Inspection on 29/11/05 for 8 Courtenay Avenue

This inspection was carried out on 29th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

8 Courtenay Avenue 31/10/06

8 Courtenay Avenue 10/10/05

8 Courtenay Avenue 16/11/04

8 Courtenay Avenue 22/07/04

8 Courtenay Avenue 25/02/04

Similar services:

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

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

CARE HOME ADULTS 18-65 8 Courtenay Avenue T/A Idelo Limited 8 Courtenay Avenue Harrow Middlesex HA3 5JJ Lead Inspector Ms Sue Barker Unannounced Inspection 29th November 2005 16:40p 8 Courtenay Avenue DS0000035899.V269192.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 8 Courtenay Avenue DS0000035899.V269192.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. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 8 Courtenay Avenue Address T/A Idelo Limited 8 Courtenay Avenue Harrow Middlesex HA3 5JJ 020 8428 2338 020 8420 1861 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) T/A Idelo Limited Ms Minna Roach Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th October 2005 Brief Description of the Service: 8 Courtney Ave is a registered care home providing personal care and accommodation for a maximum of 3 adults aged 18-65 who have learning disabilities. There were two service users living in the care home at the time of the unannounced inspection. The registered providers are Mr Winston Mayers and Ms Diane Eastman trading as Idelo Ltd. The registered manager is Ms Minna Roach. The home is located on a main road that leads into central Harrow. It is close to a bus stop that allows service users access to Harrow’s shops, pubs and other community and leisure amenities. The care home is a two storey dwelling with all bedrooms located on the first floor. The building is well set back from the road. All of the bedrooms are single and none have en-suite facilities. The home has gardens to the rear that are well maintained and accessible through the rear conservatory and side extension. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection commenced at 4.40pm and finished at 7.55pm. The Inspector was pleased to meet with both residents and the member of staff on duty. Residents and staff made the Inspector most welcome. Residents spoke extensively about their likes and dislikes, weekly routines, family contacts, holidays and attendance at day placements. Residents let the Inspector know what they do at their day placements. The member of staff was preparing the resident’s evening meals in the kitchen. Each resident had a different meal that was served at approximately 5.30pm. Residents commented that they had “liked” their meals. One resident had a vegetarian meal and the other had meat. The inspection included viewing the communal areas of the home and bedrooms. Residents kindly showed the Inspector around the building and they spoke positively about their accommodation in 8 Courtenay Avenue. They commented that they “liked” their bedrooms and kindly showed the Inspector some of their new things. Residents kindly invited the Inspector to view a selection of their photos of holidays, outings and social events. Residents explained what and whom the photos were of. The member of staff on duty spoke about resident’s changing care and support needs and their personal development since moving into 8 Courtenay Avenue. This included residents’ personal dislikes and likes. Residents kindly advised the Inspector that they “liked” living in 8 Courtenay Avenue. What the service does well: What has improved since the last inspection? 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 6 The Registered Manager and staff are working on developing new care plans for residents that document their care and support needs in a variety of areas. This is to include greater emphasis on the residents’ personal likes and dislikes. 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. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 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 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: The key standard was assessed at the previous unannounced inspection. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Residents have care plans that document their care and support needs in a variety of areas in order to ensure the consistency of the care and support they receive in 8 Courtenay Avenue. EVIDENCE: The Inspector spoke with the Registered Manager, Ms Roach on the telephone, who indicated the changes that the care home are making to the care planning arrangements in 8 Courtenay Avenue. This work was to be completed by 15/12/05. An example of the new documentation has been forwarded to the Commission for Social Care Inspection. Care plans were in place for both residents and included their likes and dislikes though there was varying levels of documentation for each resident. One resident, however, had moved into the care home more recently. The Inspector was unclear what reviews had been carried out for each resident as is required and viewed little current documentation to this effect. This is also an area that is being developed. There was some specific guidance for staff on how to work with individual residents. Risk assessments were in place in respect of each resident. Staff spoke to the Inspector of contacts the home has within the Harrow Learning Disability Team, that provide specialist advice and support. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 10 Residents have a designated key worker from within the staff team at 8 Courtenay Avenue. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The key standards were assessed at the previous unannounced inspection. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 12 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): EVIDENCE: The key standards were assessed at the previous unannounced inspection. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 13 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): EVIDENCE: The key standards were assessed at the previous unannounced inspection. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 14 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): 24 EVIDENCE: Residents kindly showed the Inspector around the building. This included where they sit in the lounge and dining room. The building presented as warm and comfortable with lots of homely touches. Residents said that they “liked” the house that they live in. The care home was clean, during the unannounced inspection, and free of offensive odours. Three maintenance items were noted that are listed in the requirements below. The care home is on a main road into central Harrow and is close to a bus stop. The building is in keeping and similar to those in the immediate vicinity. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: The key standards were assessed at the previous unannounced inspection. 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 16 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 Residents’ views are sought on daily issues in the care home. Resident’s views also need to be incorporated into the annual review and development plan for 8 Courtenay Avenue. EVIDENCE: The Inspector did not view any evidence of an annual review of quality of care in the care home as is required. The member of staff on duty believed that questionnaires had been developed for this purpose. This process must be commenced and is required. There was evidence of staff consultation with residents on household matters during the unannounced inspection. In addition resident’s meetings are also held and notes of these meetings were viewed. . 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 17 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 x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 8 Courtenay Avenue Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 1 x x x x DS0000035899.V269192.R01.S.doc Version 5.0 Page 18 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 2 3 4 Standard YA24 YA24 YA24 YA39 Regulation 23 23 23 24 Requirement Ensure that toilet seats in the building are securely fixed. Replace cracked tiling in the first floor bathroom. Redecorate the first floor bathroom door. A system must be established for annually reviewing and improving the quality of care available in 8 Courtenay Avenue. This process must include consultation with residents and their representatives. A copy of any review of the quality of care available in 8 Courtenay Avenue must be forwarded to the Commission for Social Care Inspection, with a copy of the report also made available to residents. Timescale for action 29/01/06 29/01/06 29/01/05 28/02/06 5 YA39 24 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000035899.V269192.R01.S.doc Version 5.0 Page 19 8 Courtenay Avenue Standard 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 20 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 8 Courtenay Avenue DS0000035899.V269192.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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