Inspection on 28/08/07 for Briar Avenue (87)

This inspection was carried out on 28th August 2007.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Briar Avenue (87) 13/06/06

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 Briar Avenue (87) 87 Briar Avenue Norbury London SW16 3AG Lead Inspector James Pitts Key Unannounced Inspection 28th August 2007 10:25 Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 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 Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 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. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Briar Avenue (87) Address 87 Briar Avenue Norbury London SW16 3AG 020 8679 8871 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) Mr Eamonn Francis Friel Mr Eamonn Francis Friel Care Home 2 Category(ies) of Learning disability (0) registration, with number of places Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: The registered provider also lives in the house, as do their family. It is a pleasantly furnished house and has a real sense of a homely environment. The home has a spacious living room and there is also a dining area in the kitchen. The home has a spacious bathroom and garden. The home is close to a main road with easy access to buses and trains. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit took place on a Tuesday and the service user, the proprietor and their spouse were present. Briar Avenue is very much like a family living environment as the proprietor and their family also live in the same house. For this reason the Commission takes a proportionate approach to many of the technical aspects of providing a care service as this is more like a family living environment rather than a care home. The person who lives here still clearly sees this as their home and obviously feels very relaxed and comfortable here as was seen by the way this person reacts to the proprietors. What the service does well: What has improved since the last inspection? What they could do better: Having now completed this first step of training by successfully completing the NVQ level 2 qualification it is now necessary for the proprietor to undertake the NVQ level 4 registered manager training. Please contact the provider for advice of actions taken in response to this Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 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 Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standard 2 was assessed at this inspection. No judgement other than good can be reached in relation to Standard 2 as no new service user has been admitted to the home since the home was registered with the Commission in January 2006. EVIDENCE: The home used to be a part of an adult placement scheme until January of last year. At the time the scheme that the home was a part of ceased to operate and the premises were registered as a care home. The service user who lives here has done so for over 6 years and the proprietor does not envisage that anyone else will come to live at the home in the future. Standard two will be looked at again at such time as any new service user has been admitted. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 6, 7 & 9 were assessed at this inspection. The person who uses this service can continue to feel confident that the people who care for her at the home know what she needs and that she is allowed to live the sort of life that she is able to choose. EVIDENCE: The Proprietor has cared for the person whop lives here for over six years. Discussion with the proprietor showed that there continues to be a very detailed understanding of this person and that she is allowed to make as many choices as she is able to make about how to live her life. Their social worker and other professionals see this person regularly and it is very clear that their care needs are well monitored. Six monthly Care Programme Approach reviews occur and the latest of these, completed in May of this year, shows that this person continues to be cared for appropriately. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 10 There is a written and regularly updated risk assessment that is compiled in consultation between the proprietor and other professionals. The risk assessment tells the people who care for this person, and others, how to make sure that they are kept safe from anything that might harm them. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 15, 16 & 17 were assessed at this inspection. The person that uses this service can continue to feel confident that the staff of the home will provide opportunities to develop her personal and social skills. This includes active support to participate in the community both in terms of the activities of daily life and leisure interests. EVIDENCE: The person who lives here goes to a day centre on 4 days of every week and is also supported to make full use of local facilities and go to the shops and make use of other things in the community such and places of interest. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 12 The staff help this person to be a full part of the local community. The home is very close to bus stops and a train station only a short walk away although the family car is used for transportation most of the time. The people who care for the service user encourage her to keep in contact with her friends. There are not many rules at this home. The person who lives here is allowed to use the entire house, except other family members rooms. She is also allowed to make choices about what she wishes to eat. The staff are good at making sure that healthy food is on offer. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 18, 19 & 20 were assessed at this inspection. The person who uses this service can continue to feel confident that she will get the right support to take care of their personal and healthcare needs, including proper support to take medicines safely. EVIDENCE: The people who live and work at the home know the person who lives here very well indeed and are fully aware of how she prefers to be supported and cared for. The person who lives here usually goes to see a local GP if she is not feeling well. The staff are very good at writing down anything that happens if she becomes unwell. If she has an illness or something else is wrong with them then the staff do know what this is and how to help them to get the treatment that they need. There is also proper help and support provided to ensure that she can safely take her medicine each day. The staff are also good at making Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 14 sure that no one can get hold of any medicine that they should not have and so they keep medicines locked away. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 22 & 23 were assessed at this inspection. The person who uses this service can feel confident that the staff team at the home know what to do if there are complaints. EVIDENCE: The home has never had any complaints reported and there have been none made to the Commission. There is clear information about what to do if complaints are ever made. The staff are good at making sure that the person who lives here is protected from abuse (this means that the staff at the home do everything that they can to prevent the service user from being hurt by someone else). There is also clear written information for staff about what to do if they think that a service user is being hurt or abused by another person. The home has, since the previous inspection, now obtained a copy of the Protection of Vulnerable Adults procedures that is supplied by the local authority in which the home is located. All of the people who work at the home are family members of the person who owns it, and all live on the same premises. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 24 & 30 were assessed at this inspection. The person who uses this can continue to feel confident that they are living in a well maintained, very comfortable and very clean home. EVIDENCE: The home is very comfortable and the staff do the right things to make sure that the house is a safe place for the person who lives here. The house is also kept very clean. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 32, 34 & 35 were assessed at this inspection. The service users can feel confident that there will be enough people at the home to meet their needs. The proprietor and their family all live here as well as all taking part in supporting the service user. EVIDENCE: The proprietor’s two sons also live at the house and, as was required at the previous inspection, their CRB checks have now been completed. Everyone who helps to care for the service user are members of the same family who also live on the same premises. As this is far more like a family home than a care home, many of the requirements that would be made of a traditional care home would not be suitable in a more family orientated domestic settings. The proprietor and their spouse both have knowledge and skills that have been obtained over many years of providing care. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 37, 39 & 42 were assessed at this inspection. The person who uses this service can feel confident that they are living in a home that is well managed and that appropriate health and safety checks are properly carried out. EVIDENCE: The proprietor has a full and comprehensive set of policies and procedures that were obtained through a private consultancy company that are well known in the care services sector. The proprietor completed their NVQ level 2 earlier this year, as they had previously had no formal care qualification training. Having now completed this first step it is now necessary for him to undertake the NVQ level 4 registered managers training. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 19 The person who lives at the home would not be in a position to answer questionnaires or complex questions about what they think about living here. However, both the people who care for her and other professionals are able to gauge how this person is feeling in other ways. This is well documented in reports from the various professionals who work with her and by the knowledge that the proprietor has about the way in which the service user expresses herself. The home has now completed all of the recommendations that were made by the Fire Brigade (LFEPA) as a result of their visit on 18th January 2006. The home has two small domestic size fire extinguishers, however the fire brigade had recommended that a 9 litre water based extinguisher be obtained. The proprietor then ensured that this was completed soon after the previous inspection. Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 20 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 X 3 X X 3 x Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 21 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 YA37 Regulation 9 (2) (b) (i) Requirement Having now completed this first step of training by successfully completing the NVQ level 2 qualification it is now necessary for him to undertake the NVQ level 4 registered manager training. Timescale for action 31/03/08 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 Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Briar Avenue (87) DS0000066760.V347769.R01.S.doc Version 5.2 Page 23 - 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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