Inspection on 19/10/05 for Anvil Close

This inspection was carried out on 19th October 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Anvil Close 24/09/09

Anvil Close 08/01/08

Anvil Close 17/07/06

Anvil Close 11/11/04

Anvil Close 09/06/04

Anvil Close 10/11/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Anvil Close 21-24 Anvil Close Nr Eastwood Street Streatham London SW16 6YA Lead Inspector Davina McLaverty Unannounced Inspection 19th October 2005 12.15 Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 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 Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 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. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Anvil Close Address 21-24 Anvil Close Nr Eastwood Street Streatham London SW16 6YA 020 8677 4714 020 8677 5131 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) MacIntyre Care Mrs Edith Uche Aganoke Care Home 12 Category(ies) of Learning disability (12), Physical disability (12) registration, with number of places Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home can admit one named service user over the age of 65 years of age. 11th April 2005 Date of last inspection Brief Description of the Service: Anvil Close is a home for twelve adults with learning disabilties, some of whom also have a physical disability. The property is purpose built and has been fully adapted for use by service users with wheelchairs. The home is on two floors and is divided into four flats, each with their own kitchen/dining room,lounge,toilet and bathroom, adapted shower room and sensory room. All bedrooms are single occupancy, with four bedrooms having ensuite facilities.Shared facilties include the lift, laundry room and a large garden. The home is situated at the end of a cul-de-sac in a quite part of Streatham, but is within easy reach of local shops,community facilties, bus and rail links. Parking is available. Further information concerning the service can be found on the organisations website at www.macintyre-care.org. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and commenced at 12.15 pm concluding at 6.15 pm. The inspection consisted of examination of records and inspection of the communal areas of the home and three bedrooms. The inspector met nine of the service users and spoke to five individually. Residents made positive comments regarding the home, staff and services including: “ I like it here”, “the staff are kind and help me”, “ I have a nice room”, “the food is alright” and “I enjoyed my holiday”. All six staff spoken to were very helpful, open and welcoming. All were very positive regarding the organisation and the service given to the residents. What the service does well: What has improved since the last inspection? What they could do better: Training records could be better organised to clearly evidence courses staff have attended. The quality assurance programme needs to be fully implemented to help ensure the views of the service users relatives/representative, health /social care professionals and stakeholders are taken into account and acted upon. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 6 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. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 7 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 Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 8 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): EVIDENCE: None of these standards were inspected at this inspection. There have been no new admissions since the previous inspection, although the home is currently in the process of assessing a potential resident for the vacancy in the home. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 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, 8, 9 & 10 Resident’s needs are assessed and developed into care plans. Further work is required to ensure that following statutory reviews, the decisions made are integrated into the current care plan, if a new one is not drafted. Residents, as able, are involved in all aspects of the home. Risk assessments are carried out to enable residents to take responsible risks. EVIDENCE: Residents have a care plan, which includes information for staff to meet their individual needs. The manager reported that plans are to be reviewed every six months. New forms have been introduced to evidence this and completed reviews were seen on two care plans examined. Statutory reviews had also taken place, however, where on-going needs and new goals had been identified it was not clear to the inspector how they had been integrated into the care plan. Staff must ensure that any new needs are clearly carried forward if a new care plan is not to be drafted. A key worker system is in place at the home and the home uses a person centred approach to care planning with residents and or their relative/representative being involved. Two residents when asked were aware of who their key worker was and have frequent contact with them. Regular house meetings take place offering Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 10 residents the opportunity to comment on the services provided and be involved in the day to day running of the home if they choose. Risk assessments were also seen to be in place although the manager stated that new forms had been introduced and staff were currently in the process of updating all risk assessments. Guidelines are in place for staff regarding activities outside the home, which may be high-risk situations for residents. Information relating to residents was seen to be kept securely in the offices. Staff were aware of the organisations confidentiality policy and its content. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 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): 12,14, & 17 Residents participate in activities of their choice within the home and the community. Residents are encouraged and supported to maintain contact with their family and friends. Dietary needs seem well catered for. EVIDENCE: The senior support worker stated that seven of the residents attended a social education centre Monday to Friday, the others did a variation of activities which may involve going to the day centre once/twice a week as well as being involved in activities such as gardening, theatre and a recycling project. Three residents spoken to said they liked their activities and looked forward to going. Residents where able, are involved in some of the domestic tasks around the home such as looking after their own rooms, setting tables and clearing away after meals. One resident in particular spoke of the domestic chores he did and how much he enjoyed helping out in the garden. Residents were seen to be enjoying their meal that evening and one resident said that the food is very good and that there was always plenty of it, another resident informed the inspector that the staff made nice meals for them. The Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 12 menu was seen to be varied and offer a choice to residents. A full record is now kept of meals served. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 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): 20 The home had an adequate system for the ordering, storage and recording of medication and had access to a pharmacist for advice. EVIDENCE: Medication administered by staff along with the policies and records relating to receipt storage, administration and disposal of medication were examined and found to be satisfactory. However, on checking the medication the inspector found that the allergy section on the Medication Administration sheets was not always filled in. Also all staff must be made aware as to when PRN medication is to be administered. One MAR sheet examined found that PRN medication was being signed for as ‘not given’ instead of being signed for when given. