Inspection on 12/07/05 for Brighton Road (851)

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 (851) 19/06/08

Brighton Road (851) 07/01/08

Brighton Road (851) 01/08/06

Brighton Road (851) 07/12/04

Brighton Road (851) 20/05/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Brighton Road (851) 851 Brighton Road Purley Surrey CR8 2BL Lead Inspector Michael Williams Unannounced 12th July 2005 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 (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Brighton Road (851) Address 851 Brighton Road, Purley, Surrey, CR8 2BL 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 8763 0062 Ms Alice Manteaw-Dankyi Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The Provider intends applying for a variation to the conditions of registration in respect of a service user who is out of category. Date of last inspection 7/12/04 Brief Description of the Service: 851 Brighton Road is registered with the Commission for Social Care Inspection [CSCI] as a care home for adults 18 to 65 years of age. The registration category is for up to 8 people with past or present mental health problems; one service user has a condition oustide this range and so the provider will apply for variation to the conditions of registration for this home. The home is situated on the Brighton Road (Purley) and is therefore on bus routes and within walking distance of shops and other local community resources. The premises comprise six single and one double bedroom. The home has a lounge, dining room and several conservatories plus the usual facilities comprising kitchen, laundry, toilets, bathroom and a small office. There is off-street parking to the front of the home and a small, landscaped garden to the rear. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This homes frequently achieves good standards when inspected and has a reputation for providing good mental health care for the clients. Both service users and their relatives, visiting at the time of the inspection commended the proprietor for providing a comfortable and homely environment with a supportive staff team. Therefore the overall impression is of a well run care home it is therefore regrettable that once again there have been lapses in the administration of the recruitment process. Staff are being employed in the home precipitately, that is, before all the required safety checks are in place for each new member of staff. This compromises service users’ safety. A temporary manager was in post and if this is to be a permanent arrangement then the provider must apply to register the new manager. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Assessments are in place for each service user and form the basis of the initial care plan and risk assessments. This ensures the care needs, including mental health care needs, of service users is made clear from the outset and that those service know their needs have been identified and will be met. EVIDENCE: Each service has a case file, samples of which were examined during the inspection. The service users have contributed to the compilation of these documents. In previous inspections the home’s manager was not clear about the legal status of some service – particularly when they had been subject to the provisions of the Mental Health Act. The staff have since had mental health law training and are much clearer about these technical issues. This is especially important because it may affect the decision to admit and will certainly inform the staff as the services rights and any restrictions that may apply at the time of admission. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 7 9 Service users confirmed that they do know their needs and personal goals are set out in individual plans and are reviewed periodically. During the process of assessment and review, and in the drawing up of care plans, service users are involved in making decisions about their own lives and lifestyle. Responsible risk taking is an integral part of the care and care planning in this home. This enables service users to develop independence and confidence. EVIDENCE: Several service users and three relatives confirmed that they are involved in the assessment and subsequent reviews of care planning and by way of example one service user was involved in a care review on the day of the inspection. Risk taking was discussed in some detail with service users and their representatives. It may be concluded that the home strives to achieve a sensible balance – encouraging some service users to increase their scope of activities and risk taking whilst supporting others to moderate activities that are inappropriate and pose unacceptable risks to their well being. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 13 15 16 17 Progress continues to made in enabling service users to take part in appropriate activities, educational, therapeutic and social and in doing so are making increasing use of community resources. Staff support and encourage service users to have appropriate relationships. Staff were clear about their duty to respect the rights of service users and to assist them in taking responsibilities where that is appropriate for their personal development. EVIDENCE: On the day of inspections most service were out and about and returned to the home to share the day’s events with the inspector. Activities include day centre attendance, swimming, care reviews, shopping, visiting family and friends and so forth. Activities such voluntary shop work testify to the service users participation and contribution to the local community. In view of the enduring mental health issues of service users in this home relations tend to be the long-standing ones; that is, enduring friendships. In discussion with staff it appears that the ability to met people and form new relationships is something staff help service users to work towards. The rights of service users appears to be respected; for example each service user has a right to privacy, to make choices and meet whomsoever they wish – baring any restrictions applied in the best interests of the service user. Meals are wholesome and plentiful. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 19 20 Support is provided in a manner that suites the service users and their several needs are being met. Staff usually store and administer medication but can assist service users to be more independent when appropriate so as to increase their person skills in this area. EVIDENCE: Service users in this care home are quite articulate and therefore able to discuss how they prefer support to be provided; some prefer a lot of support throughout the day others prefer more time alone or with friend and need less support hour by hour. The home is able to facilitate this variety of choices. The progress and stability of service users indicates the home is managing service users’ social and mental health needs and aspirations. No errors were identified during this inspection; the ordering, storing, administration and recording of medication is satisfactory. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 23 Both elements of this section are subject to requirements. The complete absence of complaints in the complaint record book suggests that the home, the manager and proprietor need to make much clearer their willingness to listen to and act upon matters that concern service users or their representatives. The new person in charge was not familiar with the local procedures for referring allegations of abuse to the relevant authority under the Vulnerable Adults Procedures. EVIDENCE: This is undoubtedly a well run home, with a dedicated and loyal staff team, but the absence of any representations by service users may indicate that the service users find it difficult to express opinions about a service that is largely very good. The complaints procedure, required by regulation, is one of range of methods for enabling service users to establish their rights and assert their opinions without fear of recrimination. A well used complaints procedure helps all service users and their representatives to see the intentions of the home, to listen, is put into practice. The new person in charge must familiarise herself with local procedures for dealing with allegations of abuse including the prompt referral of allegations to the correct authorities without delay. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 30 Service users live in a safe, well-maintained and comfortable environment. This care home is an adapted family home and therefore very homely. It is well maintained. It was clean and tidy on the day of inspection but on a very hot day some areas such as the conservatory were a little too hot. EVIDENCE: Communal areas are pleasantly decorated and individual rooms are spacious and each bedroom has a wash hand basin and each has a range of suitable bedroom furniture and fittings. The home was clean and tidy and free of unpleasant odour. The garden is very attractive and makes a pleasant location for service users to relax and meet visitors. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 35 Recruitment practices are not safe at present, two staff have been employed recently and neither the person in charge nor the proprietor could confirm that all necessary checks have been completed prior to their appointment; this includes the new person in charge at the time of inspection. In other respects the staff team is a well established and loyal team of carers. But the precipitate employment of staff before checks are completed compromises the safety and well being of service users. EVIDENCE: The proprietor conceded that Criminal Record Bureau [CRB police checks] applications have been made but no reply received and no Protection of Vulnerable Adults [POVA] list checks have been completed for these two new staff members. The proprietor agreed to relieve them of their duties until such checks are completed that is, a CRB application is with the CRB office and a POVA First check is competed and reply received. Then the staff may be employed under direct supervision throughout their shift. Requiremnets are made about this issue. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 37 39 42 43 This is a well run home whose proprietor has many years experience managing such homes. There is little doubt that the home’s aims and objectives benefit the service users in all aspects of the service, the environment, catering staffing and so forth. However, as indicated under standards 22 and 23 a requirement is made for the home to demonstrate in a tangible way that it will listen to service users’ views without reprisal or recrimination. The safety and well being of services is not best protected if safe recruitment practices and procedures are not followed methodically and precisely in all cases (standard 34). The home was safe and without hazard with the exception of the kitchen (fire) door that was wedged open. EVIDENCE: A series of inspection in which the home has achieved good standards confirms this to be a well run home; administration and record keeping has improved considerably and it is a clean, safe and generally hazard free environment. Requirements are made about recruitment including the appointment of suitably qualified, experienced and competent manager. The magnetic door holder on the kitchen door is faulty so this door must be kept shut and not wedged open. Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 2 1 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 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 1 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Brighton Road (851) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x 1 2 G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 16 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 22 Regulation 22 Requirement Timescale for action 30/8/05 2. 23 19(1) to (11) 3. 37 8 4. 42 23(4) Complaints: The registered person must supply each service user with a written copy of the complaints procedure, with the informations detailed in reguation 22, and must ensure the procedure is appropriate for the service users in this home and that they are supported in making use of complaints procedures.This requirements affects NMS 22 and NMS 39. Recruitment: No person shall be 30/8/05 employed to work in the home unless all the checks, documentation and information listed in Regulation 19 and Schedule 2 are completed in accordance with the Regulation. This affects NMS 23 (protection from abuse) and 34 (safe recruitment practices) and NMS 42 (safety of service users). Registered Manager: the 30/9/05 registered provider must appoint a manager and make an application for the registration of a manager without delay. Fire safety: all fire doors must be 30/8/05 kept closed unless held open by a magnetic door holder that is in Version 1.40 Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Page 17 full working order and responds to the fire warning system. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Brighton Road (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection CSCI 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 (851) G53-G53 S28529 brighton 851 V222779 070705 stage 4.doc Version 1.40 Page 19 - 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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