Inspection on 03/10/07 for 3, Park Avenue

This inspection was carried out on 3rd October 2007.

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

3, Park Avenue 08/08/06

3, Park Avenue 15/12/05

3, Park Avenue 06/06/05

3, Park Avenue 13/10/04

3, Park Avenue 21/06/04

3, Park Avenue 10/02/04

3, Park Avenue 13/11/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Townley Road, 2-3

Orchard House Nursing Home

St Josephs Rest Home

Foxley Lane (121a)

Tudor Lodge

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

CARE HOMES FOR OLDER PEOPLE 3, Park Avenue Mitcham Surrey CR4 2EQ Lead Inspector Emma Dove Unannounced Inspection 3rd October 2007 1:40 X10015.doc Version 1.40 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 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 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 Older People. 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. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 3, Park Avenue Address Mitcham Surrey CR4 2EQ 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) 020 8286 1206 Mr Nizam Hosanee Mr Feeroz Hosanee Mrs Nazma Bibi Hosanee Care Home 3 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (3), Old age, of places not falling within any other category (3) 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2006 Brief Description of the Service: 3 Park Avenue is a registered care home for up to three adults over the age of sixty-five all of whom have mental health needs. Three people are currently living at the home. The home is owned by Mr N. Hosanee and Mr F. Hosanee. Park Avenue is in a residential area of Mitcham, it is in keeping with the local neighbourhood and is not identifiable as a care home. People who use the service have easy access to public transport and local shops. Accommodation includes a lounge/dining room, small kitchen, smoking area and one single bedroom on the ground floor with two further single bedrooms, a bathroom and staff room on the first floor. People have access to a garden. The aims and objectives are set out in the Statement of Purpose, which is available to people who use the service and their representatives and in the Service User Guide, which is supplied to each person. The weekly fees are £380.00. Information regarding the CSCI is included in the Statement of Purpose and Service Users Guide. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two hours on the 3rd October 2007. One regulation inspector visited, looked at records, looked at communal areas and one bedroom, spoke with people who use the service, the owner, manager and one member of staff. Questionnaires were sent to people who use the service, relatives, health professionals and placing social workers. We have not received any completed questionnaires. An Annual Quality Assurance Assessment was completed in good time for the information to be included in this report. No other information has been received about the service. What the service does well: What has improved since the last inspection? What they could do better: 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. The summary of this inspection report can be made available in other formats on request. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The service understands the importance of having sufficient information for people when choosing a care home. It has developed clear information about the service. Assessments are completed before admission. EVIDENCE: A Statement of Purpose and Service Users Guide have been developed, which include information about the services provided, the facilities at the home and the owners. This information should help people in making the decision about whether to move in. Assessments are completed before admission and were seen to be in case files. The manager or owner complete assessments. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Care plans are developed from assessments with individuals and reviewed monthly. Records of health care appointments are detailed and easy to access. Medication is well managed. EVIDENCE: Care plans have been developed with individuals and also using information from assessments. Care plans note people’s health needs, current medication, privacy and dignity issues, support required with personal care tasks, cultural needs and social and leisure needs. People who use the service confirmed that they speak with the manager and staff about the care they require. People are supported to make decisions about their lives and they confirmed that they choose when to get up and retire to bed. Risk assessments are completed and kept under review. The owner reported that they still have an area for people who smoke, which is very important to some people. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 9 Staff have completed training in the administration of medication. Appropriate policies and procedures are in place for the storage, administration and recording of medication. Medication Administration Record Sheets were up to date and signed by staff. The manager checks medication on arrival from the pharmacy. People who use the service have a three monthly medication review. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who use the service have the opportunity to develop and maintain important family relationships. Staff practice promotes individuals rights and choice. People are involved in daytime activities of their choice and are involved in planning their lifestyle. The menu is varied to meet peoples health and religious needs. EVIDENCE: People who use the service can continue with clubs and groups and activities they enjoyed before moving in. Every year the service has an outing to the coast, which people who use the service speak positively about. A number of board games are available for people to use. People can watch television, listen to music, read newspapers and magazines and talk with staff. People’s religious needs are recorded in their care plans and some people attend churches of their choice on a regular basis. