Inspection on 30/11/05 for Abba Care

This inspection was carried out on 30th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 9 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 18/05/06

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 Vivienne Patchett Unannounced Inspection 30th November 2005 4:55 Abba Care DS0000007307.V269182.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 Abba Care DS0000007307.V269182.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. Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 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.V269182.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2005 Brief Description of the Service: Abba Care Home is privately run, registered as a care home accommodating four residents who suffer from past or present mental health needs. Current residents are aged between late 30s and 65. The premises are situated in Leytonstone in the Borough of Waltham Forest. The building is a two storey terraced house with a garden. Each resident has a single bedroom and shares the sitting room, and kitchen/diner. There is a combined bathroom and toilet on the first floor, a toilet on the ground floor and ensuite toilet and shower facilities in the 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 and shops. 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. Usually there is one staff on duty although extra staff are on call. Fees vary between £500 and £560 per week. Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a Wednesday evening in November 2005 from 4.55pm to 8pm. Two residents were in the house, a third resident was at her own home as part of a planned move to independent living and there was one vacancy. CSCI leaflets and Comment cards were left for residents and relatives. Residents expressed satisfaction with the care being offered. The inspector was assisted by the manager and one member of staff during the visit and also spoke on the phone to the proprietor. The inspector spoke to residents, looked at most of the building, examined various records and documents and reviewed progress of the implementation of requirements and recommendations from the last report. The inspector would like to thank staff and residents who contributed to the inspection. What the service does well: What has improved since the last inspection? The manager has continued to maintain a steady improvement in the running of the home since she was appointed. The inspector has observed an increasing level of confidence and independence among the residents over the past year and a half. Residents have been encouraged and motivated to improve their quality of life and take up or resume interests outside of the home. Residents have been enabled to manage their own finances and medication, to choose their menus and prepare their own food. Since the last inspection a new openable window has been fitted above the door to the garden in the sitting room, thus improving ventilation. The manager is attempting to establish a bank of about three people, to offer an extra flexible resource when additional staff are needed. Most staff have continued to undertake training to increase their competencies. The manager had been a working on introducing the full range of policies and procedures for the home. Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 6 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. Abba Care DS0000007307.V269182.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 Abba Care DS0000007307.V269182.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): 1, 3, 4 Prospective residents and their representatives have the opportunity to visit and test drive the home and careful assessments of the residents needs are made before placement. Written information is available for prospective residents but could be clearer and more up-to–date to assist them in making an informed decision about where to live. EVIDENCE: There is currently a vacancy and prospective residents had visited the home. Existing residents had been involved in this process and were invited to express their views. The manager was taking time to assess the suitability of prospective residents, both to ensure that the home could meet their needs and also that they would be compatible with existing residents. A trial period is offered. Residents had been given a copy of the Service User’s Guide and Contract of Residence and a Statement of Purpose was available. The manager said that some amendments had been made to the documents in August and supplied copies to the inspector at the time of the visit. The Service Users Guide, which includes the Contract of Residence, was, however, dated February 2004. The Statement of Purpose provided was not complete, lacking the appendices, and both needed some minor amendments for clarification and to include all the information required by the standards and regulation, as noted in the requirement. Abba Care DS0000007307.V269182.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): 7, 8 Residents were being enabled to make decisions, take control of their lives and participate in the running of the home. They were being encouraged to express their views and lead their lives as they wish, within a supportive environment and in accordance with the care plan agreed with them. EVIDENCE: Residents have been enabled to manage their own finances and medication. Suggestions from residents are being incorporated into the way the home is run, whether in improvements in décor or in menu choice. Monthly residents’ meeting are held to discuss issues. Bus passes had been obtained for all residents and Dial-a-ride is used where appropriate. Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Residents have been encouraged and motivated to improve their quality of life, take up or resume interests outside of the home and be part of the community. The outcomes for lifestyle are broadly being met although the manager should review and analyse how effectively the home is addressing the needs of residents associated with their ethnicity, religion or culture. EVIDENCE: Residents are attending day centres and community activities through the week and visit family regularly. One resident is resuming her previous career. The residents are from mixed ethnic and religious backgrounds although this is not always reflected in the care plans and range of activities. There were some recent problems in ensuring residents were on the Electoral register but the manager said these were now resolved. Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 11 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, 20 The outcomes in relation to two of the three personal and healthcare support standards tested were met. Some attention is required to the written procedures to assist staff in supporting residents to self-medicate safely. EVIDENCE: Residents are mostly self-caring in terms of personal care, although sometimes needing encouragement or prompting. The inspector noted improvements in the appearance of residents with smart clothes and haircuts. Residents’ health care needs were being met appropriately. Residents were being supported to self medicate. However, the care plans were not always clear about the individual arrangements in place to assist residents and the written procedures on the self-administration of medication, although amended since the last inspection, needed to be more detailed and clearer in order to guide staff and residents. Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 12 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, 23 Residents felt that their views were listened to and acted upon. The adult protection procedures needed some amendment to ensure residents are appropriately protected in the event of an allegation of abuse. EVIDENCE: A complaint procedure was in place and residents were clear to whom they would complain. The Adult Protection procedures were not clear about how the home should respond to an allegation of abuse. The manager was advised to have available in the home an up-to-date copy of the Adult Protection Procedures for L. B. of Waltham Forest and the placing/funding authority for each resident. Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 13 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, 25, 26, 27, 28 Residents live in a family sized, comfortable and safe environment with gradual improvements being made to the décor and furniture of the home to ensure that residents needs are met in conducive surroundings. However, attention is required to some aspects of the maintenance of the building. The outcomes were met regarding communal facilities within the home. Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 14 EVIDENCE: Each resident 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 washhandbasin 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. The manager was working with the residents to improve facilities in their rooms. However, bedrooms were showing signs of wear and tear and did not contain all the recommended furniture and fittings e.g. comfortable seating for 2 people, a table to sit at. Also, there was no door bell and lampshades were not fitted in the hallways and landings and some of the rooms. There is a programme for the decoration of the building. Some aspects of the building, identified at the last inspection as needing attention, remained outstanding but were scheduled for action. Residents are reasonably physically able and therefore no special adaptations or pieces of equipment are in place. The home was clean with no offensive odours. Laundry facilities are sited in the kitchen and are domestic in character. There is a wash hand basin next to the washing machine to assist with hygienic food preparation. Residents were not using keys to their own rooms. A cordless phone is available for use by residents in the privacy of their own rooms. Because the residents are involved in community activities, there is often no-one in the home during the day to answer the phone. An answerphone is recommended to assist communication with the home and residents. Abba Care DS0000007307.V269182.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): 32, 33 There has been sustained improvement in the level of staff training being undertaken. The number of staff on duty at the time of the inspection was sufficient to meet residents’ needs. EVIDENCE: There is a stable staff group and staff and residents know each other well. The manager is continuing to encourage staff to complete NVQ level 2 or 3 to ensure they have the competencies and qualities required to the residents needs. One of the 6 staff is doing NVQ 3 and one doing NVQ 2 in care. Some staff have qualifications equivalent to NVQ level 2 or are undertaking other related qualifications in community health or health and social care. The member of care staff on duty at the time of the inspection had been recruited from a care agency and the quality of her work was being assessed with the intention that she would be part of a bank of about three people, male and female, to offer an extra flexible but consistent resource when additional staff are needed. Staffing files were not inspected on this occasion. Abba Care DS0000007307.V269182.