Inspection on 20/02/06 for Bowley Close, 4

This inspection was carried out on 20th February 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bowley Close, 4 15/08/06

Bowley Close, 4 16/08/05

Bowley Close, 4 09/12/04

Bowley Close, 4 13/07/04

Bowley Close, 4 22/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Bowley Close, 4 Farquhar Road London SE19 1SS Lead Inspector Pam Cohen Unannounced Inspection 20th February 2006 10:00 Bowley Close, 4 DS0000007076.V284328.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 Bowley Close, 4 DS0000007076.V284328.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. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bowley Close, 4 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 2360 Choice Support Care Home 4 Category(ies) of Learning disability (0), Learning disability over registration, with number 65 years of age (0), Mental disorder, excluding of places learning disability or dementia (0), Mental Disorder, excluding learning disability or dementia - over 65 years of age (0) Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 (four) people with learning disability and mental disorder, 1 (one) of whom may be over 65 years of age. 16th August 2005 Date of last inspection Brief Description of the Service: 4, Bowley Close is a home for four people with learning disabilities who may also have mental health problems and present behaviour which is challenging. The home is located in a cul de sac close to the centre of Crystal Palace. It is a purpose built home in a complex with similar homes and is managed by Choice Support. Each service user has their own room. There are shops, sports facilities, pubs and restaurants nearby. Public transport routes are close by allowing easy access to other parts of London. The road from Bowley Close to Crystal Palace is steep and could present problems for anyone with a mobility problem. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the morning of 20th February 2006. The deputy manager was in charge and facilitated the inspection. There were two service users in the home, the third was attending a day centre. There was one vacancy. 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, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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): 1,3. Prospective service users can be assured that the staff work to ensure that their needs are known and met. EVIDENCE: At the last inspection it was seen that complaints policy was not included in the service users’ guides, and this now happens. The home has a staff group whose gender and ethnicity enables them to deliver sensitive care to the service user group. Ethnic needs are taken into account and a female staff member is always on an early shift in order to give personal care to a female service user. The staff use specialist guidance where needed and are taking steps to ensure that they can communicate effectively with a new service user. All service users have the use of an advocate. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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. Residents benefit from good care planning which places their needs and wishes at the centre of the process. However one service user’s care support needs were not documented which means they cannot be sure they will be met. EVIDENCE: There is a good care planning system which addresses all aspects of service users’ needs. A good programme plan, detailing a service user’s care needs, was seen on one file. However the personal care needs of a newer service user were not on file. Although it was clear that the deputy manager knew what the needs were, they need to be on file so that the service user can be assured that his needs are always clearly known by all staff. The home is making good progress on person centered planning to ensure that service users are able to make as many decisions about their own lives as possible. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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): EVIDENCE: All these standards were monitored at the last inspection. All were met and it was judged that service users have opportunities to take part in a range of valued activities. At this inspection it was noted that care had been taken to ensure that a new service user was enabled to continue with his known activities. It was also noted that the intention at the last inspection, for the menu to be presented in a pictorial form, had been followed through. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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): 19,20,21 Health care would seem to be good but the records to back this up must always be on file. As service users grow older they will need the reassurance of knowing that staff are able to plan for their changing needs. EVIDENCE: There is evidence on files of good liaison with health care professionals and the home had made good progress in updating their knowledge of the implications of diabetes for one of their service users, through contact with the local diabetic nurse. However the health care plan for this service user could not be found, in order to verify what information was on it. The deputy manager described a good system for monitoring service users’ health care needs, but the monitoring for this service user was not on file. Medication administration recording was good. The home is registered for one person over the age of 65 and one service user is nearing that age. The manager described ongoing monitoring of service users’ health and there are procedures for some aspects of this area of work. However there was no copy in the home of a policy on ageing, illness and death which would help the staff group deal with the issues that these subjects can bring up. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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 Service users cannot always be sure that their property is protected and they and their advocates do not have information on now to contact the CSCI. EVIDENCE: The complaints policy does not incude required information on when and how the CSCI can be contacted. It was found at the last inspection that generally procedures ensure protection for residents however it was found that service users’ property lists were not dated. At this inspection it was seen that a service user who had been in the home for 6 months did not have a list made of his property which left him vulnerable to loss. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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): 24,25,27,28.30. The service users benefit from a building which is homely and suited to its purpose. EVIDENCE: The home is purpose built and suitable for its purpose. It is comfortable and homely and generally in a good state of repair. Service users each have their own bedroom which can be personalised as they and their family wish. The armchair in one service user’s bedroom needs to be replaced. There is also ample communal space including a sensory room. There are sufficient bathrooms and toilet but consideration needs to be given to the state of the first floor bathroom which is institutional and unwelcoming. Also toilets did not have soap or hand towels. The home was clean throughout. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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): 33,36. Sufficient staff are supervised well in providing care to service users. EVIDENCE: At the last inspection it was judged that there were enough experienced and trained staff to provide the care that the residents need and that these staff were well supported and supervised. The home has carried out its stated intention to increase the staffing establishment with the arrival if a new service user and there has been the addition of one care staff post and a deputy manager post. The deputy manager helps the manager carry out regular supervision and has had the appropriate training put in place to help her achieve this. There have been no new appointments to the home so it was not possible to check recruitment procedures. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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): 42. Health and safety systems are generally good and protect service users. EVIDENCE: There has been a new manager and deputy manager since the last inspection. There is every indication that this is an effective management team but this could not be fully checked as the manager was not present on the day of inspection. Health and safety systems seen were in order and there had been a recent satisfactory environmental health report, the only requirement of which had been rapidly fulfilled. The COSHH needs to be labelled. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 x 3 3 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 2 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 3 34 x 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 2 3 2 x x x x x x 2 Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 Page 16 YES 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 YA6 Regulation 15(1) Requirement The Registered Person must ensure that service users’ care support needs are on file from the time they enter the home. Timescale for action 31/03/06 2. YA19 13(1)(b) The Registered Person must 30/04/06 ensure that the system introduced to ensure effective monitoring of service users’ health care needs is adhered to. 3. YA19 4 YA21 5. YA22 The Registered Person must 31/03/06 ensure that full details of the health implications of diabetes are recorded on the health plan, including the need for regular chiropody attention. This could not be verified as the health plan could not be found the requirement therefore stands. 12(1)(a)(b) The registered person must 30/06/06 4(a)(b) ensure there is a policy and procedures to cover illness, death and dying. 22(7)(a)(b) The registered person must 30/04/06 ensure that the complaints policy gives information on when and how to contact the local CSCI office DS0000007076.V284328.R01.S.doc Version 5.1 Page 17 13(1)(b) Bowley Close, 4 6. YA23 13(6) 7. YA25 16(2)(c) 8. YA27 23(2)(j) The Registered Person must 31/03/06 ensure that service users’ properties are listed, and those lists dated. The registered person must 30/04/06 ensure that the armchair identified at the inspection should be replaced. The registered person must 31/03/06 ensure that there are towels and soap available in all toilets. The registered person must 31/03/06 ensure that the COSHH cupboard is clearly labelled. 9. YA42 12(1)(a) 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. Refer to Standard YA27 Good Practice Recommendations It is recommended that the Registered Person should consider how the first floor bathroom could be made more homely and welcoming. Bowley Close, 4 DS0000007076.V284328.R01.S.doc Version 5.1 Page 18 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, 4 DS0000007076.V284328.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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