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 14 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 & 23 Resident’s rights are protected. Adequate policies and procedures are in place to protect residents from harm. A pictorial complaints procedure is displayed in the home detailing how to complain and to whom. EVIDENCE: The manager stated that there had been no formal complaints received since the last inspection. Residents reported that they would speak to staff, the manager or family members if they had concerns or complaints regarding the home. No issues were raised regarding the home, staff and care received at the home by residents. Policies and procedures are in place for the protection of vulnerable adults. Placing authorities guidelines regarding adult protection was also available in the home. The manager stated that all staff receives training in this area and staff spoken with were fully aware of the action to be taken if the need arose. Staff spoken with were also aware of the organisations whistle blowing policy. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 15 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 27,28, 29 & 30 The home, despite its size provides a comfortable and safe environment for residents. The home was found to be clean and free from offensive odours on the day of the inspection. EVIDENCE: As stated earlier the home is divided into 4 individual units with their own kitchen, lounges and bathrooms, a laundry room is on the ground floor. The home was seen to be comfortable and a homely atmosphere was apparent. Pictures of the residents on the walls added to the homeliness. The kitchen/dining rooms were seen to be well decorated. Attempts had been made in the bathroom areas to make them homely rather than solely functional. Paper towels and soap was seen in all the bathrooms inspected. All residents have their own single bedrooms, which some said that they had personalised to their taste. The three bedrooms seen were in a good decorative state and the residents spoke positively of their rooms. One said, “I really like my room” another said that “ I like to spend time on my own watching my videos and doing what I want”. Bedrooms can be locked and those residents that are able, have a key. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 16 The home was clean and hygienic and free from offensive odours on the day of the inspection. Residents, where able are encouraged to participate in some of the household chores. There is a good size garden available, which staff stated gets well used during the warmer months. This was confirmed by at least three residents one who said that Bar-be-ques are held as well as meals being eaten outside. The inspector noted that a lot of work had taken place in the garden since the last inspection, various plants had been added in the raised flowerbeds. One resident who currently participates in a gardening project during the day said that he enjoyed helping in the homes garden. The inspector was informed that following the death of a resident his family had donated a covered wooden swing and various statues as a thank you to staff and as a memorial to their son. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 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): 31,34, 35 & 36 Staff reported that they worked well together as a team, were aware of each other’s roles and responsibilities. Staff at all levels saw the residents as the priority at all times. All staff were very knowledgeable regarding the residents needs. There is a comprehensive recruitment policy and procedure in place. EVIDENCE: Staff on duty were observed to have a very good rapport with residents and all were very knowledgeable of the service users needs. Staff reported that they worked as a team to best meet the needs of the residents. The manager was described as a “working manager” in that she often worked along side the staff supporting them and ensuring that the resident’s needs are being met. Four staff files were examined which were found to meet the standard with all required information being available. Staff reported that training was very good. One staff member who had recently joined said that there is a policy for everything, which is so helpful as it enables you to feel confident with the organisation. The same staff member stated that this was by far the best home that they had worked in. The care was individual and appropriate for the resident. They went on to say that residents could lead the life that they chose. Three staff are currently undertaking their NVQ qualification. A comprehensive induction and on–going training programme is in place, although the manager must ensure clearer evidence is available in regards to updating core training. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 18 Monthly supervision of staff was seen to be taking place as well as regular staff meetings. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 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): 37,39 & 42 Resident’s health and safety is promoted by policies, practices and recording systems at the home. A formal system for resident consultation is in place, which is good, however the home will benefit from full implementation of its quality assurance system. EVIDENCE: As stated earlier staff demonstrated throughout the inspection knowledge and understanding of residents needs. The area manager for the organisation, visits the home every month and speaks to residents and staff and will examine some of the records. Copies of his report are forwarded to the Commission. Staff must ensure that the Commission is notified under Regulation 37 of the Care Homes Regulations of all serious events. A quality assurance system is in place within the home, however, the manager said that it is still not fully implemented, as the views of stakeholders have not been sought as yet. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 20 Health and safety records were examined and the inspector found the fire risk assessment, fire alarm tests, fire drills, gas safety and portable appliance tests all in order. Gaps were seen in the weekly hot water tests and the weekly health and safety checks. Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 x 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 x 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 x x 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Anvil Close Score x x 2 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 3 x DS0000010164.V259828.R01.S.doc Version 5.0 Page 22 no 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 2 Standard 6 20 Regulation 15 (2) (c) 13(2) Requirement Timescale for action 30/11/05 3 35 18(1) (c) 4 39 24 (1) (2) & (3) The Registered Persons must incorporate and evidence review decisions into care plans. The Registered Persons must 30/11/05 ensure: - that the allergy section on the Medication administration forms is completed. - that PRN medication is only signed when given as stated in the medication policy. The Registered Person must 30/11/05 ensure that an up to date training record is available in the home. The Registered Person must 31/12/05 ensure that the quality assurance system in place is fully implemented. 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 Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 23 Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 24 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 Anvil Close DS0000010164.V259828.R01.S.doc Version 5.0 Page 25 - 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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