Inspection on 22/06/05 for Amonet Residential Care Home

This inspection was carried out on 22nd June 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 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

Amonet Residential Care Home 02/11/06

Amonet Residential Care Home 19/12/05

Amonet Residential Care Home 22/02/05

Amonet Residential Care Home 13/07/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE AMONET RESIDENTIAL CARE HOME 76 Hendon Lane Finchley London N3 1SL Lead Inspector Tony Brennan Announced 22 June 2005 @ 10.00am 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. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Amonet Residential Care Home Address 76, Hendon Lane, Finchley, London N3 1SL 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 8343 4702 020 8502 6363 Dr Amos Akinola Mrs Janet Akinola PC Care Home 12 Category(ies) of OP Old Age registration, with number of places AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22 February 2005 Brief Description of the Service: Amonet is a private care home registered to provide care for 12 older people. The home is owned by Dr and Mrs Akinola. Mrs Akinola is also the registered manager. Amonet is a specialist service providing care for older Asian people. The staff speak the same languages as the service users and activities and food provided are for Asian people. There are eleven bedrooms: ten single and one double. The bedrooms are on all three floors of the building. There is a shaft lift serving all three floors. Amonet is in a pleasant residential area. The building is a three floored, attractive house with a large pleasant garden to the rear. The stated aims of the home are to provide comprehensive quality services which protect and preserve the homely environment and lifestyle of every service user and to treat service users with respect and dignity, promoting their independence, guaranteeing their rights and ensuring their choice. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken as part of the annual inspection process. The inspector also sought to confirm that the three areas for improvement found at the last inspection were addressed. The inspection took place over one day. The registered manager assisted the inspector. The inspector was assisted by a translator to speak with seven service users, two relatives and three staff. The inspector observed practice. The inspector toured the building and examined a range of records relating to the care and management of the home. What the service does well: What has improved since the last inspection? 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. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 6 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 AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 7 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 2 3 4 5 Service users and prospective service users don’t have access to comprehensive information about the service in their preferred languages. All service users have a contract outlining their rights and responsibilities while living at the home. Service users needs are assessed prior to admission to the home. The home meets all the assessed needs of service users. Service users visited the home prior to admission to determine if it could meet their needs. EVIDENCE: The inspector spoke with service users who had been told about what the service provided. The statement of purpose and service users guide contains all the information required. However, the service users all speak languages other than English. The inspector spoke with the registered manager who confirmed that the statement of purpose and service users guide are not available in the service users languages. It is recommended that these documents be translated into the first languages of the service users. The inspector saw that service users had a contract outlining their rights and responsibilities. The inspector found the contact contained all the information required. Service users and a relative with whom the inspector spoke said that the staff understood their needs. A service user said that she had been asked about her needs prior to coming to live at the home. All service users files AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 8 contained assessments by the home, social workers and health professionals. The assessments were reflected in the action outlined in care plans. Staff were observed working with service users and found that they responded sensitively. The service was being provided in such a way as to take into consideration service users religion, culture, language and diet. Many of the staff speak the same language as the service users, the cook made meals which service users liked and were used to and a priest visited each afternoon to provide a Hindu service for service users. Service users said that they had been able to visit the home prior to admission. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 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 9 Service users needs and the support to meet them are clearly set out in individual care plans. The health needs of service users are being met. Service users are protected by safe procedures for handling medication. EVIDENCE: The service users said that the home and its staff meet their needs. Two service users commented that the care provided at Amonet was better than that they received when living at home. The inspector found that care plans were based on the initial assessment and risk assessments. There were assessments of the risks associated with falls and mobility. The level and kind of support was stated. The inspector found that care plans were reviewed monthly. Service users commented that staff provided care in a sensitive way. Service users spoken to also commented that they receive regular medical care from the GP who visits regularly. Records showed that service users had received appropriate medical treatment from other health professionals. There were waterlow assessments to determine if service users were at risk of developing pressure sores. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 10 The records of medicines received, administered and returned to the home were complete. The inspector found that the medicines prescribed matched what had been provided for service users. Staff had received training and a list giving the names of those staff that had received training was seen. The registered manager explained that training had been updated. