Inspection on 15/11/05 for 93-95 Canning Road

This inspection was carried out on 15th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 24 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

93-95 Canning Road 19/03/08

93-95 Canning Road 21/09/06

93-95 Canning Road 05/09/05

93-95 Canning Road 02/12/04

93-95 Canning Road 28/09/04

93-95 Canning Road 23/03/04

Similar services:

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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 93-95 Canning Road 93-95 Canning Road Wealdstone Middlesex HA3 7SP Lead Inspector Ms Sue Barker Unannounced Inspection 15th November 2005 08:15 93-95 Canning Road DS0000017522.V258327.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 93-95 Canning Road DS0000017522.V258327.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. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 93-95 Canning Road Address 93-95 Canning Road Wealdstone Middlesex HA3 7SP 020 8424 8186 020 8424 0879 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) Harrow Consortium for Special Needs Mr Ross Hensman Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2005 Brief Description of the Service: 93-95 Canning Road is a registered care home providing personal care and accommodation for a maximum of 6 adults aged 18-65 who have learning disabilities. There were 6 service users living in the care home at the time of the inspection. The Registered provider is the Harrow Consortium for Special Needs and the Responsible Person is Mr. Robert Seaman. The Registered Manager is Mr. Ross Hensman. Paddington Churches Housing Association (that takes responsibility for its maintenance) owns the building. The care agency is Harrow Mencap that employs the staff in the care home. The home is located in a quiet residential road in Wealdstone on the outskirts of central Harrow. It is close to shops, pubs, transport and other community amenities. All the home’s bedrooms are single, and none have en-suite facilities. The home has a garden to the rear that is accessible through the lounge and kitchen 93-95 Canning Road DS0000017522.V258327.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 8.15am on a dull Tuesday November morning. There was one member of staff on duty in the care home and another arrived at the same time as the Inspector. The Inspector was pleased to meet and speak with all the residents. Some residents spoke at some length about current issues and aspirations for the future. Generally satisfaction was expressed with their lives, the support and accommodation available in 93-95 Canning Road. One resident wished a number of issues to be raised with a member of staff and Mr Hensman. Staff suggested ways to the resident in which the issues could be addressed. The Inspector viewed communal areas of the building and noted a significant number of requirements. The Registered Provider must ensure that the care home is adequately maintained. The Inspector was made most welcome and would wish to thanks those in the care home for the assistance received. What the service does well: What has improved since the last inspection? The care home has complied with a number of the requirements arising from the previous unannounced inspection. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 6 Risk assessments within 93-95 Canning Road have been reviewed since the last unannounced inspection as was required. 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. 93-95 Canning Road DS0000017522.V258327.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 93-95 Canning Road DS0000017522.V258327.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: None of the above standards were assessed during the unannounced inspection. There were no vacancies at the time of unannounced inspection and no potential residents were being assessed. 93-95 Canning Road DS0000017522.V258327.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, 7 & 9 Residents have care and support plans in order to ensure that a consistent service is available to them in 93-95 Canning Road. Residents are supported to make decisions by staff in the care home. Residents are supported to take risks within a risk management culture. EVIDENCE: Both standards 6 & 9 were assessed at the previous unannounced inspection. Staff had been working on the care and support plans with a review having been carried for most residents. Key workers meet with individual residents on a monthly basis with a record maintained of outcomes. Mr Hensman stated that work was being done on the care plans to rationalise the information they contain more easily accessible. Certainly the care plans in their current form presented as fairly muddled. All residents have named key workers from within the staff team in 93-95 Canning Road. 3 residents kindly advised the Inspector who their key workers were. One resident kindly stated that they had attended a review meeting in the care home. Care plans include information about the residents’ decisions and choices. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 10 Some residents spoke at length with the Inspector about issues in their lives and decisions that they had made. These conversations subsequently involved staff and the Care Manager at the residents’ request. Staffs’ response was to listen to the residents’ decisions and offer advice on possible action plans. Staff spoke about residents’ ordinary living routines and choices. A sample of individual and work place risk assessments were viewed. Most had recently reviewed as required. This work was underway. 93-95 Canning Road DS0000017522.V258327.