Inspection on 08/08/06 for 3, Park Avenue

This inspection was carried out on 8th August 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

3, Park Avenue 03/10/07

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 Park Avenue, 3 Mitcham Surrey CR4 2EQ Lead Inspector Emma Dove Unannounced Inspection 8th August 2006 3:00 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 Park Avenue, 3 DS0000027263.V307314.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. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Avenue, 3 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) Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2005 Brief Description of the Service: 3 Park Avenue is a 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. The home is situated in a residential area of Mitcham, is in keeping with the local neighbourhood and is not identifiable as a care home. Residents have easy access to public transport and a group of 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. Residents have access to a garden. The aims and objectives of the home are set out in the Statement of Purpose which is available in the home and in the Service User Guide a copy of which is supplied to each resident. The weekly fees are £380.00. Information regarding the CSCI is included in the Statement of Purpose and Service Users Guide to the home. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over two and a half hours on the 8th August 2006 by one regulation inspector. The inspection included the examination of records, inspection of communal areas of the home and one residents room, talking to residents, the manager and owner. The inspector spoke with three residents. Questionnaires were sent to three residents, two members of staff and one professional, four questionnaires have been received and comments from these are included in the relevant section of this report. 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. Park Avenue, 3 DS0000027263.V307314.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 Park Avenue, 3 DS0000027263.V307314.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have access to appropriate information to make an informed choice about moving into the home. EVIDENCE: A Statement of Purpose is in place, which details the services provided, information about the owner, manager and staff, the aims and objectives of the home and some of the policies. A contract of residence is in place for all residents. A clear admission process is in place which includes prospective residents visiting the home, meeting other residents and staff and having a three month trial period to decide if the home is the ‘right’ one for them. Three residents confirmed that they received enough information to make the decision about moving into the home. One resident said ‘I’m happy living here’. Detailed assessments are in place for all residents which were completed prior to and on admission and are used to develop care plans. Park Avenue, 3 DS0000027263.V307314.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans have been developed with residents, which are reviewed and updated to reflect changes in needs. Residents health care needs are met. EVIDENCE: Care plans are in place which have been reviewed monthly. The resident and the manager sign care plans. Care plans include the support individuals require, their likes and dislikes. Risks are identified and risk assessments are in place. Reviews have taken place with records available although, one review report did not include the date of the review. Residents reported that they receive the medical support they need. Residents are registered with a GP and staff are available to attend appointments. Medication is appropriately stored and labelled with Medication Administration Record Sheets up to date and signed by staff. Medication policies remain the same as the last inspection. Records are kept of medication received at the home. Staff complete training in the administration of medication on commencing employment. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Residents have access to activities of their choice. A varied menu is provided. EVIDENCE: Residents questionnaires indicated that there are always activities arranged for them if they wish. Residents religious needs are noted in care plans and one resident attends church regularly. Regular residents meetings are held with the minutes available. Discussions at these meetings include the menu, outings, health professionals visits and plans for celebrations of birthdays and festivals in the near future. Care plans include details of residents food likes and dislikes, residents comments regarding the food included ‘I like the meals’ and we get curry sometimes’. The menu for the week included one West Indian meal, residents should continue to be asked their preferences and choices in relation to meals provided. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 10 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. Residents are aware of how to make a complaint. EVIDENCE: Residents are aware of the complaints procedure and who to speak to if they have concerns or worries. Information regarding making a complaint is included in the Statement of Purpose and the contract of residence. No complaints have been received at the home or by the CSCI since the last inspection. Staff have completed training in the protection of vulnerable adults and the owner and manager are aware of their responsibilities. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. Park Avenue provides comfortable domestic style accommodation for residents. EVIDENCE: Park Avenue is a domestic style house which is maintained to a satisfactory standard. The kitchen has been refurbished since the last inspection. Bedrooms are single and residents can personalise them if they wish, they are furnished with a single bed, wardrobe, chest of drawers and have a wash hand basin. Residents said that they have all they need in their rooms and noted that the home is always clean and fresh. A lounge/dining room is available on the ground floor where residents can take meals, watch television and join in with activities. A separate enclosed area is provided for residents who smoke. One resident said that it is good to have this area for smoking. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 12 A toilet is available on the ground floor and a bathroom with toilet on the first floor. Some tiles around the bath are cracked and could be repaired or replaced. All areas of the home were clean. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Staffing levels are sufficient to meet residents needs. EVIDENCE: Two members of staff are employed, in addition to the manager to provide care and support to residents. The registered owner is also available to cover and offer advice and support to staff when necessary. One member of staff is on duty during the day and at night, these staffing levels continue to be appropriate to meet residents needs. Residents questionnaires indicated that staff are available and listen and act on requests. Staff demonstrated knowledge and understanding of residents needs and abilities. Staff reflect the gender of residents but not the ethnic and cultural background, this was not raised as an issue at the inspection or in questionnaires. One staff questionnaire confirmed that prospective members of staff complete an application form, attend an interview and complete a Criminal Records Bureau check form. References are taken up before they commence employment, new staff complete an induction to the home, which includes policies, practice and being introduced to residents when they start work. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 14 Staff reported that they are supported in their role, that they have opportunities to complete relevant training, that staffing levels are adequate and that they are involved in the running of the home. Staff feel that there is a homely atmosphere and residents are well cared for. Staff files contain copies of the individuals application form, two written references, copies of training courses staff have attended, copies of supervision notes and annual appraisals and proof of the individuals identity. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to monitor health and safety and the services provided at the home. EVIDENCE: Progress has been made since the last inspection, with a report completed following the annual review of the services provided and a business and financial plan being available for inspection. Residents completed questionnaires about the quality of services they receive at the home in March 2006. Comments from these questionnaires were positive with residents happy with the services provided and no concerns raised or actions required by the manager or staff at the home. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 16 Staff meetings are held every two months, issues relating to residents rights, privacy and dignity are raised to ensure staff maintain high standards of care practice. Good monitoring and recording systems are in place for health and safety within the home. The gas safety and electrical supply checks are up to date. The Environmental Health Officer visited in June 2006 and gave verbal advice regarding the use of protective clothing while staff are preparing food. This is now in place. Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 17 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 3 3 X 3 3 X 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 Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 18 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. 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 OP15 Good Practice Recommendations The Registered Persons should continue to consult with residents on the food provided to ensure cultural needs and wishes are met. The Registered Persons should repair or replace the cracked tiles around the bath. 2 OP21 Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Park Avenue, 3 DS0000027263.V307314.R01.S.doc Version 5.2 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. 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