Inspection on 04/02/08 for 49 Oakdale Road

This inspection was carried out on 4th February 2008.

CSCI found this care home to be providing an Good 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.

Other inspections for this house

49 Oakdale Road 21/02/07

Similar services:

Foxley Lane (121a)

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 49 Oakdale Road 49 Oakdale Road Streatham London SW16 2HL Lead Inspector Lynne Field Unannounced Inspection 4th February & 20th March 2008 09:30 49 Oakdale Road DS0000068184.V359222.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 49 Oakdale Road DS0000068184.V359222.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. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 49 Oakdale Road Address 49 Oakdale Road Streatham London SW16 2HL 020 8677 9509 020 8696 9855 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) www.caremanagementgroup.com Care Management Group Ltd (trading as CMG Homes Ltd) Venise Marlene Browne Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (CRH - PC) to residents of the following gender: Either: whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of residents who can be accommodated is: 8 Date of last inspection 21st February 2007 Brief Description of the Service: 49 Oakdale Road is a small residential care home that aims to provide 24-hour support in an independent living setting in the community. It can take up to eight residents, men or women aged 18 -65, who have learning difficulties and need support to live in the community. The whole house has been completely refurbished and meets all environmental standards. It is very well decorated and furnished. There are eight single bedrooms, all with en suite facilities of a bath, shower attachment and toilet. One bedroom is on the ground floor, but all the other bedrooms need to be accessed by stairs, so the majority of the bedrooms would not be suitable for residents with a physical disability. The lounge and dining area are large, bright, comfortable, welcoming rooms. The garden is large and is a lovely area. It is safe and secure. The dining room and the domestic style kitchen, which is a bright and spacious room, both overlook the garden. There is a small laundry room with appropriate equipment next to a downstairs cloakroom. The home has its own car and parking space is available at the side of the house. The registered manager said the current fees payable for each resident is in the range of £1390-39p according to the assessment of needs of the residents. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced inspection took place over two days in February and March 2008. We were joined on the second day by the ‘Expert by Experience’. A support worker supported him. Both have received training to assist at inspections. The support worker assisted the ‘expert to produce a written report and parts of this have been incorporated into the body of this report. The manager returned a standard form, the Annual Quality Assurance Assessment (AQAA), to CSCI and used as part of the inspection. We checked records of the care plans, staff records and building maintenance records. The registered manager, deputy and six members of staff were present over the two days of the site visit to the home. We were given a tour of the home on both days and a resident and a member of staff gave the ‘Expert’ a tour on the day they were at the home. There were four residents living at the home on the day of the inspection and the home has four vacancies. We spoke to all four residents and met and spoke to six support staff. Residents said and indicated they liked living at the home and had settled into the community well. We found that the home offers a high level of care and support to the residents. The registered manager and staff continue to give a good service. Staff were observed to be competent and caring. Staff interaction with residents was observed to be knowledgeable and was conducted in a respectful manner. The ‘Expert’ felt the home was warm and friendly and the staff had been very helpful during the visit and willing to answer all his questions and assist in communicating with the residents. The inspector would like to thank the “Expert’ and their support worker for the professional way they carried out their inspection and the written report. We would also like to thank the staff and residents for helping us during the inspection. What the service does well: All residents are admitted with a full assessment of care needs and only admitted if the home feels they are able to meet the service user needs. The registered manager and staff make the home as comfortable and homely as possible. Residents are able to be individual and make daily choices about how their day will be and are encouraged to become more independent, both in the home and the community with staff support. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 6 Support plans, risk assessments and goals are all reviewed, evaluated and are written in an accessible format. These reflect the residents’ health and social care needs and give information about how the resident likes their care to be given. Residents are encouraged by the staff who what food the residents like to choose and eat a balanced healthy diet. 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. 49 Oakdale Road DS0000068184.V359222.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 49 Oakdale Road DS0000068184.V359222.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): 1,2,3,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are effective assessment methods, which allow essential information for each new resident to be obtained so that staff can go on to provide a service that will meet their needs. People who are new to the service are introduced gradually and carefully through a trial system and via communication with relevant professionals. EVIDENCE: The homes statement of purpose, and a residents’ guide, which includes the complaints procedure that was in the process of being reviewed and updated at the time of the previous inspection has been completed. We were told at the present time the home has four vacancies The registered manager said there had been a number of referrals but they had not been able to take them because the home could not meet their needs. The registered manager said prospective residents are initially invited to come to visit the home with family members or friends to help them decide if the 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 9 home would be suitable for them to live and