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): 12, 15 & 16. Residents are supported by staff to take part in a range of individual activities both within the care home and the community. Residents have formed their own friendships both inside and outside of the care home and also have family contacts. Staff present as listening to residents and offer support to enable them to make choices. EVIDENCE: On the day of the unannounced inspection 5 residents went out to various day placements. One resident was supported (by staff) to access chosen facilities in the local community. Some residents spoke positively about their day placements and the sort of things they do there. One resident spoke about the clubs that they attend in the evening. One resident spoke about a holiday that they had had earlier in the year. This was not an experience that the resident wished to repeat. One resident kindly showed the Inspector some educational certificates that they had just received in the post. Some residents spoke extensively about their plans for the future. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 12 Some residents spoke about their family contacts and friends. One resident was receiving a visit from a relative on the day of the unannounced inspection. A member of staff was heard knocking on a resident’s bedroom door before entering. One resident indicated that they could lock their bedroom door. Staff were observed in conversation with residents during the unannounced inspection. There was discussion with residents with about their plans for the coming day. Residents have unrestricted access to the communal areas of the home and garden. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20 Staff enable residents to access preventative healthcare services in the community. Residents are largely protected by the home’s policies and procedures for dealing with medication. EVIDENCE: Staff maintain records of the various healthcare appointments attended by residents. One resident spoke about seeing their GP. The care home’s medication systems were viewed during the unannounced inspection and outcomes discussed with Mr Hensman. Their contracted pharmacist supplies a blister pack system of medication administration to the care home. Mr Hensman spoke about plans to work with residents to enable them to self medicate, subject to risk assessment. There is a medication cupboard that presents as quite small. It did, however, contain stocks of some repeat items that had been stored since April 2005 and needed to be returned to the pharmacist. It must be ensured that unused items of medication are returned to the pharmacist within the prescribed guidelines. A record is maintained of medication administered to residents. This was largely fully recorded though there were some signatures missing. This was discussed with Mr Hensman. A full record must be maintained of medication 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 14 administered to residents by staff. There were recorded examples of each member of staff’s signatures that administers medication to residents. This was to be updated. There is written guidance for staff on the circumstances in which medication is to be administered to residents on a PRN basis. Mr Hensman indicated that all staff have done medication training. Two members of staff administer medication to residents where possible. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 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 the following standard(s): 23 Residents are largely protected from abuse by the care home’s policies and staff training. EVIDENCE: There remains an outstanding requirement regarding the care home’s ‘Complaints Procedure’. Staff advised the Inspector that they had undertaken training in Protection of Vulnerable Adults. The Inspector noted that there was detailed policy guidance on the office notice board for staff on how to deal with Protection of Vulnerable Adults issues. This did not, however, include any reference to reporting allegations of abuse to the Commission for Social Care Inspection as is required. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 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 the following standard(s): 24 & 30 Residents’ are offered accommodation in 93-95 Canning Road that is largely (but not entirely) comfortable, adequately maintained and safe. Residents’ accommodation in 93-95 Canning Road is largely clean and hygienic. EVIDENCE: The unannounced inspection included all the communal areas of the home. A number of requirements remain outstanding since the last unannounced inspection. Requirements noted are recorded below. The desk drawers in the office were observed to be broken. The building was found to be warm, clean and tidy with a lived-in feel. The care home offers residents a large lounge and kitchen/dining room that are light and bright. The home was found to be largely free of offensive odours. Furnishings and fitments largely presented as in good condition. Staff were undertaking cleaning tasks during the unannounced inspection. The building is purpose-built and in keeping with others in the immediate vicinity. Laundry facilities are located on the first floor. Washing does not need to be brought through areas where food is stored, prepared, cooked and served. A window was open to ventilate the laundry. It contained washing and drying 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 17 facilities. The walls and flooring are of an impermeable nature. Areas of flooring, however, were quite dirty in the corners that were hard to clean. The inside of the sink unit was very dirty and this may indicate that the dryer venting is not working. The walls are also extensively cracked in the area to the right of the window. