Inspection on 08/06/05 for Abba Care

This inspection was carried out on 8th June 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Abba Care 03/10/07

Abba Care 18/05/06

Abba Care 30/11/05

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 Announced Inspection 8th June 2005 10:30am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Abba Care Address 314 High Road, Leytonstone, London E11 3HS Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 536 1998 0208 555 3322 kofiamp@aol.com Reverend Edmund Kofi Ampadu Beatrice Kiragu Wanjiru Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 26th January 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 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. Usually there is one staff on duty although extra staff are on call. Fees vary between £500 and £560 per week. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on a Wednesday in June 2005 from 10.30 am to 6.30pm. The inspector was assisted by the manager and spoke to two residents and one member of staff during the visit. One of the residents was at her own home as part of a planned move to independent living. Comment cards were received from residents and relatives and from an optometrist. The feedback expressed satisfaction with the care being offered. The only dissatisfaction was the variable attitude and helpfulness of different staff members. The inspector spoke to residents and staff, looked at most of the building, and examined various records and documents, including care plans. 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? What they could do better: Attention is required to some aspects of the maintenance of the building, including closure of fire doors and some record keeping. The manager should also review how the needs of residents associated with their ethnicity, religion or culture are being addressed. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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 G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 5 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: Residents have been given a Contract of Residence and copy of the Service User’s Guide –both of which need to be updated. The Statement of Purpose needs some minor amendments for clarification and both documents need to include all the information required by the standards and regulation. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8 Residents were being enabled to 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. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15, 16 Residents have been encouraged and motivated to improve their quality of life and take up or resume interests outside of the home. 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: One resident is resuming her previous career and the other two are attending day centres. The residents are from mixed ethnic and religious backgrounds although this is not always reflected in the care plans and range of activities. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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 standard(s) 18, 19, 20 The outcomes in relation to 2 of the 3 personal and healthcare support standards tested were met, one mostly met. Some attention is required to the medication policy and procedures and recording of the arrangements for self-medication. 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 to assist residents and there needs to be a clear policy and procedures to guide staff and residents. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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 standard(s) 22, 23 Residents felt that their views were listened to and acted upon. However the complaint procedure required some amendment to assist residents or their representatives in how to make a complaint, and help guide staff, the manager and the proprietor in how to respond to one. The adult protection procedures need to be amended to ensure residents are protected from abuse. EVIDENCE: Feedback from residents and discussion with the manager and staff indicated that there is a good flow of communication between residents and staff, enabling them to voice their views or concerns. No complaints had been recorded since the last inspection. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29, 30 Residents live in a homely, comfortable and safe environment with improvements being made to the décor and furniture of the home and residents’ bedrooms to ensure that they meet their needs and lifestyles. Outcomes were met regarding communal facilities within the home and arrangements for cleanliness and hygiene. Garden furniture has been supplied. However, the garden would benefit from some plants. EVIDENCE: Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 Page 14 This home meets the environmental standards of the National Minimum Standards for a pre-existing home in relation to bedrooms, bathroom and communal facilities. 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 new lavatory and washhandbasin on the ground floor. A cordless phone is available for use by residents. A new dining table, new washing line and new bed linen have been provided. The bedrooms did not include all the items of furniture recommended by the Standards. However, the manager is working with the residents to improve facilities in the bedrooms. There is a programme for the decoration of the building. However, attention is required to some aspects of the maintenance of the building, to ensure closure of fire doors at all times, security of the building and bedroom windows that provide a view. 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. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 36 There has been a marked improvement in the level of staff training being undertaken or having been achieved. The number of staff on duty at the time of the inspection was sufficient to meet residents’ needs. The manager had been working to improve recruitment practices but some attention was required to ensure all necessary checks were in place. EVIDENCE: There is a stable staff group and staff and residents know each other well. Three out of the 6 staff have an NVQ level 2 or equivalent; two others are doing NVQ 3 and one doing NVQ 2 in care. 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. There is a clear job description for support workers although one has not yet been developed for the new deputy manager post. The manager and 2 staff have first aid training. Staff are being supervised 2 monthly by the Deputy. One member of staff still had not had a CRB check completed although this was being processed. Some staff records did not always include proof of identity. Monthly staff meetings are held. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 41, 42, 43 The manager has made significant improvements in the running of the home since she was appointed and residents are benefiting from her leadership and management approach. This is reflected in the feedback from residents, the appearance of the home, health and safety practices and documentation of the home. There has also been an improvement in the quality assurance and monitoring mechanisms. EVIDENCE: The proprietor and manager have undertaken an annual review of the performance of the home. Monthly visits were being made to the home by the proprietor and reports written on the conduct of the home. Residents’ views are being sought through residents’ meetings and questionnaires. A 3-year Business Plan 2004 – 2006 was available with profit and loss forecasts although the accounts of the home were not available for inspection. The food safety officer from the environmental health department visited in May 2005 and found “a good general standard of food safety controls”. Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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 2 x x x 2 Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 2 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 2 3 3 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME 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 3 x 2 2 2 G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 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. Standard 1 Regulation 4 Requirement The registered person/s to update and amend the Statement of Purpose and the Service User’s Guide, to include all the information outlined in Standard 1, Regulation 4 and 5 and Schedule 1 to the Care Homes Regulations. A copy of each to be sent to the CSCI. A clear policy and procedures on the self-administration of medication to be in place to guide staff and residents. Specific arrangements for supporting individual residents to self medicate to be included in their care plans. The complaint procedure to be amended to clarify the stages of the complaint process, to whom the complaint should be made and how the complaint would be investigated. Also to include the role of the proprietor and clarify how this procedure links to the Protection of Vulnerable Adults policy and procedures. The Adult Protection procedures (including Whistle Blowing) to be amended to ensure they comply with the Public Disclosure Act G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Timescale for action 1 October 2005 2. 20 13 1 August 2005 3. 22 22 1 September 2005 4. 23 13 1 September 2005 Page 19 Abba Care Version 1.40 5. 26 23 6. 7. 31 34 & 41 10 4 8. 9. 42 43 13 25 1998 and the DOH Guidance No Secrets and includes the action to be taken by the manager/staff to refer any suspected allegation of abuse to the L.B. of Waltham Forest Adult Protection Coordinator prior to any investigation. 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. Alterations to be made to the window of the new 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. A clear job description to be developed for the new deputy manager post. The manager to ensure that all the records regarding staff required by regulation and listed in schedule 2 are obtained and available within the home for inspection. All fire doors to be self-closing at all times. A record of all accounts must be kept in the home for inspection, showing the detail listed in regulation 25, including rent, payments for a mortgage and expenditure on food, heating and salaries and wages of staff. 1 September 2005 1 August 2005 1 September 2005 1 August 2005 1 September 2005 Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 Page 20 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. 3. Refer to Standard 5 24 26 Good Practice Recommendations The Contract of Residence to be amended to give the correct phone number for the CSCI. The gardens to the home to receive attention including provision of furniture. Bedrooms to be decorated, furnished and personalised to the residents’ tastes and wishes. The bedrooms to contain the furniture and fittings recommended 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). The manager to review how the home is addressing the needs of residents associated with ethnicity, religion and culture. 4. 12 Abba Care G56 G06 S7307 Abba Care V219189 080605 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 4th Floor, Gredley House 1-11 Broadway, Stratford London E15 4BQ 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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