could meet their needs. They are given a copy of the statement of purpose and Residents guide that gives them more information about the service. The home had four vacancies and we were told prospective residents would have their needs assessed by senior staff before they move to the home. If they think the home will be able to meet the resident’s needs, they will be invited to come for a tea visit then an overnight stay. If all goes well with the overnight stay, they will come for a longer stay of twelve weeks. During this time the resident will be assessed and the resident will be able to decide if they like living in the home and it can meet all their needs. We looked at all four residents files and saw records of tea visits and over night stays as well as the initial assessment report, assessment of needs during the trial period and contact that was signed by the resident if appropriate and the registered manager. The registered manager told us that they were in the process of assessing a prospective resident who is coming from another home in the group. The registered manager said the prospective resident would be assessed and the same procedures would be followed as with any other admission. The expert by experience who attended part of the inspection noted only one resident was able to communicate verbally and that they might benefit from having another resident who they could communicate with in this way. The registered manager explained to us that even when there was another resident living at the home that could speak the resident still spent more time with staff than with the resident. We were told the suitability of how a resident would fit into the home and with the present residents is part of the assessment and this would be taken into consideration when new residents are referred to the home. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 10 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): 6,7,8,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are consulted and supported to make decisions about their lives by staff and appropriate independent professionals. Potential risks are identified and residents are supported to take risks within a risk management framework. EVIDENCE: All four residents files were inspected. Initial assessments on file had been used to develop the residents care plans. Each resident has an induction into the home and individual personal wishes are recorded. The home does all it can to help residents make decisions for themselves by involving them in the development of the care plans and through person centred planning. The residents all have family who are involved with them to help them say what they want. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 11 Support plans are well written and give a thorough description of residents’ individual behaviours, reactions and preferences and how the residents liked to be treated. These included an activities programme for each resident. The ‘Expert’ was told one resident, they choose when to bath and wash and have help if they need this. Staff told the ‘Expert’ that they hold weekly residents meetings and how they found out what residents want because of their various impairments. We were told the staff uses objects of reference, facial expressions and the way a resident responds with different sounds are used by staff to find out what residents want, like or disagree with. The home operates a key worker system and residents have a weekly key worker session with their key worker. This is recorded and even if the resident is not able to communicate verbally or wants to do something else on a one to one basis this is recorded. We were told all residents’ care plans are reviewed six monthly or earlier if the need arises. The registered manager said they were always trying to improve the format of the care plans and risk assessments to make them more user friendly. They at the present time looking at other formats and hope to discuss this at the organisations managers meeting in the near future. The inspector viewed individual risk assessments, which had been carried out, monitored and are reviewed by the staff with residents every six months or when the need arises. Details of any changes to the risks are recorded in the resident’s care plans, with details of how to manage the risk. We were told the home would carry out reviews every six months whether the residents care manager could attend or not but the expectation was the care manager would attend at least once a year. Copies of the recent reviews were seen on the resident’s files and care plans had been re written to reflect any changes. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 12 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): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to develop independent skills and interests as well as access the community with the support of staff when required. Families and friends are encouraged to keep in touch with the residents and participate in social activities. Residents engage in appropriate, enjoyable and fulfilling activities and mix with the general community. Residents’ rights and responsibilities are respected. A healthy diet is provided, which the residents enjoy. EVIDENCE: 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 13 We were told about the resident’s weekly programme. They go out during the day and in the evenings and at weekends. The activities programme is designed to meet each resident’s individual needs. In this way resident’s are supported and encouraged to take part in activities that are enjoyable, beneficial to their mental and physical health and which give them the opportunity to develop skills within their abilities. On the second day of the inspection one resident was going home to see their mother. We were told their mother visits regularly and have recently had a birthday party with seven or eight people from their family attending it. The resident told us of their plans for the evening. They had arranged to meet a friend and planned to go out to the cinema from there and they were looking forward to this. They told the registered manager they would like to the local shops to buy some Easter Eggs before going to their mothers home. One set of parents told us they visited the home weekly and were happy with the service. We were told the residents go and see their families and friends where possible and families and friends are encouraged to visit the home as well. On the day first day of the inspection all residents went out to their arranged