Inspection on 18/05/06 for Abba Care

This inspection was carried out on 18th May 2006.

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 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

Abba Care 03/10/07

Abba Care 30/11/05

Abba Care 08/06/05

Abba Care 26/01/05

Abba Care 18/06/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Abba Care 314 High Road Leytonstone London E11 3HS Lead Inspector Harun Rashid Unannounced Inspection 18th May 2006 03:00 Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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 Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Abba Care Address 314 High Road Leytonstone London E11 3HS 020 8536 1998 0208 555 3322 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) Reverend Edmund Kofi Ampadu Beatrice Wanjiru Kiragu Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. To allow the home to provide continuous care for a named service user, who is now over the age of 65 years. 30th November 2005 Date of last inspection Brief Description of the Service: Abba Care Home, is a privately run registered care home can accommodate up to four service users with mental health needs. The premises are situated in Leytonstone High Road in the Borough of Waltham Forest. The building is a two storey terraced house with a garden. Each service user has a single bedroom and shares the sitting room, and kitchen/diner. There is a combined bathroom and toilet on the first floor, a new toilet on the ground floor and an ensuite toilet and shower in the newly registered 4th bedroom. There is no lift so the home would not be suitable for anyone with a major physical disability. The home is on a main road with access to public transport. The aims and objectives of the home include supporting residents to develop independence and responsibility; to enjoy everyday experiences and opportunities that the wider community enjoys and to be seen as valued individuals. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was conducted on a weekday afternoon on 18/5/06. The inspector was able to speak to all three service users and interviewed two members of staff. The inspector spoke to the registered manager and the registered provider over the telephone during the inspection process. They all expressed their satisfaction with the standards of care provided. A tour of the premises was carried out during the inspection. What the service does well: What has improved since the last inspection? What they could do better: It is required that the management and service users/or their representatives must sign and date all contracts. The registered manager must ensure that all service users care plans are reviewed on a six monthly basis with input from health professionals and family members. The registered manager must ensure that staff files, supervision notes and staff training profiles are available for inspection. The registered provider’s monthly visits’ reports to be sent to the Commission in each month. An up-to-date record of all accounts must be kept in the home for inspection. An answer phone to be available in working condition to assist communication with the home. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 6 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. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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 Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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): 1,2 and 5 The home has developed a satisfactory Statement of Purpose and Service Users’ Guide. The registered manager has carried out a pre-admission assessment of needs for a service user. The home has developed service users contracts, however the manager to ensure that service users and the management of the home sign and date all contracts. EVIDENCE: Following the recommendation of the previous inspection report the management has amended the Statement of Purpose and the Service Users’ Guide in February 2006. The Statement of Purpose included information such as details of the qualifications and experience of staff, the criteria for admission. The Service Users Guide included information like the method of payment of fees by the service user and the phone number of the CSCI. Currently the home is accommodating three service users. Two of the service users have been living in the home for nine and ten years respectively. The third service user was admitted to the home in December 2005. This service user’s preadmission assessment was carried out prior to the admission to the home. The home also received a needs assessment report from health professionals. Service users and staff spoken to confirmed that this service user had stayed overnight in two weekends prior to moving in the home. The management of Abba Care has developed service users contracts. Copies of contracts were available in the files. However, it was noticed that a service Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 9 user signed the contract but the management has failed to sign and date the contract. It is required that the management and service users/or their representatives must sign and date all contracts. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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 the following standard(s): 6,7 and 9 All service users have individual care plans, however, care plans must be reviewed on a six monthly basis. The home promotes service users right and manages risk factors. EVIDENCE: The registered manager has developed individual care plans for each service user, which were generated from the home’s own assessment of needs and health professional’s assessment of needs. Care plans were available in care files for inspection. However, service users review meetings were not available. These are required to be reviewed on a six monthly basis. Therefore, the registered manager must ensure that all service users care plans are reviewed on a six monthly basis with input from health professionals and family members. Staff support service users with promoting their rights and making decisions. Service users have opportunities to manage their weekly personal allowances. Service users’ meetings take place on monthly basis and they are consulted about the running the home. Service users contribute towards developing weekly menu plan and decorations of the house. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 11 All service users have risk assessments. Risk assessments were developed with input from health professionals. Staff review risk assessments from time of time. Staff encourage service users to take responsible risk within risk management frameworks for example a service user travels to and from central London to visit family on a weekly basis and this service user also travels to a day centre independently. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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 the following standard(s): 12,13,15,16 and 17 Service users attend day centres and have opportunities to participate in community amenities. Choices of menus are provided, however staff should work towards developing service users cooking skills. EVIDENCE: Two of the service users attend day centres for people with mental health problems. One of the service users attends a Black Peoples’ Mental Heath centre two times a week and other service user attend local authority’s mental health centre four days a week. The management is looking for a day service provision for a newly admitted service user. Service users have opportunities to attend various community amenities for example visits to local shops, pub and cinemas. One of the service users accesses the community independently. Bus passes had been obtained and Dial-a-ride is used where appropriate. Service users have opportunities to attend various places of worship. Staff advised that two of the service users who used to attend Sunday services have stopped visiting church. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 13 Service users have opportunities to maintain family links. One service user visits his family home every weekend independently. Another service user visits his family home occasionally. They have opportunities to receive visitors in their bedrooms in private. Service users were offered bedroom keys and they are able to use bedroom keys with support from staff. All service users are able to communicate verbally and staff talk to and interact with service users in an appropriate manner. Service users are able to move freely and take responsibilities for household tasks for example cleaning and tidying bedrooms, participating with laundry tasks. Staff and service users informed that they meet on a weekly basis and developed their weekly menus. Service users are given choices of menus. Staff encourage for healthy eating. Current service users do not have any specific dietary needs. Service users are able to make drinks and snacks however, are not able to cook a meal independently. Staff of Abba Care should work towards developing service users cooking skills which they might enjoy and will enable to develop their independent living skills. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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 the following standard(s): 18,19 and 20 The home is able to meet current service users health care needs. The written procedure on self-administration of medication was updated with detailed information. EVIDENCE: Staff of Abba Care provide personal care in private and they support service users with personal care for example, they provide assistance with bath/shower. One of the service users only required prompting with basic personal care. Staff support service users with meeting their heath care needs. Staff escort service users to all medical appointments including G.P and Psychiatrist appointments. A psychiatric Nurse visits the home on a regular basis who administers depot injection to a service user. Following the recommendation of the previous inspection report the home has updated the written procedures on the self-administration of medication with more detailed and clearer guidance to staff and service users. However, staff informed that current service users are not able to self-administer medication yet and this would be reviewed in their next care planning meeting. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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): 22 and 23 The complaint policy and procedure of the home is simple, clear and was made available to all relevant parties. The adult protection policy and procedure contain sufficient guidance for staff to enable them to protect service users from abuse. EVIDENCE: Abba Care provides a simple and clear complaint policy and procedures for service users, their family members and for other relevant parties. This is displayed on the notice board. Staff informed that they have not received any complaint since the last inspection. The responsible individual advised over the phone that they maintain a complaint book, however this was not available at the time of the inspection. The registered manager must ensure that the complaint book is available for inspection. Staff interviewed informed that they have attended adult protection training. Following the recommendation of the previous inspection report the adult protection procedure was updated. The adult protection policy and procedure contains sufficient guidance for staff to enable them to protect service users from abuse. The registered manager understands her responsibility to refer staff who harm service users in their care to the POVA list. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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 and 30 The home is suitable for its stated purpose. Decoration works were carried out throughout the buildings. EVIDENCE: Each service user has a single bedroom with wash hand basin, sharing sitting and dining space. There is a bathroom on the first floor and a lavatory and wash and basin on the ground floor. This home therefore meets the environmental standards of the National Minimum Standards for a pre-existing home in relation to bedrooms, bathroom, lavatory and communal facilities. Following the recommendation of the previous inspection report, a door bell is installed and lampshades were fitted in the hallways and landings and in the service users bed rooms. There is a programme for the decoration of the building and Service users bedrooms were decorated since the last inspection. Service users were provided with sufficient furniture. Current service users are reasonably physically able and therefore no special adaptations or pieces of equipment are in place. As service users are involved in community activities, there is often no one in the home during the day to answer the phone. An answer phone is recommended to assist communication with the home and service users. Staff Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 17 informed that an answer machine is in operation, however it was not working at the time of the inspection. The home was clean with no offensive odours. Laundry facilities are sited in the kitchen and are domestic in character. The home is provided wash hand basin in the kitchen to assist staff/service users with hygienic food preparation. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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, 33,34 and 35 Staff of Abba Care attended NVQ training in care. The home has a stable staff team. The registered manager to ensure that staff files, supervision notes and staff training profiles are available for inspection. EVIDENCE: There is a stable staff group. Staff and service users know each other well. At the time of the inspection the registered manager was attending a course. However, over the phone she advised the inspector that two of their staff have completed NVQ level2/3 in care and three members of staff have nursing qualifications in mental health. Two members of staff interviewed during the inspection confirmed that they have completed NVQ level 2 and 3 in care respectively. At the time of the inspection a member of staff was on duty and another staff joined after 4pm. One member of staff on duty at the time of the inspection had been recruited from a care agency. Standard 34 was not able to be assessed as members of staff on duty did not have access to staff files. However, the registered manager informed the inspector over the phone that the home operates a recruitment policy based on equal opportunity and carry out all relevant checks including CRB disclosures before appointment. This standard to be assessed at the next inspection. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 19 Two members of staff interviewed informed that they have received a structured induction from the registered manager. They are aware of the policy and procedures of the service. Staff informed that they have read the policy and procedure folder to update their knowledge. Both staff have completed their NVQ training in care. However, due to the registered manager’s absence staff files were not inspected. The registered manager to ensure that staff files, training and development plan, supervision notes are available for inspection. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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 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): 39,42 and 43 There is a system in place to monitor the quality assurance of the home however, the registered provider must complete a written report on the conduct of the home and send a copy to the Commission in each month. The registered person to ensure that records on financial accounts are available for inspection. EVIDENCE: Standard 37 was not able to be assessed as the registered manager was on training on the day of unannounced inspection. The home has a system in place to monitor the quality of service provided. Service users satisfaction questionnaires were completed. However, the registered provider must complete written report on the conduct of the home and send a copy to the Commission in each month. The manager ensures staff and service users health, safety and welfare. Staff were provided training on fire safety, first aid, food hygiene and infection control. Regular checks are carried out on gas and electric appliances. Staff Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 21 carry out fire alarm tests on a weekly basis. The home has a valid insurance cover against loss or damage to the assets of the property. One of the care staff acts as an administrator, dealing with the accounts of the home. These were recorded on computer floppy disc and the records were not accessible for inspection, despite this being a requirement of the last reports. This was discussed with the manager over the phone. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 x 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 2 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x x 2 x x 3 2 Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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 YA5 Regulation 5 Requirement It is required that the management and service users/or their representatives must sign and date all contracts. The registered manager must ensure that all service users care plans are reviewed on a six monthly basis with input from health professionals and family members. The registered manager must ensure that staff files, supervision notes and staff training profiles are available for inspection. An up-to-date record of all accounts must be kept in the home for inspection, showing the details of running costs, including rent or mortgage payments and expenditure on food, heating and salaries and wages of staff. (This is an outstanding requirement and this must be met within new timescale). The registered manager must ensure that the complaint book is available for inspection. Timescale for action 28/02/07 2. YA6 15 28/02/07 3. YA34 17 28/02/07 4. YA43 17,25 28/02/07 5. YA22 22 28/02/07 Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 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. 2. Refer to Standard YA24 YA39 Good Practice Recommendations An answer phone to be available to assist communication with the home. The registered provider to complete a written report on the conduct of the home and send this to the Commission in each month. Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford Essex IG1 4PU 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 Abba Care DS0000007307.V293856.R01.S.doc Version 5.1 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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