Inspection on 27/02/06 for Bowley Close, 1

This inspection was carried out on 27th February 2006.

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

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

Other inspections for this house

Bowley Close, 1 13/12/06

Bowley Close, 1 08/11/05

Bowley Close, 1 01/03/05

Bowley Close, 1 08/11/04

Bowley Close, 1 25/03/04

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 Bowley Close, 1 Farquhar Road London SE19 1SS Lead Inspector Ms Alison Pritchard Unannounced Inspection 5.15pm 27 February 2006 th Bowley Close, 1 DS0000007068.V272845.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 Bowley Close, 1 DS0000007068.V272845.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. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bowley Close, 1 Address Farquhar Road London SE19 1SS 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) 0208 670 0340 Choice Support Mr Mohamed Touit-ha Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: The home provides care for one service user who has lived at the home since it opened in December 1995. The accommodation consists of a ground floor flat located in a cul-de-sac close to the centre of Crystal Palace. There are several other care homes grouped together in the close, all of which are managed by Choice Support. The home is well maintained internally and externally. It is close to local facilities such as shops, cafés, pubs, a park and sports centre. Public transport routes – both buses and trains - are close by. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in the early evening in late February 2006. During the inspection the inspector spoke to the resident, to the Deputy Care Manager, examined a range of records and toured the building. 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. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 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 Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 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): EVIDENCE: Standards 2, 4, and 5 were met at the last inspection of the home in November 2005. There have been no changes since then and none of these standards were assessed on this occasion. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, The resident benefits from a care plan which reflects her wishes and goals. EVIDENCE: All of these standards were found to be met at the last inspection of the home in November 2005. The home is using a person centred approach to care planning. The resident’s care plan was reviewed in October 2005. There was information to show that many of the goals that the resident had identified at that meeting, and in subsequent consultation, are being met. For example the resident had stated that she wished to follow some particular activities and she had been supported to do this. The staff are very aware of the need to ensure that the resident is enabled and supported to make decisions about her day. Each day the staff and resident make a pictorial plan to refer to as necessary. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 9 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): 11, 12, 13, 14, 15, 16, 17 The resident benefits from opportunities to follow her leisure interests both at home and in the community. EVIDENCE: All of these standards were met at the last inspection of the home in November 2005. It was noted at this inspection that the range of activities that the resident follows has expanded. Some of the activities take place in the community – for example, ten pin bowling, boat trips, cinema trips and shopping. The resident attends a specialist day centre once a week where she is supported in creative activities. Other activities take place at home. Some are aimed at assisting the resident to develop new skills, for example baking cakes and other cooking tasks. Other activities that the resident enjoys include jewellery making, art work and photography. The resident and the Deputy Manager went food shopping together in the local area on the day of the inspection. The resident is fully involved in menu planning. The menu records and food stocks showed that a variety of nutritious meals are available to the resident. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 10 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, 20 The resident benefits from care which reflects her needs and wishes. Her health care and medication needs are well attended to. EVIDENCE: The staff team are familiar with the resident and her emotional, social and physical needs. Observation on the day of the inspection showed a relaxed relationship between the resident and member of staff on duty. The resident’s behaviour showed confidence in the member of staff and her ability to provide appropriate care for her. The resident has been assisted to attend the GP for a flu jab and to attend to other health care needs. Issues were raised at the last inspection about the medication administration records and all of these had been addressed at this visit. The records were in good order and medication was stored safely. The use of homely remedies by the resident has been checked and agreed by the GP and pharmacist. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 11 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 The resident’s views are listened to and addressed. Arrangements to ensure that the resident is safe are suitable and effective. EVIDENCE: At the last inspection it was found that complaints records did not include details of the findings and outcome of complaints. This has been attended to since that inspection. No new complaints had been made since that visit. The resident is aware of the complaints procedure and has been supported to use it in the past. Staff have received training in adult abuse issues and the policy of the organisation is suitable for its purpose. There have been no concerns of this kind at the home. There are safe arrangements in place for dealing with the residents’ financial matters. A check of the records maintained showed that the entries are clear, up to date and accurate. Appropriate items have been bought with the resident’s money and in consultation with her. Management checks are carried out each week. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 12 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, 26, 27, 28, 30 The resident benefits from a home which is clean and in most places is homely and adequately decorated. Conditions will be improved with the redecoration of the WC and bathroom. EVIDENCE: The redecoration in the kitchen, living room and bedroom have made these rooms attractive and homely. One lampshade was missing from the living room and this detracted slightly from the otherwise homely atmosphere. The care staff have done the decorating with the resident and they are commended for their efforts. The décor of the home reflects the resident’s tastes and wishes and there are items of her art work used as decoration the flat. This makes the home very personalised and homely. The WC and bathroom were less well decorated at the time of the inspection. The Registered Manager informed the inspector the next day that this work was planned for the near future. The other matter which needed to be addressed was the replacement of the office / sleeping in room carpet and this was unsightly and stained. Other than this the home was adequately clean. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 13 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, 33, The resident benefits from a staff team which is aware of her needs and work sensitively with her. EVIDENCE: In accordance with the resident’s needs there is one member of staff working with her at all times, other than at shift handovers when there will be two members of staff in the building. This means that generally staff work alone for lengthy periods. Staff are made aware of the particular demands this creates at induction which is suitable to ensure the suitability of new staff. Additional management support is available through the on-call system out of office hours. One member of staff has left the team since the last inspection and the rest of the staff team have worked sensitively with the resident to assist her in adjusting to this change. A worker who was previously part of the team has returned to work at the home so the team now consists of the Team Manager, an Assistant Team Manager and a Support Worker. There are plans to introduce a second female member of staff to the team. This will be beneficial to the resident. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 14 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, 42 The resident benefits from open and sensitive management which takes into account her needs. There was one matter relating to food hygiene which needed improvement. EVIDENCE: The Registered Manager is suitably qualified and experienced. He works sensitively to ensure that the home is run according to her needs. The staff team ensures that important issues are passed between them and that they are supportive of each other. Visits are made each month on behalf of the registered provider. The reports show that the visitor talks to the resident during the visits and ensures that her interests are promoted. It was noted that fresh food, frozen after purchase, needs to be labelled with the date of freezing to ensure that safe food hygiene practices are followed. Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 15 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 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bowley Close, 1 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 2 x DS0000007068.V272845.R01.S.doc Version 5.0 Page 16 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 Standard YA24 Regulation 23(2)(d) Requirement The Registered Person must ensure that the CSCI is informed of the decoration schedule for the WC and bathroom. The Registered Person must confirm that the missing light shade in the living room is replaced. The Registered Person must ensure that fresh food which is frozen after purchase is labelled with the date of freezing. Timescale for action 17/04/06 2 YA24 23(2)(p) 17/04/06 3 YA42 16(2)(j) 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Bowley Close, 1 DS0000007068.V272845.R01.S.doc Version 5.0 Page 18 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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