Inspection on 21/04/05 for 63a Victoria Avenue

This inspection was carried out on 21st April 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

63a Victoria Avenue 17/08/07

63a Victoria Avenue 27/04/06

63a Victoria Avenue 13/10/05

63a Victoria Avenue 16/11/04

63a Victoria Avenue 19/04/04

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 Victoria Avenue (63a) 63a Victoria Avenue Wallington Surrey SM6 7JP Lead Inspector Deborah Yapicioz Unannounced 21 April 2005 09:50 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 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 Stationary 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. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Victoria Avenue (63a) Address 63a Victoria Avenue, Wallington, Surrey, SM6 7JP Telephone number Fax number Email 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 8669 4559 020 8669 4559 manager.vicave@careuk.com Care Solutions Limited Care Home 7 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: This home is registered for 7 people with learning disabilities and physical disabilities. Date of last inspection 16/11/04 Brief Description of the Service: 63a Victoria Avenue is owned managed and staffed by “Care U.K.” The home is registered to provide residential care for up to seven adults with learning and physical disabilities. At the moment there are six service users at the home with one vacancy. The current service users have complex needs.The premises is a modern purpose built two-storey house set back in a quite residential road in Wallington. The home was built three years ago. There is a large communal lounge on the ground floor as well as a spacious kitchen/dining room. The home is in the process of changing one of the rooms on the first floor to a sensory room. The home is homely, bright and clean. The furniture is domestic, flame retardant, and of good quality. The home has a lift and is fully accessible to the service users. The home has parking to the front and a pleasant garden at the rear of the home which the service users spend time in during the summer months. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There has been a change in management at the home in the last year. Karen Campbell now manages Victoria Ave. The unannounced inspection took place on the morning of 21st April 2005 and was spent meeting with the home manager, examining records, observing service users and staff members, talking to members of the staff team and a tour of the premises. What the service does well: What has improved since the last inspection? What they could do better: The home looks shabby in some areas and the planned programme of redecoration needs to be completed. The home’s management team also need to reassess the viability of the vehicle used by the service users at the home, as they have to make multiple journeys to get all service users to their destinations. The service users should each have an individual contract. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,5 The home provides good information and introduction opportunities for prospective service users to make an informed choice about moving to the home. Contracts between the home and many of the service users are still not in place potentially reduce the rights of these residents. EVIDENCE: The home has a preadmission procedure. Service users are only admitted to the home once a full assessment of their needs; compiled by their care manager or other relevant person has been received. An assessment for the homes most recent service user was seen on the service users file. The assessment was completed by a care manager and included additional assessments from a speech and language therapist and a physiotherapist. There has been some progress in implementing contracts between the home and the service users (the most recent service users to the home have individual contracts in place). For those service users who came to the home from a long stay institution this is not always the case. The original group of service users to the home were admitted on a block contract. This was a common practise at the time and the company is working with the service users care manager to provide individual contracts. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 9 The home has a varied training programme available to build on the skills of the staff team. Prospective service users have an opportunity to visit and live at the home on a trial basis before deciding to move in. The newest service user had an opportunity to visit the home with his family. The arrangements are flexible depending on the needs of the service user, although the emphasis is on a gradual introduction. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,9 The service users have individual care plans which are regularly updated and detailed their care needs and personal goals. The home enabling the service users to participate in activities in the home and in the community with appropriate support by ensuring that risk assessments are carried out. EVIDENCE: The home is in the process of introducing a new assessment process, which is based on person centred planning principles. Each service user currently has an individual plan based on their needs. The plan includes information on weekly activities, personal care, family contacts, health needs, personal preferences and future plans/wishes. Main reviews occur every year and care plans are internally reviewed and updated regularly. Service users files looked at all had individual risk assessments and risk management strategies. The service users at the home have limited communication skills and the home manager stated that the staff team at the home use other non-verbal ways to understand service users wishes. The home manager informed the inspector that “Care U.K” has recently introduced a user group for all the homes in the local area. The company Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 11 hopes to use the group as a way of involving service users in the decision making process. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 and17 The daily routines and house rules promote residents’ rights and encourage independence. Service users are given opportunities to engage in age appropriate activities with an emphasis on using community based facilities. Dietary needs are catered for and a balanced diet is provided, to ensure a nutritious diet based on personal preferences. EVIDENCE: Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 13 The home is supporting service users to access appropriate activities through the activity programme. The service users access local parks, cafes, theatres, local leisure facilities and shops the service users attend courses at The Orchard Hill Further Education Unit. The home continues to arrange for “Us in a Bus” a mobile activity unit to come to the home for various courses. The service users attend the Cheam Centre on a session basis for music, art, community skills and sensory skills. The home has its own transport in the form of a mini bus, which is unlabeled. The minibus has a tail lift for wheel chair users. The minibus is used for the service users to access all their daytime activities. The service users also use it to access the community, such as the shops and leisure facilities in Wallington and Sutton. The home now has five service users that use a wheelchair, unfortunately the homes current transport will only accommodate two wheelchair users. This means the home has to make multiple trips to get all the service users to their destination instead of just one. This is not a good` use of staff or service users time. The registered provider must ensure that the home has a more appropriate form of transport suitable for the needs of the service users. The service users attend a local hydrotherapy session. The Staff team are available to support service users while accessing the community. The home has menu plans in place, which take into account the individual needs of the service users. The majority of the service users have their food blended. The community team for people with learning disabilities have met with the previous manager and the staff team to put individual feeding plans in place. