Inspection on 05/10/06 for Anthony Edwards House

This inspection was carried out on 5th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Anthony Edwards House 26/02/09

Anthony Edwards House 26/01/06

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 5th October 2006 9:50am Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 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.V313748.R01.S.doc Version 5.2 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.V313748.R01.S.doc Version 5.2 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 Ms lmogen Marie Lucas 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.V313748.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 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. At the time of inspection the manager stated that the fees for the service are from £811 to £943 per week. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. A tour of the premises was carried out and care records were inspected along with other relevant paperwork. Time was spent talking to three staff and four residents. Information has also been gained from the inspection record for 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. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 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.V313748.R01.S.doc Version 5.2 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, 2 and 5 Quality in this outcome area is excellent. This judgement has been made as there is up-to-date information about the service that is accessible to the residents. The needs of residents are appropriately assessed to ensure the service can continue to meet individual needs. EVIDENCE: Since the last inspection a new Statement of Purpose and Service Users Guide has been produced by Anthony Edwards House. These documents are informative, containing relevant and current details about the service, organisation and what residents can expect whilst living at the home. These are also available in picture format, making them much more understandable and accessible for the residents. The care files contain a copy of the contract that each resident has with the home, which have been agreed and signed by each resident and a representative of the organisation. The manager stated that the needs of all the residents were re-assessed earlier in the year, and that the aim is to carry this out annually. Evidence was seen of this, where a full assessment of all needs such as physical, safety, personal hygiene, medication and sexuality were looked at with the involvement of the resident, and developed into care plans where necessary. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 8 Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 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 the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made as resident’s needs are met by the service through appropriate risk management and care planning that involves the resident. EVIDENCE: Anthony Edwards House continues to maintain a high standard of care planning that ensures the needs of residents are regularly reviewed and that support is planned to meet these. Individual care plans are in place for each resident, detailing support for such needs as mental health, physical problems or the resident managing their aggression. One keyworker spoke at length about the importance of care planning with the residents and how these need to be kept up-to-date. All care plans had been signed by the individual resident. Each resident spoken to was aware of who their keyworker is, one also saying how they meet with them weekly to talk about any issues or any plans they need to make, where they feel they “…get the right level of support…” with their life. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 10 Risk assessments are individualised to any safety concerns or potential areas of risk that a resident may have. For one resident this was to ensure their safety when going out of the home and for managing incidents when they can become aggressive. For another resident risk assessments were in place surrounding their vulnerability with money, and exploitation in certain situations. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 11 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): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made as the residents are supported to pursue activities that they enjoy and develop daily living skills and community living. Resident’s rights are respected in their daily lives, where the routines of the home are flexible and they can participate in activities if they wish. EVIDENCE: Throughout the morning the atmosphere at Anthony Edwards House was relaxed but busy as residents were going about their daily lives and making preparations for the day. During the inspection some residents went to the gym, or the deaf club, whilst others relaxed watching television. On separate occasions individual residents went out with staff, one for lunch, and the other to a club. Residents were observed planning these activities, making decisions with guidance from staff as necessary. The care files contain information about the different activities that residents pursue such as going to a club, one-to-one time with staff, in-house activities or spending time with their family. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 12 Some residents prefer to spend time on their own, and do not engage in structured activities, and this is respected by the staff team. The activities co-ordinator produces a bi-monthly newsletter that informs residents of any recent events and forthcoming activities, along with suggestions from residents for trips or activities that they would like to do. Two residents commented about the activities co-ordinator, with one saying: “…I can do lots of things with him…go out on trips, clubs…”, another stating: “…I like spending time with him, particularly when we go for walks…”. Another resident also spoke enthusiastically about a holiday to Blackpool earlier this year, which was planned by the activities co-ordinator, which they enjoyed, as it included residents from other services that they get on with. Mealtimes at Anthony Edwards House are flexible due to some residents needing staff support to prepare and cook food, whereas others are given money to purchase and cook their own food. Comments from residents about the food and meals were: “…good food…staff help me…” “…get the food I like…” “…I buy my own food…get given money…I shop and prepare for myself…”. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 13 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): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made as the service responds well to ensure that the personal and healthcare needs of residents are met. EVIDENCE: A majority of the residents are independent when attending to their personal care needs and minimal support is required by other residents, by way of prompting only. All residents are involved in an annual review of their care and placement at the home, and all are supported to attend healthcare appointments if they wish to. The care plans and discussion with staff and the manager demonstrate that the service responds promptly to the changing needs of the residents. In one incident the team was successful in utilising the help of a dietician to promote nutrition and eating with one resident who needed to gain weight. In another incidence the records demonstrate the responsiveness of staff to the sudden aggression of a resident – contacting the psychiatrist and arranging for their medication to be reviewed promptly. