Inspection on 27/09/05 for Camberwell New Road, 212a

This inspection was carried out on 27th 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 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

Camberwell New Road, 212a 25/04/07

Camberwell New Road, 212a 30/01/06

Camberwell New Road, 212a 21/03/05

Camberwell New Road, 212a 04/11/04

Camberwell New Road, 212a 18/03/04

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 Camberwell New Road, 212a 212a Camberwll New Road Camberwell London SE5 0RR Lead Inspector Lynne Field Unannounced Inspection 27/09/05 10:00 DS0000022721.V252113.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 DS0000022721.V252113.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. DS0000022721.V252113.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Camberwell New Road, 212a Address 212a Camberwll New Road Camberwell London SE5 0RR 0207 582 1963 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) Southside Partnership Mr Jonathan Macy Care Home 5 Category(ies) of Learning disability (0) registration, with number of places DS0000022721.V252113.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st March 2005 Brief Description of the Service: 212a Camberwell New Road is a home for 5 adults with learning disabilities run by Southside Partnership, a large voluntary organisation. It is accessed from outside via a flight of steps into a large communal hall which is shared with the housing association tenants who occupy flats on the first and second floors. The home comprises the ground and basement floors of a large four-storey house, which is a listed building owned by Hyde Housing Association. There is a small hallway, which leads into the large lounge/diner; the kitchen is off this room. On the other side of the hallway is another lounge. Off this lounge is a service users’ bedroom, which has an en-suite. Partitioning off part of the original lounge created this. There is a separate toilet on this floor. A flight of stairs leads to the basement floor of the home, where there are four single bedrooms, a bathroom with toilet, a small office and a shower room. This floor leads out to the large back garden; the front part is used by the home. The stairs inside and outside of the home make this home unsuitable for service users’ with mobility problems or dependent upon wheelchairs. DS0000022721.V252113.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the morning of 27 September 2005. All the service users were in at various times throughout the inspection and the inspector was able to speak with them. The managers post, which had recently been filled was vacant again. The deputy manager who has been at the home for some years is again the acting manager and gives the home the stability that is needed in a care home. The deputy manager assisted with the inspection. Care records were examined and there was a tour of the premises. 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. DS0000022721.V252113.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection DS0000022721.V252113.R01.S.doc Version 5.0 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 the following standard(s): 1-4 Prospective service users’ needs and aspirations are assessed in such a way that a service tailored to their needs is provided. EVIDENCE: The inspector was shown the statement of purpose and a service users’ guide, which includes the complaints procedure in the service users’ guide. The Statement of Purpose and Service users’ guide are being updated to reflect the changes in the management of the service. There have been no recent admissions in to the home. Should a vacancy arise, the manager said the home would follow the homes admissions procedure and the prospective service user would be invited to visit the home with family members or friends to help them decide if the home could meet their needs. The acting manager said the home then follows this up by completing an assessment based on personal history, care management assessment and a full needs assessment. DS0000022721.V252113.R01.S.doc Version 5.0 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 the following standard(s): 6,7,8,9 Care plans are thorough and reflect service users’ needs and goals. Families and professionals are involved when reviews are held. Service users’ participation in the running of the home has been encouraged. Risk assessment reviews take place and are recorded. Staff have easy access to this information which is kept in the home’s office. EVIDENCE: Three service user files were inspected. Care plans give a thorough description of service users’ behaviours, reactions and preferences and how the service user was to be treated. Care plans are reviewed six monthly. The acting manager told the inspector that service users are encouraged to make decisions concerning their daily activities. Service users said they decided where they wanted to go and staff would support them in making that decision. Detailed and regular charts are kept of service users’ behaviours, household and community activities and contracts. The inspector viewed individual risk DS0000022721.V252113.R01.S.doc Version 5.0 Page 9 assessments, which had been carried out, monitored and reviewed by the staff with service users every six months or when the need arises. Details of any changes to the risks are recorded in the service users care plans. DS0000022721.V252113.R01.S.doc Version 5.0 Page 10 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): 11,12,13,14,15,16,17 Service users are able to take part in age, peer, culturally appropriate activities and leisure activities. They are part of their local community and are actively encouraged to develop daily living and social skills. Service users are able to maintain relationships with friends and family. Meals are varied and enjoyed by service users. A healthy diet is provided and mealtimes are relaxed and flexibly timed to fit in with individual activity plans. EVIDENCE: The acting manager told the inspector that service users are supported to make decisions concerning their daily activities. Service users are supported and encouraged to maintain contact with family and friends where these exist and will co-operate. One service user said she visits her sister and that both her sister and brother visit her separately in the home. One service user has an elderly mother who is no longer able to visit the home on a regular basis but who attends reviews. Another service user spends Christmas with his family and has a sister who visits occasionally. Two service users do not have family who visit at all. The staff said service users are given the opportunity to DS0000022721.V252113.R01.S.doc Version 5.0 Page 11 make friends/acquaintances via access to social clubs, day centres and other Southside Partnership homes. The staff at the home continue to encourage and support service users to maintain and develop social, emotional, communication and independent living skills. Service users have individual activities programmes, which include developing independent living skills. This can either be with or without staff support, depending on the level of their ability, which is recorded in their care plan. The service users are encouraged to contribute at their monthly key worker meetings. Copies shown to the inspector confirm staff listen to the views of service users and respond to them. Service users said they enjoyed the food served at the