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 14 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 standard(s) 18,19 20 Personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Residents’ medication is well managed to ensure good health. EVIDENCE: Health records are maintained for each service user. Service users record examined during the inspection demonstrate that the service user had access to routine health checks and specialist health care. Significant events and accidents are recorded and monitored. The staff team at the home now keep a central record of incidents as well as an individual record on service users files. Staff members monitor service user’s health and maintain up to date records. Some of the staff team including all of the night staff are trained in the administration of Rectal Diazepam. The home manager stated that she plans to ensure all of the staff team are trained to administer it. All medication records were complete at the time of the inspection. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 23 There is a complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives. The home has the appropriate policies in place to ensure the protection of vulnerable service users. EVIDENCE: The home has a detailed complaints procedure. A pictorial format of this procedure has been developed and provided to service users. The Registered Manager said that no complaints have been made to the home since the last inspection. There are also policies and procedures in place regarding the protection of vulnerable adults. The home manager stated that the staff team are due to complete a refresher course on adult protection issues. The staff team are aware of the action they must take if they need to report an incident. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,27,28,29 30 Service user’s bedrooms provide privacy and reflect individual interests and preferences. The home is homely, bright and clean with the necessary adaptations in place, thus providing the service users with safe, comfortable surroundings that meet their needs. EVIDENCE: The home is a two story building in a quiet residential road. It is situated between Carshalton and Wallington and is close to local shops and amenities. There is a large communal lounge on the ground floor as well as a spacious kitchen/dining room. The furniture is domestic, flame retardant, and of good quality. The home has a lift and is accessible for wheelchair users. There has been some improvements in the décor of the home since the last inspection although some areas look shabby and in need of decoration. The home manager stated that a programme of redecoration is due to be implemented. This will address the requirements made at a previous inspection to redecorate the bedroom next to the office and the first floor bedroom next to the spare room. Since the last inspection the carpets have been replaced in the hallway, lounge and a bedroom. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 17 There is also a pleasant garden at the rear of the home. Bedrooms viewed provided sufficient and suitable furniture. All areas of the premises viewed were clean and free from offensive odours. There are appropriate laundry facilities. Systems are in place for controlling the spread of infection. This includes staff training in this area. The home has two assisted baths, one on each floor. The home has thermostatic valves fitted to each of the baths to avoid any scalding accidents. The temperature of the water is taken and recorded on a chart in the bathroom. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34 35 The staff team at the home have a range of skills and ability, which appear to meet the needs of the service users. The staff team have all had Criminal Records Check, as a safeguard to offer protection to the homes service users. EVIDENCE: The home offers training opportunities to staff at all levels within the home. New members of staff complete an induction programme covering various subjects including health and safety, fire drills, and introductions to service users and other staff. The induction programmes are signed, dated and kept on staff files. Criminal Records Checks are completed before a new member of staff can begin work in a home. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 19 The home has had a change in management in the last year. Karen Campbell is now the manager for Victoria Ave. Ms Campbell is in the process of applying to the Commission for Social Care Inspection to be the registered manager of the home. Ms Campbell has implemented more regular staff supervisions since taking over management of the home. The homes senior support worker and the deputy manager have completed a supervision course and will be carrying out supervisions. The home manager has incorporated more information sharing and basic value training to the staff meetings, which she feels has raised awareness of service users rights amongst the team and introduced a more service users, led approach. There are four staff members on duty during the day plus the manager. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39 42 The home management appears to be open and transparent with clear lines of accountability, which is aimed at ensuring the well being of the service users. EVIDENCE: Records required for the safety and well being of service users are in place including accidents, water temperatures, complaints, incidents, food records, fire records, staff and service users case files, medication records and so forth. Fire drills are now up to date and a fire risk assessment is in place. The staff team attend mandatory health and safety training including moving and handling. The home has regular staff meetings and the registered providers, Care U.k. have introduced service users groups to involve service users in decision- making progress. Copies of the homes policies and procedures are kept in the office and the staff members spoken to were aware of where to locate them. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 3 3 3 3 Standard No 11 12 13 14 15 Victoria Avenue (63a) x 3 2 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x Version 1.20 Page 22 G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc 16 17 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 23 yes 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. 1. Standard 5 Regulation 51.(c ) Requirement Timescale for action 1/09/05 2. 26 23.(2)(d) 3. 26 23.-(2) (d) 4. 13 12.-(1) (b) 16.(2)(m) The registered person must ensure the homes new contracts/statement of terms and conditions of occupancy agreed between the home and the service users specify the rooms to be occupied; fees charged, what they cover, and the cost of ‘extras’ not covered by the basis cost of the placement.(unmet from the 2004 inspection) The registered provider must 1/09/05 ensure the room next to the office with the marks on the wall is redecorated(unmet from the 2004 inspection The registered provider must 1/09/05 repair the walls and redecorate the first floor bedroom next to the vacant room (unmet from the 2004 inspection) The registered provider must 1/09/05 ensure the home has an appropriate form of transport suitable for the needs of the service users. 5. Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 24 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 Good Practice Recommendations Victoria Avenue (63a) G53-G53 S07210 VictoriaAvenue(63a) unann V211351 210405 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP 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. 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