Inspection on 29/09/05 for Brighton Road (477)

This inspection was carried out on 29th September 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Brighton Road (477) 31/10/06

Brighton Road (477) 27/04/05

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 29th September 2005 9:10 Brighton Road (477) DS0000028714.V255127.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 Brighton Road (477) DS0000028714.V255127.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. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brighton Road (477) Address 477 Brighton Road South Croydon Surrey CR2 6EW 020 8668 8631 020 8668 8631 athena.477@blueyonder.co.uk 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) Mrs Prithee Rampersad Mr Jaikishan Rampersad Mrs P Rampersad Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27/04/05 Brief Description of the Service: This home is Registered with the Commission Social Care Inspection for the provision of care for three service users 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 service users. The homeowners are very much involved in the care setting for the service users. The service provision is to provide and promote independence, privacy and dignity to the service user. Presently there are only two service users and both of them attend local day resources. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s second inspection for the year 2005/06. It was an unannounced inspection and took place over two and half hours. Some times were spent looking at the policies and procedures, talking to the registered manager, and to one of the service users. They are all thanked for their time and assistance. A tour of the building was also carried out. Service user spoken to stated that she was happy with the care being provided. Overall the home continues to provide a good standard of care. What the service does well: What has improved since the last inspection? What they could do better: The Service User’s Guide needs to be reviewed to include a copy of the latest inspection report or make reference where it can be found and the service users’ contract needs to mention the room that the service user will be occupying. The service user’s plan should be reviewed and updated on a regular basis to reflect the changing needs and also the risk assessments for service users must be updated. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 6 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) DS0000028714.V255127.R01.S.doc Version 5.0 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 Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 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 the following standard(s): 1,3,4 and 5 The home provides good information and introduction opportunities for prospective service users to make an informed choice about moving to the home. EVIDENCE: The home has a comprehensive Statement of Purpose, and Service Users’ Guide. Both are extremely well presented and cover all the information required by the Care Homes Regulations (2001), including the aims and objectives of the home and the facilities and services provided. However the Service User’s Guide needs to review to include a copy of the latest inspection report or make reference where it can be found. The Statement of Purpose now includes a review date as recommended from the last inspection. It was clear from care plans sampled at random that service user’s needs are being met. Records revealed that service users are in regular contact with other health and social care professionals who regularly visit the home to check that assessed needs are being met. The Registered Provider confirmed that all prospective service users are encouraged to visit the home as often as practical, to encourage a familiarisation process with the premises, its location and the other service users and staff. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 9 Service users or their recognised representatives are provided with a costed contract/statement of terms and conditions of occupancy which are agreed between each prospective service user and/or representative and the home. However the room to be occupied is not mentioned. The Registered Provider must ensure that service users’ contracts include the room that the service user will be occupying. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 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): 6,9 and 10 Service users’ personal, physical and emotional health needs are not being reviewed on a regular basis. This does not ensure that the service users’ physical and emotional health is being maintained and therefore the quality of life experienced is not being maximised. The home has a confidentiality policy in place, which ensure information is handled in the best interests of the service users. EVIDENCE: The home has a care plan for each service user. The plans demonstrate a thorough needs assessment, which clearly set out how current and anticipated needs would be met. However it was noted that the care plans were not up to date. The registered provider must ensure that service user’s plan are reviewed and updated on a regular basis to reflect changing needs and current objectives for health and personal care. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 11 Risk assessments for service users were examined; they are integrated into the care plan. Potential risks are identified covering all aspects of their daily living both inside and outside the home. The home was able to demonstrate that this standard was met as individualised care plans were in place for each service user that referred to action required to minimise identified risks and hazards. The home also has a comprehensive missing person’s policy, which gives staff clear guidance if a service user was to go missing. However the risk assessments must be updated for both service users. The home has a confidentiality policy in respect of personal information held in relation to service users. General service user’s documentations (i.e. service user plan, medical appointments and reviews) are kept locked. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 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 the following standard(s): 11,14 and 15 Service users are encouraged to explore opportunities to enhance their quality of life as well as maintain and participate with friends and the local community, with the aim of maximum integration. EVIDENCE: The inspection findings indicated staff work very closely with the service users to develop independent living skills at the home. Evidence recorded in individual care plans also indicated staff offer support, advice and other input that help to enhance and develop independent living skills. The service users are clearly all able to express their social / leisure needs and interests. Staff support service users in pursuing these activities if and when necessary / requested. Service users take part in a range of local leisure activities. Service users are actively encouraged to maintain links with their families and friends. The home has an ‘open’ visitor’s policy and simply recommends that visitor’s telephone to say they are coming to ensure there loved one will be available. