Inspection on 31/10/06 for Brighton Road (477)

This inspection was carried out on 31st October 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Brighton Road (477) 29/09/05

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 Key Unannounced Inspection 31st October 2006 9:15am Brighton Road (477) DS0000028714.V317342.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 Brighton Road (477) DS0000028714.V317342.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. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 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 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 4 Category(ies) of Learning disability (4) registration, with number of places Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: This home is Registered with the Commission Social Care Inspection for the provision of care for four 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. The range of weekly fees is between £350 and £450 and this information was gathered on the day of the inspection (31/10/06). Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first inspection for the year 2006/07. It was an unannounced inspection and took place over four hours. Some times were spent looking at the policies and procedures, talking to the registered providers, 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. Overall the home continues to provide a good standard of care. What the service does well: What has improved since the last inspection? The Service User’s Guide has been reviewed to include reference where a copy of the latest inspection report can be found. The service users’ contracts now state the room that the service user will be occupying. Service user’s plans are being reviewed and updated on a regular basis to reflect the changing needs and current objectives for health and personal care. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Brighton Road (477) DS0000028714.V317342.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 Brighton Road (477) DS0000028714.V317342.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): 1,2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good information and introduction opportunities for prospective service users to make an informed choice about moving to the home. All prospective service users have their needs assessed prior to admission to ensure that the home and staff are aware of their assessed needs. EVIDENCE: The home has a comprehensive Statement of Purpose, and Service User’s Guide. Both documents have been reviewed in May 2006. It was previously required that the Service User’s Guide needed to be reviewed to include a copy of the latest inspection report or make reference where it can be found. This has been met. Service users are only admitted to the home after a full assessment of their needs has been carried out by the home and the Placing Authority for individuals referred through Care Management, involving the prospective Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 9 service user/recognised representative. It was noted that the home also carries out a very comprehensive needs assessment, which covers prospective service users known strengths, skills, interests, and ability to take positive risks as part of the admission process. It was previously required that the Registered Provider must ensure that service users’ contracts include the room that the service user will be occupying. This has been complied with. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are comprehensive and include detailed information about service users’ needs, personal goals, wishes and risk assessments. Service users are involved in decision making about their lives, they participate and can take some risks so that they live as normal a life as possible. EVIDENCE: Service user’s care plans were sampled and it was noted that they have been reviewed and updated to reflect the changing needs and current objectives for health and personal care. This is line with a requirement made at the last inspection. The rights of service users to make decisions about their own lives is central to the ethos of the home, support and guidance is given in all areas to ensure that service users are making decisions which are in their best interests. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 11 Throughout the inspection there was evidence of two-way open discussion regarding decisions such as household tasks and activities. Risk assessments for service users were examined. 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. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. Generally dietary needs are well catered for and a well balanced diet is provided, to ensure a nutritious diet based on personal preferences. 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, Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 13 with most users have reasonable control over their lives and support from staff where needed. Staff support the service users to become part of, and participate in, the local community in accordance with their assessed needs. Service users are politically active and are registered to vote. 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. The rights of service users are respected. There are minimal restrictions in daily living. The daily routines and house rules promote independence, individual choice and freedom of movement, subject to restrictions agreed in the service user’s plan and contract. The service users design their menus with appropriate support from staff if required. They are encouraged to choose food that are healthy and of nutritional value. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the arrangements for health care needs of the service users are good and they receive personal support in the way they prefer. EVIDENCE: Staff provide sensitive and flexible personal support to maximise service users’ privacy, dignity, independence and control over their lives. The manager stated that where needed, guidance and support is provided. Times for getting up/going to bed, baths, meals and other activities are flexible. The service users are all registered with a local General Practitioner. Records checked indicate that GP’s and other community based medical/health care professionals are contacted on an as needed basis. The medication administration records were audited and it was noted that there were no records for receipt of medication. The registered provider must Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 15 ensure that records are kept for all medicines received in the home to ensure that there is no mishandling. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 16 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are generally managed well, which should ensure that service users’ and relatives’ concerns are listened to. The home’s policies and procedures help protect service users from abuse and help staff if they need to tell someone about any bad care practice they may observe. EVIDENCE: The home has a complaints procedure, which is very comprehensive. The procedure explains how to make a complaint and that the complainant can expect a response about the outcome of any investigation to a complaint within 28 days. The home has in place procedures for responding to suspicion or evidence of abuse, including whistle blowing, and passing on concerns to the Commission For Social Care Inspection. The manager stated that all the staff have attended abuse awareness training. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 17 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): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is homely and comfortable and promotes a family-like environment. 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 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.V317342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. EVIDENCE: Staff have the skills and experience necessary for the tasks they are expected to do. The manager informed that all the care staff hold a care National Vocational Qualification. Recruitment procedures seemed appropriate. Three staff files were examined at random and found to contain all the information required by the Care Homes Regulations 2001 including a completed job application, terms and conditions of employment, an enhanced CRB check and proof of their identity. The home has a training and development plan. The manager stated that staff attend regular training to refresh on their skills and knowledge. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by an experienced and well-qualified manager who ensures a quality service. EVIDENCE: Throughout the course of the inspection the manager demonstrated a good competent management skills and appears to have created a skilled, positive and enthusiastic workforce. She has many years experience of working with this service user’s 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 Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 20 spoken to on the day of the inspection seemed happy, confident and comfortable in her surroundings. Service users and their families are consulted about the conduct of the home and their views are regularly sought by means of questionnaires, invitations to reviews, and for some, regular visits to the home, where relatives are able to meet and talk directly with care staff and the manager. The hot water temperature in some areas was checked and it was noted that they were within the recommended level. The home has a fire risk assessment in place. The registered provider ensures so far as is reasonably practicable the health, safety and welfare of service users and staff. Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 X 5 3 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 2 X 3 X 3 X X 3 X Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 YA20 Regulation 13(2) Requirement Timescale for action 31/10/06 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 Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 23 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 Brighton Road (477) DS0000028714.V317342.R01.S.doc Version 5.2 Page 24 - 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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