Inspection on 15/08/05 for Albert Residential Home

This inspection was carried out on 15th August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Albert Residential Home 08/05/08

Albert Residential Home 15/05/07

Albert Residential Home 26/10/06

Albert Residential Home 26/04/05

Albert Residential Home 30/09/04

Albert Residential Home 27/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Albert Residential Home 40 The Warren Worcester Park Surrey KT4 7DL Lead Inspector Lesley Garrett Unannounced 26 April 2005 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 Older People. 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. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Albert Residential Home Address 40 The Warren, Worcester Park, Surrey, KT4 7DL 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) 020 8337 2265 Mr Kanwarjit Singh Mrs N Singh Mr Kanwarjit Singh Care Home (CRH) 3 Category(ies) of Old age, not falling within any other category registration, with number (OP), 2 of places Physical disability over 65 years of age (PD(E)), 1 Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The age/age range of the persons to be accommodated will be 3 (three) over the age of 65 years. Date of last inspection 30 September 2004 Brief Description of the Service: Albert Residential Home is a small 3 bed home catering for the needs of older people. It is located in a residential area of Worcester Park and is close to local ameneties. There is a purpose built ramp to the front of the property for good access and off street parking. Service users also have access to a wel stocked garden to the rear of the property. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection for 2005/2006 Albert Residential is a small family run home catering for the needs of 3 service users. When the Inspector called, the provider (Mr Singh) was due to be at a hospital appointment. His wife was willing to take over but was uncertain of her arrival time due to heavy traffic. It was agreed to make this inspection shorter with a much fuller inspection on the next visit. However the provider managed to (Mr Singh) re-arrange his appointment for the following day. What the service does well: What has improved since the last inspection? What they could do better: Mr Singh has very little time off and he also sleeps on the premises every night. Staff need to be recruited to allow the provider time away. There also needs to be documentation in the care plans for any female service users as to Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 6 their preference to male or female carers. There needs to be paper hand towels provided for infection control purposes see requirements. 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. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3 & 4 Service users or their family or representatives are able to make an informed choice about their decision to live at the home and prior to admission their needs are assessed. Families or representatives are encouraged to look around the home prior to admission. EVIDENCE: The home provides a service user guide, which contains all the information about the home. This is in all bedrooms and available to all potential new service users. The Manager or his deputy will do all pre admission assessments and these were found in the files of the service users. Families or representatives are encouraged to look around the home prior to admission. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 8 The service users all had care plans with a good range of risk assessments. The home has good support from the local G.P. EVIDENCE: The service users care plans were seen and they are in a typed format, which the Manager had been advised to change to. All three were kept in the same folder and the Manager was asked to have one folder per service user. There were old care plans that had been signed by the service users or representatives but the new care plans had not been signed. The daily records were kept separate to the care plans and the Manager has been advised to combine these records. There was one female service user but no evidence in care plan that she does not mind male carers. On the morning of inspection there was the Manager/owner on duty and one male agency. The home has good support from their G.P. who had visited recently to a service user who had been unwell. They also have support from the district nurse. She had visited recently and advised that a service user should wear mittens to prevent them from scratching the skin causing small skin tears. On a temporary basis socks were put on her hands it was recommended that these be removed and to use cotton gloves if necessary. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 10 All service users were up in their chairs when the Inspector arrived. The men were clean-shaven and clothes neat and tidy. The female service user was unable to converse with the inspector. Recovering from a recent illness and did not feel like talking. One service user finds difficulty with speech but was able to answer yes and no. the remaining service user was very talkative and was able to talk about his interest in the garden. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 & 15 Activities are arranged by the Manager but family and friends visit regularly and contribute to their social lives. EVIDENCE: One service user stated that he does the gardening which he enjoyed. He had a little green house outside his room with all the plug plants in ready for planting. His family visits regularly and takes him out for meals and to the pub. He said he enjoyed himself and likes to read the newspaper every morning. Another service user is visited regularly by his family also and enjoys walks to the park. Another enjoys listening to music and a friend visits regularly. Mr Singh has taken them on outings to the seaside which they seem to enjoy. He has a disabled vehicle which he uses on outings. Service users choose not to have a cooked breakfast but enjoy two hot meals a day. They are asked on a daily basis what they would like for lunch and supper. There is always a roast on Sunday but this is usually chicken as the service users prefer softer meat. On the day of inspection the service users were having chicken but this was a ready prepared meal that was microwaved. The potatoes and vegetables were fresh. The use of some pre-prepared meals allows the service user choice and they said that they enjoyed the food. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 There is a complaints procedure in place. EVIDENCE: Each service user has a complaints procedure in their room in the service user guide. Relatives/representatives are made aware of the procedure. It is also kept in the policy and procedures folder for all staff to have access to. Last complaint received in March 04 and this was a complaint about a former service user and this was resolved. The complaints procedure was not discussed with the service users at this visit. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20 & 23 The environment is suitable for the three service users and there is access to the garden. EVIDENCE: There is a purpose built ramp to the front of the home and a small ramp to allow access to the garden. There is a combined lounge and dining room, which is large enough for the three service users. There is a television that one service user enjoys and a large dining table for another to spread out his newspaper. Outside there is a large garden planted with mature trees. One service user told me he spent a lot of his time out there in the better weather and does a lot of the planting and organising himself. There is a pond outside according to previous inspections. It was not appropriate to go outside as it was raining and miserable. However there was no evidence of risk assessments for the pond. There was a visitors toilet but no soap dispenser or paper hand towels to dry hands only a communal towel. This has been made a requirement in line with infection control procedures. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 14 Each service user had their own room with personal possessions around them, pictures on the wall and ornaments. There was one large bathroom. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 This home has 3 service users and the mix of staff is usually the same. EVIDENCE: Mr Singh is on duty every day and sleeps on the premises at night. He has an agency carer Monday to Friday from 8am – 1pm and his wife is also in every day. Mr Singh has been recruiting staff, however they have not stayed for a variety of reasons. He is now trying to recruit the current agency carer. Mr Singh takes time off during the morning when all service users are up. The carers on duty are male at time of inspection and it should be clear in any female service users notes that they are happy to receive care from males. It was suggested that the Mr Singh tries to recruit staff to enable him to have at lease one day off each week. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33 & 38 The home is run by suitably qualified staff and is run with the service users in mind EVIDENCE: Both Mr and Mrs Singh have the Registered Managers Award Level 4 and both are attending dementia training to complete in the summer.. They both have ‘train the trainers’ award. POVA training and manual handling has also been completed along with the basic food hygiene certificate. They are both very keen on training are able to bring their experience back to the home. The service users are consulted on a daily basis and Mr and Mrs Singh explained that having such a small home enabled them to have a good understanding of their changing needs. On the day of inspection service users were consulted as to the lunch they would like. The requirement from the last inspection has been met. A electrician has now completed a electrical survey and issued a certificate PAT testing was done at this time and is next due in October 2005. Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 17 Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 2 COMPLAINTS AND PROTECTION 2 2 x x 3 x x x STAFFING Standard No Score 27 2 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 3 x x x x 2 Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 19 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 7.6 Regulation 15 (1) Requirement All care plans to be kept in files and must be signed by service user or representatve. The daily records must be put with their care plan and not kept sererately. There should be a soap dispenser and hand towel facility for infection control purposes. Timescale for action 24/5/05 2. 26.1 13(3) one month 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. Refer to Standard Good Practice Recommendations Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Albert Residential Home H58 S13546 Albert Residential V222155 260405 Stage 4.doc Version 1.30 Page 21 - 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. 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