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 13 Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 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 the following standard(s): 18 and 20 Overall the arrangements for health care needs of the service users is good and they receive personal support in the way they prefer. Service users’ medication is also well managed to ensure maximised good health. EVIDENCE: The findings indicated that service users are able to exercise some level of independence in their personal care needs with appropriate support from staff where needed. The overall impression gained from observing how service users live at the home, indicated a good culture of semi-independent living, with most users have reasonable control over their lives and support from staff where needed. 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. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 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 the following standard(s): 22 and 23 The home has appropriate complaints procedure in place. The home has suitable vulnerable adult protection and abuse prevention measures in place to ensure the service users are so far as reasonable practicable protected from abuse, neglect and/or harm. EVIDENCE: The current complaints procedure is a good and gives clear step-by-step guide of how to make a complaint. There had been no official complaints at or since the last inspection. The home has a copy of London Borough of Croydon adult protection procedures and a local one as well. The staff have had training on abuse. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 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 the following standard(s): 24,26,29 and 30 The overall impression when visiting this home is that it is homely, comfortable clean and hygienic and the staff successfully promote an environment which contributes to the service users health and emotional well-being. EVIDENCE: The home is suitable for its stated purpose. It is accessible, meet service users’ individual and collective needs in a comfortable and homely way. Service users’ bedroom are personalised to reflect their individual needs, and personalities. Overall the home was decorated to a good standard throughout and appeared to be very comfortable, bright and warm. The inspection findings indicated the home provides adequate living and bedroom spaces for each service user. Two of the bedrooms were checked. They were decorated to a good standard. The rooms contained a variety of personal furniture and fittings that reflected the individual’s personality. The service users are mobile and do not require any adaptations to the home at present. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 17 The home is kept very clean and hygienic and free from offensive odours throughout. Systems are in place to control infection in accordance with relevant legislation and published professional guidance. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 18 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): 31,34 and 36 The staff team at the home have a range of skills and ability, which appear to meet the needs of the service users. The home’s recruitment procedures protect the service users through vigorous staff vetting. Care staff are receiving supervision on a regular basis, which contributes to the standards of care being provided to service users EVIDENCE: The Registered Provider stated that all staff have a job description in place. The job descriptions contain the main purpose, tasks, including household and administrative tasks staff are expected to perform and be responsible for. As part of the inspection process staff files were sampled at random and found to contain application forms, references, criminal record checks and copies of identification. The Registered Provider advised that the homes care staff receive at least six supervisions a year covering good care practices and career development. From staff files sampled at random there were evidence that staff are being supervised on a regular basis. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 19 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 and 42 The home is managed by an experienced and well-qualified manager who ensures a quality service. Generally the health, safety and welfare of the service users and staff are being promoted and protected. EVIDENCE: Throughout the course of the inspection the registered manager demonstrated a good competent management skills and appears to have created a skilled, positive and enthusiastic workforce. She has experience of working with this client group and displayed an insight into the relevant issues. It was obvious that service users choices were catered for and respected in the home and that the home was run to the needs of the service user. Service user spoken to on the day of the inspection seemed happy, confident and comfortable in his surroundings. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 20 The home ensures so far as is reasonably practicable the health, safety and welfare of service users and staff. A recommendation was made in respect of carrying out a risk assessment on the two copper pipes in the toilet upstairs to prevent service users from scalding. The pipes have now been covered. Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 21 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 2 X 3 3 2 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X X 3 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Brighton Road (477) Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 X DS0000028714.V255127.R01.S.doc Version 5.0 Page 22 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 YA1 Regulation 5 Requirement The Service User’s Guide must be reviewed to include a copy of the latest inspection report or make reference where it can be found. The Registered Provider must ensure that service users’ contracts mention the room that the service user will be occupying. The Registered Provider must ensure that service user’s plan are reviewed and updated on a regular basis to reflect changing needs and current objectives for health and personal care. The risk assessments for both service users must be updated. Timescale for action 30/11/05 2 YA5 5 30/11/05 3 YA6 14 30/11/05 4 YA9 13 30/11/05 Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 23 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 Brighton Road (477) DS0000028714.V255127.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 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. 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