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 14 In addition, the manager described how they have been working with the multi-disciplinary team to put support in place for a resident who has been involved in a number of incidents, to enable them to express their emotions through different kinds of therapy. The medication for three residents was checked and the information on the labels found to correspond correctly with the medication chart. The charts were all signed and up-to-date. Residents stated that they receive the right support from staff to ensure they take their medication on time. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 15 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): 22 and 23 Quality in this outcome area is good. This judgement has been made as the service works proactively to protect and minimise the risks to residents. EVIDENCE: The home has the Servite Houses complaints procedure that provides guidance on how to deal with complaints and the different stages of investigating a complaint. There have been no complaints received since the last inspection. Staff records indicate that they have received recent training in the Protection of Vulnerable Adults, so to minimise the risk to residents. There are also policies and procedures in place regarding abuse awareness and what to do in the event of this. Each care file contains a ‘missing persons data sheet’ that includes a physical description and photo of the resident, for staff to pass onto relevant professionals in the event that a resident does not return to the home. Where any incidents occur involving residents living at the home, the service is proactive to involve relevant professionals to ensure that any risks to the resident is minimised, and this is further developed into a risk assessment. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 16 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, 25 and 30 Quality in this outcome area is good. This judgement has been made as good improvements have been made to make the environment more homely and comfortable for residents. EVIDENCE: The previous inspection required that the kitchen be redecorated and that curtains are installed in the kitchen and ground floor hallway. This had been carried out, making the areas more homely for the residents. In addition, the resident’s bedrooms had also been redecorated and new furnishings provided. One resident said that they had chosen the colours for their room, further saying that they were “…very happy with colours…makes room feel warmer…”. During the inspection the housekeeper was observed maintaining the cleanliness of the home, which was of a good standard in all areas. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 17 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): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made as staff have training relevant to their role and appropriate recruitment checks are carried out to protect the residents. EVIDENCE: “…I like the staff, I get on well with them…there’s always enough around when I need them, including deaf staff…”. These were comments received from a resident who has lived at the home for some time. Since the last inspection there have been some staff changes, but there are currently no vacancies at the service. Two staff have recently joined Anthony Edwards House and spoke positively about the induction they were receiving and the support from the manager and staff at the home. The induction programme covers orientation to documentation and records in use at the home, aspects of the individuals job role, policies, health and safety checks, etc. However, new staff said that they felt able to ask anyone for help if they were unsure about something. All staff discussed the responsibilities of their role as keyworker. One spoke with genuine fondness for their key-client, where they said that they have developed a good rapport and professional relationship with them. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 18 Staff talked about the training they had done, and how they felt it helped them fulfil their role in the house. The training file indicates that staff have training in mental health awareness, infection control, fire prevention, basic food hygiene, first aid, etc. Of the staff team, three are trained to British Sign Language (BSL) level 2 and one at level one, the manager and deputy are currently training for the BSL level 2. The two new staff both had BSL skills and experience of working in mental health prior to joining Anthony Edwards House. Two staff recruitment files were looked at and demonstrate that appropriate checks are carried out prior to their working at the home. These include Criminal Records Bureau checks, two references and copy of identification. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 19 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, 38, 39 and 42 Quality in this outcome area is excellent. This judgement has been made as there is a proactive and competent manager who demonstrates sound management abilities. Resident’s safety is promoted through appropriate health and safety checks. EVIDENCE: “…nothing is too much trouble...”, “…she’s a good manager and you feel on the same level...”, “..she has good, high standards, and a positive approach...” “…very approachable…I can go to her with anything…” These are comments received about the manager from residents and staff at Anthony Edwards House. Since the last inspection there have been a number of issues at the service that have been managed appropriately and professionally by the manager, demonstrating her commitment to the service and particularly meeting the needs of the residents. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 20 Observations of the manager during the inspection, and from previous telephone conversations are that she is friendly, considerate and works well to empower the staff team and promote the interests of the residents, whilst maintaining a calm and professional approach when management challenges arise. The home has a good quality assurance system where such areas as complaints, resident’s involvement and activities are all monitored. In addition, there is monthly and quarterly monitoring to ensure that care plans are up-to-date, one-to-one support time with residents has been provided, that there is an adequate level of hearing and deaf staff in post at each home, etc. In addition there are regular resident and staff meetings. The home maintains records to demonstrate that appropriate health and safety checks are carried out on the electrical systems, gas safety, legionella testing, etc. A fire inspection was carried out in July 2006, and the findings from this were satisfactory. Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 21 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 4 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 4 3 X X 3 X Anthony Edwards House DS0000010166.V313748.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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.V313748.R01.S.doc Version 5.2 Page 23 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. 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