Inspection on 27/04/05 for Brighton Road (477)

This inspection was carried out on 27th April 2005.

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

Brighton Road (477) 31/10/06

Brighton Road (477) 29/09/05

Brighton Road (477) 10/01/05

Brighton Road (477) 12/10/04

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 Brighton Road (477) 477 Brighton Road South Croydon Surrey CR2 6EW Lead Inspector Mohammad Peerbux Unannounced Inspection 27 April 2005 10:30 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 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 Stationary 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. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Brighton Road (477) Address 477 Brighton Road, South Croydon, Surrey, CR2 6EW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8668 8631 020 8668 8631 Mr Jaikishan Rampersad Mrs Prithee Rampersad Mrs Prithee Rampersad Care Home 3 Category(ies) of Learning Disability (3) registration, with number of places Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 10 January 2005 Brief Description of the Service: This home is Registered with the Commission Social Care Inspection for the provision of care for three residents with Learning Disabilities. The home is situated in Purley Oaks very close to the local railway station with easy access to central Croydon, London and the south coast. It is situated on a main road with good bus links and close to local shops and amenities. The premises provide a small homely setting for residents. The homeowners are very much involved in the care setting for the residents. The service provision is to provide and promote independence privacy and dignity to the resident.Presently there is only two residents and both of them attends local day resources. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 10.30 a.m. The inspection took place over 3 and half hours. The residents were out but came back during the course of the inspection. This enabled the two residents to meet with the inspector during the inspection. During this inspection the manager and owner were both interviewed. Records, policies and care plans, and the building were examined, as were the residents’ bedrooms. What the service does well: What has improved since the last inspection? The home has carried out an annual audit and a report is available. The manager has applied through Bromley College for all staff to attend training on equal opportunities, race equalities and anti-racism. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 6 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. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 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 standard(s) 1 and 2 All service users are assessed before admission to ensure that the home environment and staff are able to meet their physical, emotional and health care needs. EVIDENCE: The home has a Statement of Purpose that complies with the minimum standards. This is very comprehensive. A recommendation is made to include a review date on the Statement of Purpose. Residents are admitted to the home after the home and the placing authority have carried out a full assessment of their needs. The prospective resident is also involved in the process. This covers all aspects of the person’s life, including strengths, social and cultural needs and psychological needs. The home then develops its own care plans from these assessments and formal reviews of each resident. The residents are in regular contact with their General Practitioners and other community based health care professionals who visit the home and check that assessed needs are being met. No residents have moved to the home since the last inspection. The inspector noted that staff treated service users with dignity and respect throughout the inspection. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 9 Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 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 standard(s) 6,7 and 9 Service users care plans are comprehensive and contain detailed information about their needs and personal goals. Service users are involved in decision making and risk assessments to enable them live as normal a life as possible. EVIDENCE: The home has a care plan for each residents. The plans demonstrate a thorough needs assessment, which clearly set out how current and anticipated needs would be met. Resident’s needs are assessed regularly at review meetings. Residents are consulted and are encouraged to make decisions in all areas of their life. If they have an idea it is written down and discussed at the ‘residents’ meeting which takes place every two months. One of the stated aims of the home is to enable residents to take responsible risks wherever possible. One of the residents is encouraged to use public transport to and from day centres and on social outings. Individual care plans include risk assessments that identify risks and hazards. These have been developed to include a generic risk assessment of the home. The home has a Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 11 ‘missing persons’ policy and procedure that clearly states what action staff are required to take in the event of an unplanned absence of a resident. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 12 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 standard(s) 12,13,14,15,16 and 17 Service users are supported to continue their education and participate in the local community and other appropriate activities, so that they can maximise fulfilment and achievement in their lives. Dietary needs are well catered for and a well balanced diet is provided, to ensure health and enjoyment of food. EVIDENCE: One of the residents has a voluntary job three days each week at a local animal rescue centre. The other current service user attends a local day centre. Both of the residents have access to the local community facilities and are on the electoral role. There was evidence of the home enabling good links with family and friends who can visit and are visited regularly. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 13 Residents at the home are encouraged to pursue their own interests and hobbies. The residents design their menus with appropriate support from staff if required. Planned menus are recorded. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 14 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 standard(s) 18,20 and 21 Personal care is carried out in accordance with service users wishes ensuring that dignity and choice are maintained. Residents’ medication is well managed to ensure maximised good health. EVIDENCE: Encouragement and guidance are provided to support personal care but direct personal care is limited at this home. Evidence has been presented in discussions with staff of them having knowledge of good practice in providing care and support, and this has been confirmed through observation. Healthcare needs were recorded in the residents’ files. The home has a policy on the administration of medication. The home uses a blister pack system for medication. Medication is stored in a locked cupboard. All medication administration records were up to date and accurate at the time of the inspection. The home has a policy and procedure on death and dying. Both residents, their respective families and their representatives have been consulted about their wishes and this has been duly recorded and placed on each resident’s file. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The homes procedures and polices for complaints and protection from abuse are well managed and ensure that service users feel listened too and safe. EVIDENCE: The home has policies and procedures in place to deal with concerns, complaints and protecting residents from abuse. There had been no official complaints at or since the last inspection. The complaints procedure was clear and contained all of the elements required to meet Standard 22 including a minimum response time of less than 28 days. The home has also a detailed adult protection procedure. The staff has had training on abuse. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The home is homely, clean and comfortable and promotes a family-like environment which facilitates the residents’ health and emotional well-being. EVIDENCE: The home is clean and hygienic which promotes a pleasant environment, the residents health, and emotional well-being. Each resident has a single bedroom that has been personalised to reflect the individual needs, and personalities of the resident. The home was clean and hygienic and free from offensive odours throughout on the day of the inspection. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,34,36 The home has a well-trained and supported staff team, who have a range of experiences, and an understanding of the needs of people with learning disabilities as well as an awareness of different cultural needs. EVIDENCE: The staffs within the home have clear job descriptions and are aware of their roles and responsibilities. There is a clear recruitment policy procedure in place, and all the checks have been completed to make sure, as for as possible, that residents are kept safe. The owners are still having difficulties completing their NVQ level 4 due to internal difficulties at the college they are attending. The staff in the home is having supervision on a regular basis. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 There is an effective quality assurance programme in place whereby the views of service users are considered very important. EVIDENCE: The home has carried out an annual audit, the results of which were sent to CSCI. A recommendation is made in respect of carrying out a risk assessment on the two copper pipes in the toilet upstairs to prevent residents from scalding. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Brighton Road (477) Score 3 x 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 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. 1. 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 1 42 Good Practice Recommendations It is recommends that a review date be included on the Statement of Purpose. It is recommended that a risk assessment is carried out on the copper pipes in the toilet upstairs to prevent residents from scalding. Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 21 Commission for Social Care Inspection 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Brighton Road (477) v211320 g53 s28714 brightonroad477ui v211320 280405 stage4.doc Version 1.30 Page 22 - 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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