home. They said they decided what was on the menu with the staff. They could choose from the menu or if there was not anything they wanted on the menu that day, the staff would make them something of their choice. DS0000022721.V252113.R01.S.doc Version 5.0 Page 12 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): 18,19,20 Service users receive personal support, in the way they prefer. Medication is handled safely. EVIDENCE: Care files contain information for staff on service users who need personal support with their preferred personal care routines A key worker system is in operation, with each service user having two members of staff from within the team to co-ordinate their support and care planning. The record of health appointments attended indicated that each service user is supported by staff if this is what the service user requires, to attend an appropriate range of healthcare appointments in line with their individual healthcare needs. Service user medication is stored securely in a locked medication cabinet in the staff office. Staff induction includes medication training and medication administration records. DS0000022721.V252113.R01.S.doc Version 5.0 Page 13 The inspector was told the local pharmacist comes into the home every six months to check the medication and attends a team meeting to give the staff refresher training in medication. DS0000022721.V252113.R01.S.doc Version 5.0 Page 14 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): 22,23 Service user’s are protected by the home’s policies and procedures as well as the safeguards that are in place to protect them from abuse, neglect and selfharm. EVIDENCE: The home has a complaints policy, a copy of which is in the service users’ guide. The vulnerable adults policy of the placing authority is used. There is a copy of the local authorities POVA policy and procedure. From discussions that the Inspector had, staff demonstrated they were aware of gender care policies. A member of staff told the inspector they are aware of abuse and protection policies and how to deal with cases of suspected abuse. Any suspicions are reported to the acting manager to deal with, who will deal with it in an appropriate way following the homes adult protection policies and procedures. The home safeguards service user finances with appropriate recording systems. The inspector was told each service user has a finance book in which all financial transactions are recorded and signed by two members of staff. Three service users accounts and records were inspected and were found to be in order. DS0000022721.V252113.R01.S.doc Version 5.0 Page 15 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): 24,25,26,27,28,29,30 The home is safe and comfortable with adequate private and shared space, toilets and bathrooms. The home is well maintained and furnished. Service users bedrooms are comfortable and are decorated to reflect their personalities. EVIDENCE: The home occupies the basement and ground floor of a large four-storey house. The home is not suitable for people with mobility restrictions as there are stairs to the front door and inside to the basement facilities, and as the building is listed, this cannot be altered. The kitchen has just been fully refurbished with kitchen cupboards and tiles having been replaced. The hallways, bathroom and shower room were in the process of being redecorated at the time of the last inspection. The recommendation that the communal rooms would be greatly improved by redecoration has been met. There is a very large garden to the rear of the home, which is accessed by steps from the basement area, and shared with the other housing association tenants. DS0000022721.V252113.R01.S.doc Version 5.0 Page 16 The ground floor bedroom has en-suite facilities, and there is also a toilet with wash hand basin on this floor close to the communal rooms for use by all service users. The basement floor has a bathroom with toilet, and a separate shower room. Service users therefore have a choice of bath or shower, with both having suitable disability facilities. Bedrooms are personalised and reflect the taste and interests of the service user and has a wash hand basin. Service users said they are happy with their bedrooms. DS0000022721.V252113.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 Service users’ individual and joint needs are met by appropriately trained, supported and supervised staff. EVIDENCE: It was not possible to inspect staff files because they are kept at the organisations head office. These will be inspected by arrangement with the organisation at their head office. The acting manager told the inspector that recruitment includes formal interview, taking up two references, CRB checks and POVA checks prior to appointment and all staff have an employment contract which include details of their terms and conditions of employment. The member of staff the inspector spoke to say they had access to a range of training, which they are encouraged to attend. The homes staff team are making good progress in attaining the required percentage of NVQ qualified staff. Staff commented that they feel adequately supported and that they receive frequent supervision from the acting manager. The inspector was shown copies of the team meeting minutes that confirmed staff has supervision and staff appraisals. Throughout the inspection the inspector observed staff interacting with service users and the qualities seen included good listening skills, a calm and confident DS0000022721.V252113.R01.S.doc Version 5.0 Page 18 manner, and a good grasp of the basic areas of need they needed to meet, including communication. DS0000022721.V252113.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): 37,38,40,41,42,43 Service users know the home is well managed and planned. The organisation needs to look at why registered managers do not stay in post at the home. The health, safety and welfare of service users is promoted and protected. EVIDENCE: The home has no registered manager and the deputy manager who has been in post for several years is acting manager until the post is filled. The acting manager told the inspector, the organisation has interviewed several prospective managers for the post and has appointed a manager who will take up the post as soon as the appropriate check are cleared. The service users said they liked the acting manager and were very happy in the home. DS0000022721.V252113.R01.S.doc Version 5.0 Page 20 The registered provider has been conducting monthly, unannounced visits to review the service and copies of the reports have been sent to CSCI to evidence the provider’s monitoring of the service. Records indicated that all fire and electrical systems and equipment in the home are serviced and inspected appropriately and that all internal checks are conducted at appropriate intervals. DS0000022721.V252113.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 3 3 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 3 3 DS0000022721.V252113.R01.S.doc Version 5.0 Page 22 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. 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 Refer to Standard YA43 Good Practice Recommendations The registered provider needs to look at why managers do not stay in post. DS0000022721.V252113.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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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