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 11 The manager reported that visitors are welcome. People who use the service confirmed that they have visitors and keep contact with friends and family. A varied menu is provided and people said that they are offered an alternative if they don’t like the meal provided. Care plans include details of individuals likes and dislikes and any health, cultural and religious needs. Peoples comments about the food included ‘the food is alright’ and ‘lunch was ok’. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The service has a complaints procedure that is clearly written and given to all people who use the service and their representatives. People using the service are happy with the services provided and feel supported by staff. Policies for the protection of vulnerable adults are in place and the manager and owner are aware of their responsibilities and what they need to refer for investigation. EVIDENCE: The complaints procedure is available to people who use the service and their representatives. People who use the service are also reminded about the complaints procedure at house meetings. The manager reported that no complaints have been received since the last inspection. We have not received any complaints about 3, Park Avenue. People confirmed that they were aware of who to speak to with concerns but had not had any reason to complain. The service holds some money for people who use the service. Receipts are kept for all transactions and the balance checked was correct. The manager reported that staff complete training on the protection of vulnerable adults as a part of their induction to the service. The manager and owner are aware of their responsibilities regarding when to refer issues to the local authority for investigation. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 23, 25 and 26 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The home provides an environment that is appropriate to meet the needs of the people who live there. The home is a pleasant and safe place to live, bedrooms are single and sufficient communal areas are available. All areas of the home were clean and fresh. EVIDENCE: People have access to a lounge/dining room and kitchen with a small covered area for smoking. Bedrooms are single and large enough for people to have a bed, wardrobe, chest of drawers and comfortable chair. People said that they are able to bring small items of furniture when they move in. Bedrooms have been personalised to individuals taste. A newly refurbished bathroom with toilet is on the first floor. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 14 A single toilet is available on the ground floor. Appropriate policies are in place for infection control. All areas of the home were clean and fresh and people confirmed that the home is always clean. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People who use the service are happy with the care they receive. Staff have access to training to provide knowledge and understanding to carry out their role. There are enough staff to meet the needs of people using the service. Staff recruitment practice is good with the required checks completed. EVIDENCE: 3, Park Avenue is a small family run business with two members of staff employed in addition to the manager and one of the owners being available. One member of staff is on duty during the day and at night. The manager and owner live close by and can be available to provide support and advice. Comments about the manager and staff included ‘staff help’ and ‘staff listen’. Policies and practices for recruiting staff are in line with legislation. Staff files contain a copy of the application form, two written references, a Criminal Records Bureau check and proof of the individuals identity. New staff complete a detailed induction to the service and complete the skills for care induction which is signed and held in their personnel file. Staff confirmed that they received enough information to carry out their role and have access to further training. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use this service receive good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. The manager has the required experience to run the home. Quality assurance systems are in place to seek people who use the service and other stakeholders opinions of the services provided. Good health and safety policies and procedures are in place, with the required checks up to date. EVIDENCE: The manager and owner demonstrated detailed knowledge and understanding of people who use the service needs and how they should be met. Regular staff meetings take place. Records confirm that the manager goes over policies including, the protection of vulnerable adults, medication 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 17 administration and health and safety with staff. Records showed that staff receive regular supervision from the manager. House meetings are held every month when people who use the service have the opportunity to offer any suggestions about activities, plan for Christmas and other events and go over some of the policies such as how to make a complaint. Appropriate systems are in place to support people to manage their finances. Where the home looks after money for individuals, money is safely stored with clear records, balances were correct and records up to date. Health and safety policies and procedures are in place to protect people who use the service, visitors and staff members health and welfare. Records of checks on the gas, electrical supply and portable electrical appliances were up to date. 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 19 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 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 3, Park Avenue DS0000027263.V348474.R01.S.doc Version 5.2 Page 21 - 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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