Inspection on 16/01/06 for Beattyville Gardens (116)

This inspection was carried out on 16th January 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

Beattyville Gardens (116) 23/05/06

Beattyville Gardens (116) 19/04/05

Beattyville Gardens (116) 18/11/04

Beattyville Gardens (116) 06/07/04

Beattyville Gardens (116) 10/02/04

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 Beattyville Gardens (116) Diamond Lodge 116 Beattyville Gardens Ilford Essex IG6 1JZ Lead Inspector Ms Harina Morzeria Unannounced Inspection 16th January 2006 01:00 Beattyville Gardens (116) DS0000025887.V280035.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 Beattyville Gardens (116) DS0000025887.V280035.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. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beattyville Gardens (116) Address Diamond Lodge 116 Beattyville Gardens Ilford Essex IG6 1JZ 0208 503 9411 020 8550 4511 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) Norwood Ravenswood Ms Johannah Diffley Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents with mild to moderate learning disabilities Date of last inspection 19th April 2005 Brief Description of the Service: Diamond Lodge is a care home registered to look after six younger adults with learning and physical disabilities. It is run by Norwood, a not for profit Jewish organisation. Hence, the ethos of the home is based around Jewish beliefs, customs and faith. The home is situated in a residential location, close to the local shopping area, providing easy access to all local amenities, nearby leisure facilities and transport services. Service users have mild to moderate dependency needs. They are cared for in suitably adapted premises and all service users occupy their own single rooms, which are well furnished and decorated. All service users are supported by the manager and staff to maintain their independent living skills, attend college for various courses as well as accessing community facilities locally as well as at the John Steiner Centre (Jewish Community Centre) in Barkingside. Activities are organised both within the home and within the local community, and service users are encouraged to attend college, day centres and local clubs. Personal care is provided on a 24-hour basis, and healthcare needs are met by staff supporting service users to attend appointments with health professionals. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. It started at 1:30pm and lasted for three hours. The inspector spoke to 5 service users during the course of the inspection. The registered manager as well as the deputy were present during the visit. A tour of the home took place and a number of staff and care records were inspected, as well as individual service user files. This was the second statutory inspection visit in the inspection programme for 2005/06. All core standards have now been assessed over the course of the two visits. Two requirements were set at the previous inspection and the registered person has complied with the required actions. What the service does well: The home continues to offer a service which meets the needs of the service users and there have been no new requirements made during this inspection. The standard of the décor, furnishings and fittings are well maintained with an on-going refurbishment programme in place. This provides the service users with an attractive and comfortable place in which to live. The home supports the service users to exercise choice and control over their lives in order to promote their independence. The routines of daily living and activities available are flexible and varied, to suit each young person’s expectations, preferences and capacities. The service users said that they are asked about issues that affect them in the home and are kept informed about any changes and events that take place. Regular discussions and meetings also take place with the service users as well as with their relatives. All necessary healthcare services are accessed for service users in order to meet their assessed and specialist needs. Each service user has a weekly programme of activities outlined in an activity plan. Hence, the service users are supported by staff to attend college, going to the gym, library, and attending activities provided at the John Steiner Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 6 Centre, as well as going to the cinema, restaurants and pubs locally with the staff during the evening. Visiting times are flexible and visitors are welcome at any reasonable time. 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 Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 7 contacting your local CSCI office. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 8 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 Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 9 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): These standards were not tested on this visit. However evidence from the last inspection was that prospective service users individual needs are assessed and new service users would only be admitted on the basis of a full assessment undertaken by people who are trained to carry out assessments. Their family members and representatives are also involved in the assessment process. New service users are informed that they will only be offered a place in the home which can meet their needs. After a meeting to discuss the placement, the new service user is given an opportunity to visit the home and stay there for a trial period, before they decide if they want to live there permanently. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 10 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): These standards were not tested on this visit. However evidence from the last inspection was that each service users has an individual care plan called – Individual Personal Plan (IPP). This outlines the service users needs and personal goals. Service users are consulted about their lives and encouraged to make independent decisions as far as possible. Appropriate risk assessments are in place for activities undertaken by the service users in order to promote their independence. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 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): 15, Service users at Beattyville Gardens are encouraged to participate in appropriate activities. They have opportunities to develop and maintain social and personal networks of their choosing. EVIDENCE: The service users spoken to confirmed that they are encouraged by the staff in the home to participate in all aspects of the home and to develop networks which include visits from friends and relatives. All the service users have very close relationships with their families who constantly visit the home as and when they choose as well as keeping phone contact with the service users on a regular basis. The families also have input into the home and attend social events and outings. Two recently held social events included a Hanukah party and barbeque which were held in the summer both of which were viewed as very successful events, with all the service users’ families attending. Service users are also encouraged to maintain any friendships they form and many of them visit other service users in the other homes and interact with them during social gatherings which are held at king Solomon school, a local Jewish community source. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 12 Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 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): These standards were not tested on this visit. However evidence from the last inspection was that service users receive personal support in the way that they prefer and require. The daily records also show that the service users physical and emotional needs are met appropriately within the home. The organisation has reviewed their medication administration policy and procedure and all the staff have now received updated medication administration training. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 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): These standards were not tested on this visit. However evidence from the last inspection was that the home has a satisfactory complaints policy and procedure and service users said that their views are listened to. They said that they would be able to tell their key worker or the manager if they had any problems. All the staff working in the home receive training in Adult Protection/abuse awareness to ensure a proper response for reporting any suspected or witnessed abuse. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. An adult protection allegation was made by one of the service users against a member of staff. The manager followed the organisations adult protection procedures and is dealing with the on-going investigation appropriately. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 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): These standards were not tested on this visit. However evidence from the last inspection was that service users live in a homely and comfortable environment. Bedrooms, communal areas and toilets and bathrooms meet their needs and promote their independence. Shared spaces are spacious and sufficient for the number of people living in the home. Specialist equipment is available for those service users who require it. The home is clean and hygienic. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. The inspector noted that the paving on the pathway in the garden which was broken and cracked has now been relayed, making this a safe area for the service users to use. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 16 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 tested on this visit. However evidence from the last inspection was that all staff have job descriptions which clearly outline their roles and responsibilities. Staff are competent and sufficiently experienced to carry out their tasks. Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual assessed needs of the service users. There is an organisational procedure for the recruitment of staff, which is robust and provides safeguards for people living in the home. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be retested at a future inspection. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 17 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): 38, 39, 42 There are sound management systems in place to enable service users to receive the care they require. The manager is experienced and leads a staff team who are committed to working with service users with learning disabilities. The health, safety and welfare of service users are promoted and protected by the homes policies and procedures. EVIDENCE: The current manager has been in post in this home since the past 6 years and has qualifications and experience to run the home well by providing a safe environment and making sure that the health, safety and welfare of the service users are met by the staff working in the home. The inspector was satisfied that the home that is monitored by lay monitors working within the organisation. The rabbi continues to visit the home on a monthly basis in order to assess that the home operates within Jewish laws. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 18 Inspection of a sample of records showed that regular health and safety checks are being carried out. An auditor appointed by the organisation continues to carry out regular financial audits. Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 19 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 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 x ENVIRONMENT Standard No Score 24 25 26 27 28 29 30 X X X X X 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 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 DS0000025887.V280035.R01.S.doc X Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beattyville Gardens (116) Score X X X x X X 3 X X X X Version 5.1 Page 20 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. Refer to Standard Good Practice Recommendations Beattyville Gardens (116) DS0000025887.V280035.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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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