where organised sessions, of cooking, gardening and social events take place. One resident said ‘after my work is done I do my embroidery to Northcroft Road (24) Version 1.10 Page 12 relax and do my colouring book or puzzles’ ‘When I am at home and not at the day centre I go shopping for food’. The Managers and staff have a wide network of professional friends and colleagues and include residents to share leisure time with others. A recent visit to a local Home farm to spend the day having fun and seeing the animals at work. Part of the visit, in the past has also included the hosts dressing up for a Wild West weekend and one resident showed the photos of the occasion. Staff support residents to continue relationships with their family and friends, which include weekend visits and holidays with relatives, visiting places of spiritual support such as Lourdes and going to church on Sunday morning. Holidays are taken each year and there was some talk about a possible trip to Disneyland Paris for this year. Trips to the Brighton and the seaside were great talking point and also the ‘fish and chips in Epsom’. The lunch prepared by the residents and Manager was quiche, sweet corn and peas with mayonnaise and burgers and chips. The tableware and meal was presented in an attractive manner and residents clearly enjoyed the meal of their choice. Special diets have been arranged for residents who have specific needs or who are currently weight watching. Northcroft Road (24) Version 1.10 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20. The home continues to offer individualised care to the residents to ensure that all their needs are met in a person centred way. EVIDENCE: Care plans included clear guidelines on any intervention of support each resident required with personal care. Physical and emotional needs of the residents were also detailed in the care plans and daily records, which included visits to the doctor, dietician, dentist and reviews of care. The bond between the residents was apparent as one resident is supported by the others to try to keep to their specific diet, ‘if I make cakes I try not to give (name) too many’. The homes medication system, including the policies is in place and a recommendation has been made that the Managers arrange for the local dispensing Pharmacist to visit the home to audit the medication. Written comments received from a relative included ‘We are very happy with the care (name) receives, they are well looked after in all aspects always looking clean and smart’ ‘It is a great relief to us to know that they are in such a well run and caring home with people that really do put the residents first’. Northcroft Road (24) Version 1.10 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The home operates in a manner that supports residents to air their views and talk about concerns or issues that they are not happy about. EVIDENCE: Whilst talking with the residents about complaints one resident explained to the Manager something outside of the home that they were not happy about. The Manager explained clearly what to do and the resident was happy that ‘Durri would phone my keyworker’. The home has not received any complaints and has a compliant procedure. ‘If I had any complaints I’d come straight home and tell Durri’ ‘My sister hasn’t got any complaints’. Northcroft Road (24) Version 1.10 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,30. 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 recent variation of the homes category to include a new bedroom, shower and toilet and the extension of an existing bedroom has also included the redecoration of the upstairs hallway, and new carpet in the hall and front lounge. The residents keep their rooms clean and were happy to show their rooms and special items such as pictures, photos and cards. The toilets and bathrooms in the house were clean, attractive and offered privacy. The communal areas of the home enable residents to have choice in where to relax and watch television, eat and use the telephone and any other activities they wish to do at home including the use of the large back garden. Northcroft Road (24) Version 1.10 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 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 at Northcroft Road are well supported by the Managers and have meetings to discuss the ongoing care needs of the residents and the home generally. The Managers ensure that the home is compliant with The Care Homes Regulations (amended) 2001 requirements with regard to the recruitment and selection of staff in order to ensure that the residents are supported by competent staff. Residents are interested to know which staff are coming into their home on a daily basis and the residents spoke highly of the staff ‘I like the staff they are so nice and gentle, if I ask them to put the photos in my album they do it for me’ Northcroft Road (24) Version 1.10 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42,43 The Management of the home is efficient and effective. Mr and Mrs Akbarally continue to offer a person centred service to the residents. EVIDENCE: Written quotations regarding the management and running of the home from residents include ‘Because Ali and Durri treat me as their sister and family member this is my home’. I like living here with Durri and Ali you look after me well’ ‘I like the home everything is calm and the house is alright’ The homes policies and procedures safeguard the residents and promote their independence. The Manager has achieved the Management in Care Certification and continues to attend a local college to achieve the Registered Managers Award by the end of the year. Northcroft Road (24) Version 1.10 Page 18 A reccommendation has beem made that the home obtain a video to raise staff and service users awareness regarding moving and handling issues within the home e.g shopping bags, hoovers. 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 Standard No Standard No 31 32 Score 3 3 Page 19 Northcroft Road (24) Version 1.10 11 12 13 14 15 16 17 4 4 4 4 4 4 4 33 34 35 36 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 Northcroft Road (24) Version 1.10 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement No requirements were made. 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 6 & 10 Good Practice Recommendations The care plans and risk assessments are placed in individual folders (rather than all in one folder) which would enable more individuality and ownership of the care plans and risk assessments by the resident. The Managers arrange for the local dispensing Pharmacist to visit the home to audit the medication. The Managers obtain a video to raise staff and service users awareness regarding moving and handling issues within the home e.g shopping bags, hoovers. 2. 3. 20 42 Northcroft Road (24) Version 1.10 Page 21 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Northcroft Road (24) Version 1.10 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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