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): 37, 38, 39, 43 The manager has maintained a steady improvement in the running of the home over the past year and a half since she was appointed, leading to observable benefits for residents. EVIDENCE: The manager said that monthly visits were being made to the home by the proprietor and reports written on the conduct of the home, although one had not been received by the Commission since September 2005. Residents’ views were being sought through residents’ meetings and questionnaires. One of the care staff acts as an administrator, dealing with the accounts of the home. These were recorded on computer floppy disc and a record was not accessible to the manager or available in the home for inspection, despite this being a requirement of the last report. This was discussed with the proprietor over the phone. The manager had been developing policies and procedures in order to assist staff. She had returned the equalities questionnaire sent out by the CSCI but Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 17 the information was not complete. The manager and Inspector discussed ways in which the home could assess and meet the diverse needs of service users from different ethnic groups and address equality issues generally in its services. Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 18 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 2 x 2 3 x Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 3 x x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 3 3 x x LIFESTYLES Standard No Score 11 3 12 2 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 3 x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Abba Care Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 x x x 2 DS0000007307.V269182.R01.S.doc Version 5.0 Page 19 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 YA1 Regulation 4, 5 Requirement The registered persons to amend the Statement of Purpose to include all the information outlined in Standard 1, Regulation 4 and Schedule 1 to the Care Homes Regulations - in particular: details of the qualifications and experience of staff; the range of needs the home is intended to meet; the criteria for admission; the number and size of all rooms in the home and a statement as to how the home meet physical environment standards 20 - 23. The registered person/s to update and amend the Service User’s Guide, to include all the information outlined in Standard 1 and Regulation 5 of the Care Homes Regulations - in particular: the method of payment of fees by the resident; the qualifications and experience of the registered provider and staff; the service users views of the home; a copy of the residents care plan and the arrangements for reviewing Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 20 Timescale for action 01/02/06 2 YA3 12 3 YA20 13 4 YA23 13 5 YA26 23 needs and progress. The complaints procedure and number of residents to be corrected; the CSCI phone number to be included and information provided as how to contact local social services and healthcare authorities. A copy of the completed documents to be sent to the CSCI. The manager to review how the home is addressing the needs of residents associated with their ethnicity, religion and culture. The policy and procedures on the self-administration of medication to be more detailed to guide staff and residents. Specific arrangements for supporting individual residents to self medicate to be included in their care plans. The Adult Protection procedures to be amended to clarify the following: all allegations of abuse must be referred immediately to the L.B. of Waltham Forest Adult Protection Coordinator and placing authority; the strategy meeting decides whether an investigation is justified and who will undertake the investigation; investigations into abuse are not carried out by the proprietor or manager; the action to be taken by the home to refer staff to the POVA list. A copy of the Adult Protection Procedure for L. B. of Waltham Forest and the placing/funding authority for each resident to be available in the home. (Outstanding from previous reports) The door handle and lock to be replaced on the door from the sitting-room to the garden. DS0000007307.V269182.R01.S.doc 01/03/06 01/01/06 01/01/06 01/01/06 Abba Care Version 5.0 Page 21 6 7 YA24 YA26 23 23 8 9 YA39 YA43 24 17, 25 Alterations to be made to the window of the fourth bedroom to replace the opaque glass with clear and remove the bars in favour of alternative means of restricting entry by intruders. Lockable facilities in bedrooms to replaced with those of a domestic nature. (Outstanding from May 2005 report) Lampshades to be fitted 01/01/06 throughout the home. Bedrooms to be decorated, 01/02/06 furnished and personalised to the residents’ tastes and wishes. The bedrooms to contain the furniture and fittings listed in standard 26. If the residents do not have the items listed (e.g. comfortable seating for 2 people, a table to sit at), this to be recorded in the Care Plan, with a record of who made the decision and why and the decision regularly reviewed. Residents to be encouraged to use keys to their own rooms (within a risk framework). Reports of visits made on behalf 01/12/05 of the proprietor to be sent regularly to the Commission. An up-to-date record of all 01/01/05 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. (Outstanding from May 2005 report) Abba Care DS0000007307.V269182.R01.S.doc Version 5.0 Page 22 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 YA37 YA24 Good Practice Recommendations The front garden and entrance to the home to receive attention and a door bell to be fitted. An answerphone to be available to assist communication with the home. 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