Inspection on 15/03/06 for Apna Ghar

This inspection was carried out on 15th March 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 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

Apna Ghar 26/02/07

Apna Ghar 20/09/05

Apna Ghar 29/03/05

Apna Ghar 03/06/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Apna Ghar 1 Kingswood Road Gillingham Kent ME17 1EA Lead Inspector Paul Stibbons Unannounced Inspection 15th March 2006 13:15 Apna Ghar DS0000028849.V286136.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 Apna Ghar DS0000028849.V286136.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. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Apna Ghar Address 1 Kingswood Road Gillingham Kent ME17 1EA 01634 850445 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) niloferblueyonder.co.uk Mrs Nilofer Englefield Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One (1) Person over 65 with Mental health Difficulties. Two (2) People with Mental Health Difficulties. 20th September 2005 Date of last inspection Brief Description of the Service: Apna Ghar is a small privately run home situated a few minutes walk from the centre of Gillingham and the train station. It has easy access for all local amenities. The home comprises of a detached property with homely accommodation situated over two floors. It offers 24 hour care for people with mental health difficulties of ethnic minority and this is reflected in the care and support provided by the management and small stable staff team. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulatory inspector Paul Stibbons conducted this unannounced inspection at 1315 hours on the 15th March 2006. The registered provider was present with two service users and one member of staff, a third service user was out for the day. A tour of the building was conducted and a number of records were examined. What the service does well: What has improved since the last inspection? What they could do better: Some work has been done in removing broken tiles in the bathroom, this leaves the bath side panel part tile and part panel. It is suggested that all tile or all panel would improve the appearance. There are also some loose tiles behind the kitchen sink. Please contact the provider for advice of actions taken in response to this Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 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 Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 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): 3, 5 Service users cultural and religious needs are recognised and met and each have an individual written contract of terms and conditions. EVIDENCE: The home caters for the preferences and needs of specific ethnic communities and staff can communicate effectively with service users using the individual’s preferred mode of communication. Service user files viewed contained individual written contracts of terms and conditions applicable to the placement. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 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): 8, 9, 10 Service users are able to participate in day-to-day running of the home and they are supported in taking risks as part of an independent lifestyle. Their right to confidentiality is upheld. EVIDENCE: Service users have access to understandable and up to date information about activities and services and appropriate communication support. Care plans viewed, evidenced risk assessments had been carried out on all aspects of service user daily lives for their protection and support in leading an independent lifestyle. Confidential records were observed to be securely stored when not in use. Apna Ghar DS0000028849.V286136.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): 13, 14, 17 Service users engage in activities that meet their leisure and cultural needs within the home and the local community. They benefit from a healthy diet that is of their choosing. EVIDENCE: Service users play board games, reading and watch television/DVDs mainly of Asian programmes. In the community they attend the local Temple, the Brook Theatre for cultural events, library and a day centre. The home also arranges trips to a London cinema to watch Asian films as none are available locally. During the inspection one service user was observed playing a board game with a member of staff and another reading. One service user was out in the town at the time. The service users are mainly vegetarian and this is taken into account with menu planning. The manager states that one service user consults others on their choice of meals and menu planning and they are encouraged to take part in the preparation and cooking. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 11 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 Service users are unable to administer their own medication and are supported by a competent staff team. EVIDENCE: The home has purchased a lockable metal cabinet for the safe keeping of medication as recommended in the previous inspection. Storage of medication complied with relevant guidelines and records examined were completed and legible. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 12 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 Service users are protected from abuse, neglect and self-harm. EVIDENCE: All staff members have completed Adult protection training and the home has policies and procedures for reporting concerns. The home has adopted the Kent & Medway Adult Protection Protocols in order to ensure that both service users and staff are fully protected. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 13 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, 30 Service users benefit from living in a homely and comfortable environment with adequate personal and communal space. EVIDENCE: The home has comfortable furnishing of a good standard with a lounge and dining area of adequate size for the service users. Bedrooms are of a good size and personal possessions reflect the interests and lifestyles of service users. Some cracked and broken tiles have been removed from the bath panel leaving this area part tile and part panel. It is recommended that thought be given to make this side of the bath either all tile or all panel, this would look better visually. The kitchen was clean and tidy although it is recommended that the few loose tiles around the sink receive attention. There is a separate utility room where there is adequate laundry facilities for service users. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 14 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, 32 Service users are supported by a competent and qualified staff team who are clear about their roles and responsibilities. EVIDENCE: Staff observed and spoken with demonstrated a good understanding of individual needs with particular attention to cultural background and personal interests. All staff have undergone the homes comprehensive induction and have clearly defined job descriptions that clarify their roles and responsibilities. All of the staff team have either completed at least NVQ2 in care or are close to completion of the award. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 15 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): 42, 43 The health, safety and welfare of service users are promoted and protected and they benefit from competent and accountable management of the service. EVIDENCE: All staff receive induction training that includes safe working practices, and the home has policies and procedures as required by relevant legislation for the promotion and protection of service user health, safety and welfare. The homes manager has completed the NVQ4 in Care and the Registered Managers award and also remains current by attending any other relevant training. There are clear lines of accountability in the home and documentation is maintained to a good standard. Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 16 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 X 2 X 3 3 4 X 5 3 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 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 X 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X X X X 3 3 Apna Ghar DS0000028849.V286136.R01.S.doc Version 5.1 Page 17 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. 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. 1 2 Refer to Standard YA24 YA24 Good Practice Recommendations It is recommended that loose tiles around the kitchen sink are made good It is recommended that the bath side panel is either all tiles or all panel to improve visual appearance. 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