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 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 15 Service users are provided with sufficient and varied activities. Service users are provided with a choice of varied and balanced meals, which meet their cultural and religious needs. EVIDENCE: Service users said they had activities that met their needs. The service users explained that they have visits from the Hindu priest. The Hindu priest visits for three hours five days a week. Service users explained that this meets their cultural and religious needs. The service users spoken to also explained that they watch Asian films and television. Service users files seen by the inspector contained a record of their interests. All service users spoken to said that the food provided was good. Service users explained that they are all vegetarian and the meals met their religious and cultural preferences. They told the inspector that they had been asked about what should be on the menu. The menu showed that a balanced diet was offered consisting of fresh vegetables and fruits. The service users were seen to take their meals in a relaxed atmosphere with staff providing support to those service users who needed it. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 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 18 Service users are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: Service users said that they felt confident in making their concerns known to staff. The complaints policy explained how to make a complaint and how it would be dealt with. The complaints record showed actions taken to resolve complaints. The registered manager explained that complaints made by a service user had been recorded and investigated. Service users said that they felt safe and could approach staff if they had any concerns regarding how they are treated. There were comprehensive policies on handling abuse and protection. Staff spoken to were clear about the signs of abuse and how suspected abuse should be handled. Records showed that staff had received training on adult protection and further training is planned. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 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 24 25 26 Service users live in a well maintained environment. Service users bedrooms are comfortable and personalised. Service users live in a safe and comfortable environment. The home is clean and hygienic providing a safe and well maintained environment for people to live in. EVIDENCE: The inspector saw that the home was in a good state of decoration and repair. The garden was tidy and well maintained. Since the last inspection the leak in the water tank has been repaired. Service users bedrooms are appropriately decorated, furnished and carpeted. The bedrooms seen were personalised. Service users commented that they had chosen the items they wanted in their bedrooms. Since the last inspection a risk assessment has been carried out of the unguarded radiators, unrestricted windows and infection control. This showed that these were safe if risk preventive action was taken. The inspector found that the home was clean and hygienic. Staff spoken to understood how to prevent cross infection and equipment was provided for this purpose. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 14 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 28 29 30 Sufficient staff are available at all times to meet service users needs. Staff don’t have all the skills and knowledge necessary to meet the needs of service users. Service users are protected by the home’s recruitment practices. EVIDENCE: The rota was seen and showed that a consistent staffing level was being maintained. The rota showed that two staff were on duty at all times of the day. Service users said that staff were always available to meet their needs. Training records showed that three staff are about to commence the NVQ level 2 in care qualification. The home needs to get 50 of staff qualified to NVQ level 2 in care. The inspector spoke with staff and found that they understood and knew how to meet the needs of service users. Training records showed that the necessary statutory training had been provided with the exception of manual handling. Staff files were checked. These were found to contain all the required information. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 15 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) 35 36 37 38 Service users have their financial interest protected. Staff are appropriately supervised so as to protect service users. Records are maintained as is required. Service users and staff health and safety is promoted by the checks and systems in place in the home. EVIDENCE: There is now a system in place to ensure that the small sum of service users money held by the home is accounted for. There is a record of monies spent and receipts are kept. The home does not act as an agent for service users. The registered manager explained that there is a system of group and individual supervision. The inspector spoke with staff and saw a record of supervision that showed it was happening six times a year. All records seen were up to date and accurate. The inspector found that staff had training on health and safety topics. The hoists had been checked and first aid boxes had all the necessary items. Fire procedures and a risk assessment were in place. The inspector examined the home’s records and AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 16 found that the alarm system had been inspected and checked regularly. Fire drills had occurred regularly and were recorded. The training records showed that staff had received training on fire prevention, first aid and food hygiene. The necessary records of food temperatures and of the fridge and freezers had been maintained. Gas and electrical certificates were seen and in date. Testing had taken place for Legionella. The home had all the necessary policies and procedures in place to ensure the safety of service users and staff. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 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 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 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 3 3 3 AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 18 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 28 Regulation 18(1) Requirement The registered persons must ensure that 50 of staff are qualified to NVQ in care at level 2. The registered persons must ensure that staff have training on manual handling. Timescale for action 1/12/05 2. 30 18(1) 1/9/05 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 1 Good Practice Recommendations The registered persons should ensure that the statement of purpose and service users guide is translated into the languages spoken by the service users. AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 AMONET RESIDENTIAL CARE HOME G59 S10394 Amonet V220348 22.06.05 Stage 4.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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