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Inspection on 19/01/10 for 27a Old Kenton Lane

Also see our care home review for 27a Old Kenton Lane for more information

This inspection was carried out on 19th January 2010.

CQC found this care home to be providing an Adequate 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.

What the care home does well

The service has achieved compliance with the statutory requirements identified during the key inspection report of September 2009 and with the statutory requirement notice.

What the care home could do better:

During the inspection we spoke with the manager about the home`s practice of purchasing items on behalf of the resident and the claiming back of this money being subject to a delay. We advised the manager to encourage residents to keep a small petty cash float so that purchases can be made with the resident using their own money, at the time.

Random inspection report Care homes for adults (18-65 years) Name: Address: 27a Old Kenton Lane 27a Old Kenton Lane Kingsbury London NW9 9ND one star adequate service 24/09/2009 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Julie Schofield Date: 1 9 0 1 2 0 1 0 Information about the care home Name of care home: Address: 27a Old Kenton Lane 27a Old Kenton Lane Kingsbury London NW9 9ND 02089593965 02082010213 unuwatte@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Integrated Care Services Limted care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 4 The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category of service only: Care Home only - Code 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 27a Old Kenton Lane is a registered home. The registered manager is Mr Percy Bamunuwatte. Mr Bamunuwatte and his wife jointly run the Integrated Care Services company. They provide a similar service at one other local home. The home is located in a residential area of Kingsbury. The property is detached. There is one bedroom, a bathroom, a toilet, a lounge/diner, an office, and kitchen on the ground floor. Three more bedrooms, and a bathroom with toilet can be found on the Care Homes for Adults (18-65 years) Page 2 of 8 2 4 0 9 2 0 0 9 Brief description of the care home first floor. The home has a self-contained back garden of medium size. There is parking space for two cars in the homes own drive and free kerbside parking on a road around the home. There are a few shops in walking distance. More shopping facilities are in Wembley or Harrow, which can be reached through public transport. The home is registered for four residents and is currently fully occupied. Fees for the home depend on the assessed needs of the prospective resident and information about current levels of fees can be obtained, on request, from the manager of the home. The service user guide and a copy of the most recent inspection report can be obtained from the owner of the home. The inspection report is also available on the internet at the CQC website. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: Nineteen statutory requirements had been identified during the key inspection on the 24th September 2009. These were in respect of staff training, residents finances, review meetings, access to files, risk assessments, the complaints procedure, staff recruitment and health and safety within the home. The timescales for compliance had all expired prior to this random inspection. Following the key inspection a statutory requirement notice had been issued in respect of health and safety, residents finances, staff recruitment and staff training. The timescale for compliance had also expired prior to this random inspection. The purpose of this random inspection was to check that compliance with the statutory requirements identified during the key inspection and compliance with the statutory requirement notice had been achieved. To check compliance the manager made residents case files, staff personnel files, staff training records, residents financial records, health and safety records and a copy of the complaints procedure available for inspection. We noted that compliance had been achieved. There was evidence that members of staff had attended a medication training course organised by Boots and that they have attended training in safe guarding adults and in respect of infection control. A member of staff that is employed as a domestic/carer has received training in the areas necessary to enable them to carry out their duties. Residents financial records are more detailed and there are now systems in place for auditing both on an internal and an external basis. Records were up to date and included a record of charges (fees and extras) in the monthly accounts. We were satisfied that residents had access to investment bonds to enhance their savings. Residents case files also contained evidence that review meetings were taking place and that the manager was following through with the local authority if these became overdue. We noted that risk assessments had been completed for key aspects of a residents life and that circumstances or situations that might act as triggers were included. Risk assessments were subject to review. Staff personnel files now contain the documents listed in Schedule 2. Although new recruitment has not taken place the manager said that he is aware of the need for recruitment practices that promote and protect the safety and welfare of the residents and will ensure that new members of staff are recruited in accordance with Regulation 19. The complaints procedure has now been updated and it contains the correct contact details for the CQC. There was evidence that the portable electrical appliances had been tested. What the care home does well: The service has achieved compliance with the statutory requirements identified during the key inspection report of September 2009 and with the statutory requirement notice. Care Homes for Adults (18-65 years) Page 4 of 8 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 2. Care Homes for Adults (18-65 years) Page 5 of 8 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 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, 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 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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