Inspection on 16/11/05 for 63 Kingsley Road

This inspection was carried out on 16th November 2005.

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

63 Kingsley Road 10/10/07

63 Kingsley Road 04/10/06

63 Kingsley Road 07/06/05

63 Kingsley Road 11/01/05

63 Kingsley Road 13/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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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 63 Kingsley Road 63 Kingsley Road South Harrow Middlesex HA2 8LE Lead Inspector Virginia Allen Unannounced Inspection 16th November 2005 08:00 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 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 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 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. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 63 Kingsley Road Address 63 Kingsley Road South Harrow Middlesex HA2 8LE 020 8422 4277 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) Clover Residents Miss Jasmin Johnson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: 63 Kingsley Road is a care home registered to provide personal care and accommodation for three adults with a learning disability. The home is owned by Clover Residents (Organisation). The house is a semidetached property, located in South Harrow, close to a variety of amenities, which include shops, restaurants and banks. Local public transport facilities include train and bus services. There is a large accessible park located very near the care home. The premises are in keeping with other houses in the residential area. All the service user bedrooms are single and are located on the first floor. The communal areas of the care home are on the ground floor. There is an accessible and well-maintained back garden. There is parking on the street at the front of the house but it is restricted to residents. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place early on a cold Wednesday morning during Autumn. The registered manager was not present and a senior support worker assisted the inspector. The inspector met with two service users, toured the home and reviewed documentation. The inspector contacted the manager on the telephone and she supplied further documentation to the Commission for Social Care Inspection after the inspection. 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. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 6 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 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4 Prospective service users know that the home they will choose will meet their needs and aspirations. They are given the opportunity to visit and test-drive the home. EVIDENCE: During the inspection, service user files were viewed. They contained comprehensive assessments of need, which informed the care planning. Service users are offered a range of specialised health services including dental appointments, optician appointments and chiropody. A continence advisor is consulted when necessary and had visited the home the week before the inspection. Neither of the current service users requires an independent advocate as both service users have parents who take and active role in their care. The support worker informed the inspector that prior to admission the service users are offered the opportunity of visiting the home at least 3 to 4 times. They are encouraged to stay over night and to participate in the homes activities. After they make a decision to move into the home, they have a trial period of three months during which time that make a decision about whether or not they wish to make their stay permanent. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 Service users are consulted on and participate in all aspects of life in the home. EVIDENCE: There are currently two service users in the home. One is non-verbal but the other service user talked with the inspector. He explained that he does all of his own cleaning in his room, for which he feels responsible. He also assists with the washing up of dishes. Every two months there is a residents meeting and the service users are encouraged to participate. This is documented. Prior to there being another admission to the home, the current service users will be asked their feelings about it. Service users have had the complaints procedure explained to them and a copy has been given to their parents. The service users and their parents have been given a copy of the service users guide. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 Service users have the opportunity for personal development. EVIDENCE: The needs of the two current service users are quite different. One service user is non-verbal while the other service user actively participates in the dayto-day running of the home. The service users both go to the club and the day centre during the day. Sometimes they go to the cinema, go shopping or go out with their families. One of the service users has a job he attends one day a week. This service user will also go to the local shop when necessary. During the inspection, the inspector observed this service user getting his own breakfast, cleaning up afterwards and packing himself a snack to take to the day centre. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21 The ageing, illness and death wishes of the service user need to be documented in their care plans. EVIDENCE: The inspector viewed the individual care plans for the service users. These were complete and showed that the service users are linked into a range of health care agencies. The care plans also showed that during the week the service users attend day care but that on weekends they have a choice of activities. This includes spending time with their families. The senior support worker informed the inspector that in the event of illness or death of a service user, the family would make the required arrangements. Although this is discussed with the family, the information needs to be recorded in their care plan. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service users are protected from abuse, neglect and self-harm EVIDENCE: All of the staff are trained in the Protection of Vulnerable Adults (POVA). The home has a POVA policy that is accessible to all staff. The home also has a policy in regard to whistle-blowing and anti harassment and bullying. This is good practice. The inspector observed the home’s complaints procedure and was informed that this is explained to both service users and their families. Since the last inspection a new procedure has been implemented. The senior support worker told the inspector that there had not been any complaints since the last inspection. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25,27,29 Service users bedrooms suit their needs and lifestyles. The toilet and bathroom areas provide sufficient privacy and meet their individual needs. EVIDENCE: The home currently has two service users. There is one bathroom with a toilet upstairs and a toilet downstairs. There are locks on the doors of the facilities to provide for maximum privacy of the service user. The bathroom facilities were found during the inspection to be clean and tidy. The inspector viewed the service user’s bedrooms. They were light and airy. The décor was matching and of good quality. There was plenty of cupboarding and storage. The service users informed the inspector that they were very happy with their own bedrooms. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,36 Service users are supported by competent and qualified staff who are well supported and supervised. EVIDENCE: The manager of the home forwarded to the inspector the current training programme. This showed that all of the core training needs are up to date and that all but one support worker is doing or has done NVQ training. This support worker will commence training in January 2006. All staff receive formal supervision monthly but staff reported that they can request supervision at any time. The proprietor of the home supervises the manager. Supervision records are kept in a locked cupboard at the home. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39,40,43 Service users can be confident that their views underpin all self-monitoring, review and development by the home and that their interests are safeguarded by the policies and procedures. There is competent and accountable management of the service. EVIDENCE: The home has a Quality Assurance policy and a copy of this has been sent to the Commission for Social Care Inspection. There is an annual development plan for the home and the manager informed the inspector that a copy of this is kept at the home. The home undertakes continual self-monitoring and staff and families are asked to complete assessment forms. The manager told the inspector that the home has very good rapport with the service user’s families and all aspects of service user care and the development of the home is discussed with them. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 15 The home actively encourages feedback and looks forward to receiving any suggestions that will assist them, from the service user or their family. Family and friends are informed about CSCI inspections. The home has a policy and procedure manual that covers all essential policies. This manual is currently being reviewed. This should be done annually. The home is financially viable and the manager informed the inspector that the proprietor has a business and financial plan. The proprietor keeps a copy of this. The home is covered by Insurance and this is kept up to date and displayed at the front entrance. 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 3 X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 X 3 X 3 X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 63 Kingsley Road Score X X x 3 Standard No 37 38 39 40 41 42 43 Score X X 3 3 X X 3 DS0000017575.V266200.R01.S.doc Version 5.0 Page 17 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. Refer to Standard YA24 YA41 Good Practice Recommendations The registered person should consider plans for an office area that is located away from the dining area. It is recommended that when records are removed from the care home for review that a copy is left in the care home. Policies/procedures should be reviewed at annually and needs to be reviewed currently. Service user food likes and dislikes should be recorded in their care plan. This is good practice The ageing, illness and death wishes of the service user and their family, needs to be recorded in the service user care plan. This is good practice. 4. 5. YA17 YA21 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 63 Kingsley Road DS0000017575.V266200.R01.S.doc Version 5.0 Page 19 - 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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