Inspection on 23/09/07 for 32 Ringstead Road

This inspection was carried out on 23rd September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

32 Ringstead Road 20/08/09

32 Ringstead Road 25/07/06

32 Ringstead Road 12/01/06

32 Ringstead Road 10/10/05

32 Ringstead Road 03/02/05

32 Ringstead Road 20/07/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 32 Ringstead Road Sutton Surrey SM1 4SJ Lead Inspector Jon Fry Key Unannounced Inspection 23rd August 2007 10:00 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 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 32 Ringstead Road DS0000007209.V348759.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 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. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 32 Ringstead Road Address Sutton Surrey SM1 4SJ 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 8642 7725 020 8642 7725 manager.ringsteadroad@careuk.com Care Solutions Limited Charlotte Anne Louise Payne Care Home 6 Category(ies) of Learning disability (0) registration, with number of places 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 6. Date of last inspection 25th July 2006 Brief Description of the Service: 32 Ringstead Road provides residential care for up to six people with learning disabilities. The home is run by Care U.K. The home is a large property with accommodation provided over three floors. It is situated in a quiet residential road within walking distance of Sutton town centre. Each person has a single bedroom and the communal facilities are adapted to meet individual needs. Information about the service is available in the Statement of Purpose and User Guide. Fees for the service are currently £1300 per week. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We spent three and a half hours at the home. Three people who live there were present at the time we visited. They were not able to tell us about their experiences directly so we observed individuals at various times during this inspection to help us understand. We also spoke to the manager and three staff members. Records and documents looked at included care plans, staff files and the home’s User Guide. Completed surveys were received from one person who lives at the home and two care managers. The home completed an Annual Quality Assurance Assessment (AQAA) to tell us about the service provided, how it makes sure of good outcomes for the people using it and any planned developments. What the service does well: What has improved since the last inspection? What they could do better: The organisation should seriously consider replacing the vehicle as it can only carry two people who live there at any one time. Some people living there cannot use public transport. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 6 We think that the organisation could look at the care plans being used to see if they can be made more user friendly with all necessary information put in one place. 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. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 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 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good information is available to people about the home. The needs of people using the service are fully assessed to make sure that they can be met. EVIDENCE: “32 Ringstead Road are good at ensuring the right service is planned and given to the correct service user” and “I am usually given comprehensive and detailed information” were comments received from care managers. We saw that assessments had been carried out before individuals came to live at the home. Good quality comprehensive information is kept on file for each person living there. The service has an admissions procedure. Any person coming to live there is able to visit for a meal and will usually have an overnight stay. The homes statement of purpose and user guide provide good information about the service. The guide is available in a Widget picture format to help make it more accessible to people living there. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans give good information about the support needs of people using the service. EVIDENCE: Both care managers said ‘always’ when asked if the home supported individuals to live the life they choose. When talking about their particular client, a care manager commented that that staff have “a very good understanding of his behaviours and methods of communication and work with him in his chosen method”. We looked at the care plans for two people who live at the home. These were very comprehensive and recorded good quality information about the support needed by each person. The amount of different care plans kept on file made it difficult to find information easily and we also saw there was a lot of 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 10 duplication within these different documents. This must also be a lot of work for care staff to keep all this information up to date particularly as some of it is reviewed on a monthly basis. We recommend that the organisation looks at the care plans being used to see if they can be made more user friendly with all necessary information in one place. A Person Centred Plan (PCP) has also been completed for each person but we thought the goals in these plans could be more up to date and better reflect the aspirations and goals of people using the service. A three monthly review process of care plans may also be more appropriate for individuals. The manager told us that they had been in contact with the Local Authority Person Centred Planning co-ordinator. This was to plan some work around making care plans more user friendly and meaningful to the people living there. The home keeps individual risk assessment on file for each person. We saw that these are kept under review and new assessments are completed when a new activity or area of risk is identified. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are able to take part in activities and be part of the local community. EVIDENCE: Care staff spoken to reported that one of the strengths of the service was supporting people with activities. People living there are able to regularly go out for meals, to the cinema and for days out. Two people who live at the home were on holiday in Ireland at the time of this visit. We saw that a record of all social activities is kept by the home. Activities attended by one person included bingo, ‘us in a bus’ activity sessions and going out for walks. Some individuals also enjoy massage sessions run by an aromatherapist and two people attend Church with support from care staff. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 12 “As they have taken the time to get to know my client, staff have come up with ideas and suggestions that have enriched his life” was a comment from one care manager. The manager reported that the home has its own vehicle but that this was not suitable as only two people who live there can use this transport at any one time. This limits access to the community particularly as some people cannot use public transport. The organisation should look seriously at replacing this vehicle. People living there are encouraged to choose what they like to eat. We saw that meals provided include shepherds pie, toad in the hole and roast dinners. A takeaway meal is bought once a week. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good support is in place to meet individual health needs. Medication is well managed. EVIDENCE: Care plans include very good information on the support needs of people using the service and how these needs are to be met. Staff are aware of individual health needs and how these are to be met. People living there are supported to see their GP or other healthcare professionals as required. We saw that records are kept of these appointments but a care manager did comment that they thought that the home would benefit from “better recordkeeping” of health appointments. Another care manager commented that their client “has required a number of referrals to various health agencies which have been organised and carried out by the manager and her staff”. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 14 Health Action Plans are in place for each person living at the home. Appropriate medication policies, procedures and practices are in place. Staff receive training in administering medication and medicines are labelled and stored correctly. We saw that Medication Administration Record Sheets are kept up to date and signed by staff. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service and their representatives are listened to. Individuals are protected from harm. EVIDENCE: The home has a clear complaints policy, which includes the timescales and the process of any investigation. No complaints have been received in the last twelve months. One care manager said “any issues are acted on quickly with follow up information and details of outcomes”. Staff are trained in Safeguarding Adults and procedures for them to follow are available. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 and 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable and homely environment. EVIDENCE: The home has been redecorated since the July 2006 inspection took place. We saw that the home provides a comfortable, clean and homely place for people to live. A care manager commented, “the house is clean and does not smell”. Each of the people living there has a single room. All bedrooms are personalised and decorated to reflect individual taste. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 35 and 36. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported by a well-trained and competent staff team. EVIDENCE: Comments from care managers included “Ringstead Road has a very stable staff team”, “they work in a person centred way” and “they interact and communicate well”. Three staff members were spoken to individually. All were very positive about the service and how the staff team worked together to achieve good outcomes for the people living there. Staff receive the training and supervision they need to do their jobs well. Individuals can access the organisational programme that includes NVQ training as well as short courses in areas such as dementia, diversity, Food Hygiene, First Aid and Safeguarding Adults. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 18 Staff recruitment is subject to thorough organisational procedures that include Criminal Record Bureau (CRB) checks. We looked at records kept for two people and these included all the necessary documents. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run. Good Health and Safety arrangements are in place. EVIDENCE: The manager has been in post since September 2005 and has worked previously in different care and management positions within the organisation. She is now registered as the manager for the home with the CSCI and is currently studying for the NVQ Level Four award. Feedback from care staff was very positive about the manager. Comments included “fantastic”, “very supportive” and “one of the best managers I’ve encountered”. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 20 The organisation has good systems for assuring quality within its services. The home has been audited as part of this and an improvement plan in place to address shortfalls. Meetings involving the people who live there take place regularly. We saw that regular Health and Safety checks are carried out to protect the welfare of people using the service. Good records are kept of these. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 4 3 X X 3 X 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 22 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. 2. 3. Refer to Standard YA6 YA6 OP13 Good Practice Recommendations It is recommended that the organisation looks at the care plans in use to see if they can be made more user friendly with all the necessary information in one place. The care plans could better reflect the future goals and aspirations of the people living there. The review process for these could be three monthly. It is strongly recommended that the organisation purchase a more suitable vehicle for the home. 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 32 Ringstead Road DS0000007209.V348759.R01.S.doc Version 5.2 Page 24 - 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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