activities shortly after we arrived. The home has its own transport and we were told two staff take them to their activities and would stay for the session. One resident told the ‘Expert’ they go out sometimes with their support worker, but would like to go more often. The ‘Expert’ felt this resident was much more able than the other residents but was being treated the same as them and not doing many activities in or out of the home. We were given copies of the residents activities program and that indicated there were times when residents all did the same things but at other times they did individual activities. One resident has a part time job that they do on a six monthly basis. The resident told the ‘Expert’ they like going to the local supermarket’s where they can buy crisps and Easter eggs with their money, which is held for them at the home. They said they have been to the pub and restaurants for meals and enjoys sports especially wrestling and snooker, which they told the ‘Expert’ they would like to try. The ‘Expert’ was told the resident feels safe, secure and happy at the home. Staff told us all the residents are encouraged to eat a healthy diet and take exercise. Residents are asked about what food they would like on the menu and meals have been devised from those preferences. The home involves residents in kitchen activities in addition to their activities program to help residents develop independent living skills. Residents are encouraged to assist in the meal preparation, washing up and general kitchen tasks. Other tasks the residents are encouraged to do is keeping their bedrooms clean and tidy and each resident has a particular day when they do their laundry. As part of the ‘Experts’ inspection they looked at the menu’s and was told by the resident they are asked about what food they would like, including 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 14 selecting a take away on the weekends. The menu is planned for other residents based upon foods they have liked in the past. A member of staff told the ‘Expert’ “They do try to have a varied and healthy menu”. The ‘Expert’ asked about snacks and was told there is a cupboard in the kitchen with these in, if residents are hungry in the day, when he looked in the cupboard there was only one pack of plain biscuits and nothing else, the ‘Expert’ felt more variety / availability would be better for all. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 15 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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff help residents to go to the doctors, hospitals and dentists when they need to so that residents do not get sick and are looked after properly. Residents receive personal support, in the way they prefer and their physical and emotional needs are met. Medication is handled safely. EVIDENCE: Each resident has a support plan called “All about me” that was completed with the resident, his or her family and key worker. We were shown copies of these and they had lots of photos of the resident, family life, then and now setting out in pictorial format how they their support needs, self care needs and how they like it to be done. There was a section about activities, occupational needs and education. The care files that were seen contained all the information staff need to support the residents in their preferred personal care routines and there are details of how much help an individual requires with different 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 16 personal care tasks. The resident told the ‘Expert’ they could choose when to bath and wash and have help if they need this. From looking at the resident’s files we could see each resident has a copy of their medical history, a health assessment done by the home and health action plan on file. This is in the form of a Health Action Plan booklet that has a section for each area of health covered. The record of health appointments attended indicated that staff supports each resident if this is what the resident requires, to attend an appropriate range of healthcare appointments in line with their individual healthcare needs. This included the outcome of the appointment. One resident told the “Expert” they know who their doctor and dentist are and staff takes them if they need to go. None of the residents are able to self medicate and this was recorded in their medical risk assessment. Resident’s medication is stored securely in a locked medication cabinet in the staff office. The home has changed to the Boots dispensing system and a Boots pharmacist came in to train the staff to use the system. Staff are able to go on and take the Boots Accredited training course. The registered manager told us all staff must to go through the home’s medication training programme before being allowed to dispense medication. This involved the pharmacist coming in to do medication training with the staff. Staff then has a one to one training session with the registered manager. They are observed for three times dispensing medication by the registered manager before they are allowed to dispense medication on their own to the residents. There was a copy of all staff signatures that dispense medication and information about the medications in use. The registered manager said the medication is checked and recorded when it comes into the home and she does a monthly audit, which we saw. We checked the four residents medication and all medication stocks checked where in order. Homely remedies are signed as being able to be given by the GP. The home has put in place risk assessments for residents when they go out or home for the weekend. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 17 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are safeguards in place to protect the resident from abuse, neglect and self-harm. EVIDENCE: The home has a complaints policy, a copy of which is in the Residents’ guide. We were told there have been two complaints and these were recorded in the complaints book that we were shown. The registered manager had recorded her actions and the outcomes. The organisations quality assurance inspector monitors any complaints when the homes monthly quality assurance inspection takes place. One family, who completed the CSCI survey, said they did not know how to complain. During the inspection we noted the complaints procedure was displayed in the entrance hall and office of the home and it is user friendly. The deputy manager said they always ask parents if they are happy or have any complaints about the service when they visit their relative in the home and at review meetings. The registered manager said all complaints are taken seriously and appropriate action would be taken to ensure residents’ complaint was addressed immediately and the home would follow the homes complaints policy and procedure. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 18 There has been one adult protection issue raised in the last year. This as dealt with immediately following the homes adult protection procedures. All the appropriate people were kept informed of the actions taken and the out comes. Each resident has a separate account in the home and a record of his or her money is kept. These are checked by two members of staff and handed over at the beginning of each shift. Petty cash for the home is kept separately and this is checked at the same time as the resident’s money. We checked the resident’s accounts and records with the registered manager and they were found to be in order. The inspector observed how staff and residents recorded financial transactions and noted the financial records and money are locked away. Residents are able to access their money at any time should they wish to do so. We were told one resident has his or her own back account. All the accounts and money in the home is checked once a week by the registered manager and these are audited every month by the organisations head office. One family who returned the CSCI survey said they “ were concerned that their daughters personal bank account could not be opened for such a long time and they still do not know if this has been opened and functioning”. We spoke to the deputy manager who told us it had been difficult to open accounts for residents in the home who could not sign for themselves. They have resolved the situation in consultation with the organisation, the residents GP and the local bank. The deputy manager said they would contact parents and representatives to let them know the outcome of the discussions. The registered manager spoke about the procedures that are in place to protect the residents from abuse. We were told the registered manager and all staff have completed the training raising awareness in the protection of vulnerable adults and this is recorded on the training matrix and in staff files. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 19 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): 24,25,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe and comfortable with adequate private and shared space, toilets and bathrooms. The home is well maintained and furnished. Resident’s bedrooms are comfortable and are decorated to reflect their personalities. EVIDENCE: On the first day of the inspection one resident and the registered manager gave us a tour of the home. The house was completely refurbished when it opened last year and meets all environmental standards. It is very well decorated and furnished. There is a large sitting room and a smaller sitting area in the dining room. These are bright comfortable rooms. There is a goodsized garden, mainly laid to lawn that faces south. The dining room opens onto a large patio area that is safe and secure. There is a domestic style kitchen, which is a bright and welcoming room and this over looks the garden. The 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 20 small laundry room has the appropriate equipment and Residents are encouraged to do their laundry with the support of the staff. Each of the eight bedrooms contains the required fixtures and fittings and has an en suite facility of bath, shower attachment and toilet. The residents told the inspector they liked their rooms. Each room is of an individual style and residents have brought items of furniture and personal possessions to the home that makes each room individual and homely. On the second day the ‘Expert’ first had a quick look around the home and was pleased to see it had been personalised with pictures of the residents on their bedroom doors and large pictures on the walls in the lounge. The ‘Expert’ liked the sensory room but was concerned about the flickering light, which they felt might be uncomfortable for some residents. The registered manager later explained this was part of the sensory experience. Later one of the residents and a member of staff gave the ‘Expert’ a full tour of the building including their room. The resident told the ‘Expert’ his taps had been leaking for some time in his en-suite and while they were there the maintenance man arrived to fix the taps. The ‘Expert’ noticed the residents chest of drawers was broken, which they said had been broken for a long time, with one drawer being placed on top of his wardrobe. We asked the registered manager why they were not being mended and were told the family and the resident wanted to buy a new set of drawers. The ‘Expert’ said the resident’s room had lots of pictures of their interests and holidays they had been on. The ‘Expert’ was shown another residents room and noticed the chest of drawers and wardrobes were locked and was told this is because they put all their belongings in the bath or toilet if they are not locked away. This was recorded in the risk assessment in the residents file. On both days of the inspection the organisations maintenance man was at the home carrying out small repair jobs. During the tour of the home the ’Expert’ noticed a number of small maintenance issues, such as the foot on the microwave oven was broken making this very unstable, there was a hole in the front of the kitchen sink was very sharp and they felt could easily cut someone’s hand, especially one resident is blind and may not see the danger when feeling their way around the kitchen as well bags of garden waste that needed to be disposed of. We brought these issues to the attention of the registered manager and she arranged for them to be dealt with immediately and has written to us to confirm these have been dealt with. The ‘Expert’ then visited the top floor of the house noticed the fire extinguisher’s safety check date was out of date. Since the inspection the registered manage has had this serviced and sent in a copy of the extinguishers’ service. The ‘Expert’ discussed the fire escape procedures with the resident and was pleased they knew what to do in the event of the alarms going off or discovering a fire. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 21 The ‘Expert’ felt the home was clean and well decorated with TV’s, DVD’s, videos and music systems in all rooms. The home has its own car and parking space is available at the side of the house. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 22 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): 32,33,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriately trained staff meets the residents’ individual needs. The recruitment procedures followed are safe, thorough and comply with legal requirements. Supervision has improved and is held at regular intervals. EVIDENCE: We met six staff during the course of the inspection. The rota records there are always three staff on duty at the home in the daytime. As at the previous inspection we observed staff interacting with residents and the qualities seen included good listening skills, a calm and confident manner, and a good grasp of the basic areas of need they needed to meet, including communication. The ‘Expert’ spent time with the residents and staff during the inspection and said, “they felt the home was warm and friendly and the staff had been very helpful during the visit and willing to answer all his questions and assist in communicating with the residents”. We were told there is a staff meeting every 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 23 month. We were shown a copy of the agenda for the meeting that was to be held the next day. Six staff files were examined including one new member of staff. These included copies of the application forms, two written references, a signed copy of their contract stating terms and conditions and identification. All files had CRBs and POVA 1st in place. The organisation has a staff induction and all mandatory training must be completed in the first three months they are employed by the organisation. There are checks on how staff are progressing after they have been at the home for two weeks and again after three months. Staff had signed a supervision contract for every six weeks and the frequency of supervision has improved since the previous inspection in March 2007. We saw supervision records that were signed by the registered manager and the member of staff. The home has developed a training matrix to highlight staff training needs and the mandatory training the organisation runs. This is agreed with the registered manager in supervision. The organisation has a training and development plan in place and staff undertake Skills for Care” training. Copies of certificates and confirmation of training, such as NVQ level 2 and 3 that has been undertaken and this was held on individual staff files“. All staff have completed the Protection of Vulnerable Adults, Food Hygiene and Infection Control training. The first aid box is kept in the kitchen drawer because a resident keeps taking items from it but a list of First Aiders is kept above it in e kitchen and there is another list in the office. Relatives who responded to the survey said they had no concerns about the level of care delivered by the staff and concerns expressed about the peer group were appropriately dealt with. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 24 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): 37,38,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a home that is well run and managed. The home has good health and safety procedures in place. There could be a more methodical approach to maintenance and health and safety matters which mean tasks are completed and kept up to date. EVIDENCE: The registered manager was working at the home on both days of the inspection and facilitated the inspection. During the inspection she showed that she was committed to running the home for the benefit of the residents by 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 25 putting the residents first, can run the home well and make sure that residents are well looked after. As stated in the environment standard the ‘Expert’ found one extinguisher with an out of date inspection date, we checked others in the home and found all none had it appeared found all the fire extinguisher’s safety check date was out of date but the fire blanket in the kitchen had been checked. We checked through the fire safety records but could not find any record that the extinguishers had been checked. All other fire records were correct and there was a fire risk assessment in place. Fire drill had been recorded and there was a record of fire training for staff in December 2007. The registered manager immediately tried to contact the contractor who does the fire alarm system checks and has since provided us with confirmation that all extinguishers have been serviced. All other health and safety checks were in place were up to date. We were told and saw that the home have a monthly health and safety checklist and risk assessments were in place. Hot water temperatures are checked weekly. PAT testing was in place. There are written policies and arrangements for maintaining safe working practices in place, including appropriate risk assessments. The company updates these on a regular basis. We were given copies of the Quarterly Monitoring Report that is conducted by the organisations quality assurance office this monitors, evaluates and sets goals in all aspects of the home and the service provided to the residents. 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 26 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 3 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 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 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 3 3 3 X X 3 x 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 27 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 YA11 YA17 YA22 Good Practice Recommendations The home could look at reviewing the residents activities programs to ensure there is more variety and variation in the activities the different residents take part in. The home could consider having different types of healthy option snacks available as well as crisps and biscuits. The home needs to find a way to ensure all residents and their representatives are aware of the homes complaints policy and procedures and how they can complain if they need to. The organisation could look at ways to ensure they identify and complete small maintenance issues within the home more quickly. The home could have a checklist to ensure tasks completed by out side agencies have been completed satisfactorily and appropriate paper work confirms this. 4 5 YA24 YA42 49 Oakdale Road DS0000068184.V359222.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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. 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