Inspection on 26/01/06 for Anthony Edwards House

This inspection was carried out on 26th January 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Anthony Edwards House 26/02/09

Anthony Edwards House 05/10/06

Anthony Edwards House 19/07/05

Anthony Edwards House 10/02/05

Anthony Edwards House 14/05/04

Similar services:

Ashlong House

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Spring Lane Care Home

Avenues (The) (Neave Crescent)

Delrose House Ltd

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

CARE HOME ADULTS 18-65 Anthony Edwards House 27 Ritherdon Road London SW17 8QE Lead Inspector Louise Phillips Unannounced Inspection 26th January 2006 09:40a Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Anthony Edwards House Address 27 Ritherdon Road London SW17 8QE Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8672 6360 020 8767 3552 Riverhaven Miss Phyllis Brown Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (2), Physical disability (6), Physical disability over 65 years of age (2) Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2005 Brief Description of the Service: Anthony Edwards House is a care home providing accommodation and support for up to six residents with mental health problems and a hearing impairment. The home is situated in a pleasant residential area close to local shops, cafes, pubs, and with good access to public transport links. The accommodation is provided over four floors with single bedrooms, lounge, kitchen/ dining area and laundry facilities for use. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day with time spent talking to residents, staff and viewing paperwork and care records. A British Sign Language interpreter was present for a majority of the inspection to assist the inspector when communicating with residents and staff. During the inspection two residents and four staff were spoken to. 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. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Information provided to residents needs to be updated to reflect changes at the service. EVIDENCE: The current Service Users Guide and Statement of Purpose needs to be developed to include recent changes to the organisation, new manager and new staff members. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 The care plans enable residents and staff to work together to meet needs, which ensures that the residents get care and support that they want. EVIDENCE: The care plans for the residents continue to be maintained to a very good standard, incorporating all areas of each individuals needs. Each resident has a current plan of care that clearly sets out their needs and how they will be met. The care plans cover a number of relevant areas such as the residents’ mental health, activities and any personal hygiene needs. The format of the care plans is easy to follow and recognise the actual care received by each resident. The records indicate that residents are involved in reviewing their care plan monthly with their keyworker to ensure that it is upto-date and covers any changes to their needs and wishes. In addition each file contains an assessment of any areas where there is considered to be any risk to the resident, along with how these risks were to be dealt with and reduced as far as possible. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 9 Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 The atmosphere of the home promotes an inclusive environment that adapts to the needs and wants of each individual. EVIDENCE: “…I like the food…”, “…food good, plenty of vegetables which I like…” These are a couple of comments from residents living at the home. Another resident discussed that they are able to get involved in the cooking if they want, but that they prefer not to. During the inspection flexible routines were observed at the home, with residents able to get up when they wanted, have breakfast at a time that suited them and they were also able to choose to join in with activities or not, as they wished. At all times staff interacted well with the residents, using preferred forms of address (as detailed in the residents care records), and ensuring that they were involved in conversations occurring in the vicinity that the resident was in. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 11 The manager stated that she promotes that British Sign Language (BSL) is the primary form of communication at the home, to ensure that conversations do not exclude any resident or staff member. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: No residents have help with personal care – encourage to dress appropriately. Each resident has written details of funeral arrangements/ wishes upon detah – contacted relatives where resident unable to understand, each individualised to residents wants Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Staff training and information available ensures that the risk of abuse to residents is minimised. EVIDENCE: Records indicate that all staff have received recent training in the Protection of Vulnerable Adults. There are good policies in place to raise the awareness of adult abuse, with procedures describing steps to be taken in the event of an allegation of abuse at the home. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home is maintained to a good standard of cleanliness. However, further work is needed to make Anthony Edwards more homely and comfortable for the residents. EVIDENCE: The home has a new part-time cleaner who works well to ensure the home is kept at a good level of cleanliness throughout. It was observed that some areas need addressing to make the environment more homely, particularly the installation of curtains for the ground floor hallway and kitchen. In addition the wall of the kitchen were seen to be in need of repairing, where paint was observed to be stained and chipped in areas. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 38 The manager demonstrates a sound commitment to the needs of the residents and the further progression of the service. EVIDENCE: There is a new manager in post who demonstrates a good awareness of the needs of the residents and a strong commitment to maintaining the high level of service delivered by the home. She has experience of managing different care services and is currently undertaking an extensive BSL level 1 course to enable her to communicate more effectively with the residents and staff. The manager discussed a number of areas of improvement for the service, and a genuinely positive attitude to her work and meeting the needs of the residents. She further stated that she receives good support from line management within the organisation. Staff commented that the manager is “…very professional…” and that she “…likes everything to be done right…she has good standards…”. Individual Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 17 members of staff also stated that they feel “…well supported by the manager…” and that they receive regular supervision. It is required that an application for registration is submitted to the CSCI by the manager. Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 3 X X X X X Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 4(1), Sched 1, 5(1) Requirement The Registered Persons must ensure that the Service Users Guide and Statement of Purpose provides up-to-date information about the service. A copy of this must be supplied to the Commission. The Registered Persons must ensure that the kitchen is redecorated and that curtains are installed on the ground floor hallway and kitchen windows. The Registered Persons must ensure that an application for registered manager is submitted to the CSCI. Timescale for action 30/06/06 2. YA24 23(2)(b) & (d) 30/07/06 3. YA37 9(1) 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Anthony Edwards House DS0000010166.V279919.R01.S.doc Version 5.1 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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