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Inspection on 08/05/08 for Albert Residential Home

Also see our care home review for Albert Residential Home for more information

This inspection was carried out on 8th May 2008.

CSCI found this care home to be providing an Adequate service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Albert Residential Home 40 The Warren Worcester Park Surrey KT4 7DL     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kenneth Dunn     Date: 0 8 0 5 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 21 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 21 Information about the care home Name of care home: Address: Albert Residential Home 40 The Warren Worcester Park Surrey KT4 7DL 020 8337 2265 Telephone number: Fax number: Email address: Provider web address: corry328@hotmail.com Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Mr Kanwarjit Singh,Mrs N Singh Mr Kanwarjit Singh care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The age/age range of the persons to be accommodated will be 3 (three) over the age of 65 years. 1 5 0 5 2 0 0 7 0 0 Over 65 2 1 Date of last inspection Brief description of the care home Albert Residential Home is a small three bed home catering for the needs of older people. It is located in a residential area of Worcester Park and is close to local amenities. There is a purpose built ramp to the front of the property for good access and off street parking. Residents also have access to a garden to the rear of the property. The fees at the home start from #350 per week. Care Homes for Older People Page 4 of 21 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The Commission has since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the Service was an unannounced Key Inspection. This is a report for the key inspection, which included a routine short notice, unannounced site visit to the offices of the service. The site visit was conducted Mr Kenneth Dunn led inspector and took place the on the 08th of May 2008. The manager was present during the site visit. It was a thorough look at how well the Service is doing. It took into account detailed information provided by the Services in the form of a Annual Quality Assurance Care Homes for Older People Page 5 of 21 Assessment and any other additional information that the Commission for Social Care has received about the Service since the last inspection. And information received from the people who use the service on the day of the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line – 0870 240 7535. Care Homes for Older People Page 7 of 21 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 21 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes admissions and assessment policies and procedures ensure that the people who use the service needs are appropriately identified and met. Evidence: Pre admission assessments are detailed and provide the home with sufficient information to make a decision as to their ability to care for a specific individual. Care Homes for Older People Page 9 of 21 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service receive appropriate care that mets their individual and group needs. Evidence: Care plans are well written they contain clear consistent information for the care of each individual living at the home. Risk assessment are completed to safeguard the people who use the service. The people who use the service are requested to sign that they are in agreement with their care plans this however has not been the practise. The residents stated that the staff treat them with respect and dignity. The medications policy and procedures were being followed to ensure that the residents remain safe. Care Homes for Older People Page 10 of 21 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The activities program is drive by the residents. The people using this service are supported and encouraged to maintain family and community contact. The residents have the opportunity to exercise some control over their lives. The arrangements for meals and mealtimes is very flexible and meets the needs of the current residents. Evidence: The activities offered at the service were meeting the expectations and needs of the residents. The manager should seek clarity regarding an individual using his own money to purchase plants and items for the garden. The newly revised visitors policy is now follows the working practises operated by the home whereby visitors are welcome at any appropriate time. Meals are not planned but the flexibility this offers suits the individual and group needs of the residents. Religious and cultural needs are maintained and developed with the wishes of the individual recorded and actioned. The manager should make sure that the individual Care Homes for Older People Page 11 of 21 habits of the residents are clearly stated in the care plans specifically the times people get up in the morning and go to bed at night. Care Homes for Older People Page 12 of 21 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. If people using services have complaints or their representatives these are looked into and action taken to put these right. Procedures are in place for safeguarding people using services from abuse and neglect. The lack of appropriate staff training in safeguarding the people who use the service could place the residents at risk. Evidence: The complaints policy was under review, the policy in use was clear and accessible. The home has a copy of the Surrey Multi-Agency Procedures for Vulnerable Adults, however staff are unclear about their role and the process of safeguarding the people who use the service. There have been no complaints recorded since the last inspection visit. The people who use the service are confident that they could use the complaints procedure if they had to make a complaint, or they would ask for assistance from their families. Care Homes for Older People Page 13 of 21 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live use the service live in an environment which is clean and homely. The failure to conduct appropriate environmental risk assessments could potentially place the people who use the service at risk of falls or injuries. Evidence: The service was clean and tidy, and the overall hygiene of the home was good. Three immediate requirements were made during the tour of the premises two in bedroom one regarding potential risks from ceiling mounted mobility aids and thirdly the storage of lock bloc paving on the main steps into the home. Care Homes for Older People Page 14 of 21 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the home could be at risk as a result of the manager not gaining the documents specified in paragraphs 1 - 9 of Schedule 2 of The Care Homes Regulations 2001 (as amended by The Care Standards Act 2000(Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004). The lack of training offered by the home is placing the people who use the service and the staff at risk of harm or injury. Evidence: The number of staff on duty met the needs of the people who use the service. The home has failed to gain any information from the staff on duty documents specified in paragraphs 1 - 9 of Schedule 2 of The Care Homes Regulations 2001 (as amended by The Care Standards Act 2000(Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004). Staff training has not been offered by the home staff have come to the home with training. Care Homes for Older People Page 15 of 21 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service benefit from the management approach, which provided an open, positive and inclusive atmosphere. However failures to undertake staff checks and to ensure that potential environmental risk are identified and dealt wit could place the residents at risk. Evidence: The service is managed as a small family home and because of this the manger has failed to undertake basic checks on staff and complete environmental risk assessments, which could place the people who use the service at risk. Care Homes for Older People Page 16 of 21 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 17 of 21 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 28 19 The manager must not 09/07/2008 employ any staff unless all documents specified in paragraphs 1 - 9 of Schedule 2 of The Care Homes Regulations 2001 (as amended by The Care Standards Act 2000(Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004) are checked and on file. The ensure that the people who use the service are safe guarded from possible abuse or harm. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 18 10 All staff working in the service must receive appropriate adult safeguarding training. To ensure the continued safety of the people who use the service. 10/07/2008 Care Homes for Older People Page 18 of 21 2 30 18 All staff must receive appropriate and mandatory training to support and safeguard the people who use the service. The ensure that the people who use the service are safe guarded from possible abuse or harm. 09/07/2008 3 38 13 The manager must ensure that the people who use the service are safeguarded by the the homes policies and procedures in regards staffing and environmental risk assessment being completed regularly. The people who use the service are at potential risk from abuse or harm if the manager fails to gains the required information about staff and does not act to remove potential risk from the environment. 09/07/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 12 7 All residents should be supported and encouraged to sign and date their individual care plans to indicate their involvement and agreement. The manger should receive a written understanding and acceptance that individuals wishing to contribute to the maintenance and up keep of the homes garden using their own monies are happy to do so. The care plans should contain information regarding the habits and practises of individuals specifically the times people get up in the morning and the times they want to go to bed. Page 19 of 21 13 12 14 14 Care Homes for Older People Care Homes for Older People Page 20 of 21 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 21 of 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!