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 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 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 & 35 Residents are supported by a full staff team that, during the inspection, presented as competent and qualified. EVIDENCE: Records indicated the range of training undertaken by the staff team in 93-95 Canning Road. This includes induction and medication training. The Inspector observed staff talking with residents about a range of ordinary living issues. A recruitment and selection policy was viewed within the care home’s documentation that indicated that all the required checks are carried out on applicants for employment within 93-95 Canning Road. This documentation will be viewed further at the next inspection. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 39 Residents’ views have not yet been sought in order to review the quality of their care and support in 93-95 Canning Road. Residents’ health and safety are not fully protected in 93-95 Canning Road. EVIDENCE: There remain outstanding requirements in respect of Standards 39 & 42 from the previous unannounced inspection. The Inspector issued an Immediate Requirement Notice in respect of the necessity of the care home having a Certificate of Worthiness for the electrical installation and hard wiring. The Inspector learnt that the care home’s electrical installation and hard wiring had failed the previous test with necessary remedial work to ensure the safety of the building not having been undertaken subsequently. The timescale for compliance was 29/11/05. 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 20 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 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 3 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 93-95 Canning Road Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 2 x DS0000017522.V258327.R01.S.doc Version 5.0 Page 21 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 YA20 Regulation 13 Requirement It must be ensured that unused items of medication are returned to the pharmacist within the prescribed guidelines. A full record must be maintained of medication administered to residents by staff. There must be a clear Complaint Procedure for the Registered Person to consider complaints (made by a service user or person acting on the service users behalf) about the care home. This must include details on how to contact the Commission for Social Care Inspection local office. (Previous timescales of 02/03/05 & 31/10/05 not met) It must be ensured that Protection of Vulnerable Adults policy guidance for staff includes reporting allegations to the Commission for Social Care Inspection. The stained carpet in Rs room must be replaced. (Previous timescale of DS0000017522.V258327.R01.S.doc Timescale for action 15/01/06 2 3. YA20 YA22 13 22 15/01/05 15/02/05 4 YA23 13 15/02/06 5. YA24 23 29/01/05 93-95 Canning Road Version 5.0 Page 22 31/10/05 not met) 6. YA24 23 Arrange for bedrooms within the care home to be assessed with any broken items of furniture/fittings/fixtures (including water pressures) repaired or replaced. Copy of assessment to be send to the inspector (Previous timescale of 02/03/05 & 30/09/05 not met)) The dirty floor in the GF shower room must be cleaned or replaced. (Previous timescale of 31/10/05 not met) Missing tiles in the upstairs bathroom must be replaced. (Previous timescale of 30/09/05 not met) Ashtray facilities must be made available for those who use the garden as a smoking area. The lounge carpet requires deep cleaning or replacement is extensively stained in some areas. Replace damaged shower seat in ground floor shower room. The cause of the musty aroma in the ground floor shower room must be investigated and then eradicated. Toilet seats in the building must be securely fixed to avoid the risk of accidents. The grouting in the ground floor shower room must be replaced where stained. The first floor bathroom and toilet require redecoration. Black mould on the walls and ceiling of the first floor bathroom must be removed. The flooring in the first floor bathroom requires deep cleaning or replacement as is extensively DS0000017522.V258327.R01.S.doc 15/02/05 7. YA24 23 15/02/05 8. YA24 23 29/01/05 9 10 YA24 YA24 23 23 15/01/05 29/01/05 11 12 YA24 YA24 23 23 15/01/05 15/01/05 13 14 15 16 17 YA24 YA24 YA24 YA24 YA24 23 23 23 23 23 15/01/05 15/02/05 15/02/05 15/01/05 15/02/05 93-95 Canning Road Version 5.0 Page 23 stained. 18 19 YA24 YA24 23 23 Provide adequate shower screening in the first floor bathroom. Repair the lock on the first floor bathroom door to ensure privacy for residents when using the facility. Hard to clean areas of laundry flooring were quite dirty and in need of cleaning. The inside of the laundry sink unit requires cleaning The laundry walls require repair and redecoration as are extensively cracked in the area to the right of the window. The annual review of the quality of care and support within 93-95 CR must be undertaken with a copy of the report forwarded to the Commission for Social Care Inspection. (Timescale of 23/8/04, 01/04/05 & 31/10/05 not met) The registered manager must provide a valid Electrical Installation Test certificate. (Timescale of 30/09/05 not met) 15/01/05 15/01/05 20 21 22 YA30 YA30 YA30 23 23 23 15/01/05 15/01/05 29/01/05 23. YA39 24 15/02/05 24. YA42 13 29/11/05 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 Standard Good Practice Recommendations 93-95 Canning Road DS0000017522.V258327.R01.S.doc Version 5.0 Page 24 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. 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