Inspection on 30/01/06 for Camberwell New Road, 212a

This inspection was carried out on 30th January 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 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 27/09/05

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

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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 30th January 2006 09:00 DS0000022721.V275128.R01.S.doc Version 5.1 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.V275128.R01.S.doc Version 5.1 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.V275128.R01.S.doc Version 5.1 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) cnr@southsidepartnership.org.uk Southside Partnership Care Home 5 Category(ies) of Learning disability (0) registration, with number of places DS0000022721.V275128.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 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.V275128.R01.S.doc Version 5.1 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 30th January 2006. The inspection was well facilitated by the deputy manager. The inspector spoke to all the service users living at the home and two staff. A tour of the building took place and care records were examined. Service users were observed being supported by staff to do their daily chores. The manager’s post, which had recently been filled, was not able to attend the inspection due to previous commitments. The inspector contacted the manager after the inspection, and he confirmed he had applied to become the registered manager of the home. 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.V275128.R01.S.doc Version 5.1 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.V275128.R01.S.doc Version 5.1 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): N/A These standards were not inspected during this unannounced visit. The finding of the previous inspection (September 2005) was that the standards were being met. EVIDENCE: There have been no recent admissions in to the home. DS0000022721.V275128.R01.S.doc Version 5.1 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): 6,9,10 Care plans are thorough and reflect service users’ needs and goals. Service users’ participation in the running of the home has been encouraged. Service users know information about them will be kept confidential. EVIDENCE: The inspector checked all five service user files. Care plans give a thorough description of service users’ behaviours, reactions and preferences and how the service user was to be treated. There was evidence in the files that care plans are reviewed six monthly or when there are changes in the service users lives that needs to be recorded. Risk assessments were up dated involving the service user and their key worker. Detailed and regular charts are kept of service users’ behaviours, household and community activities and contracts. The inspector viewed individual risk 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.V275128.R01.S.doc Version 5.1 Page 9 On the day of the inspection the service users knew the inspector was looking at their files and staff told the service users any information would be kept confidential. DS0000022721.V275128.R01.S.doc Version 5.1 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): 11,12,14,15, Service users are able to take part in age, peer, culturally appropriate activities and leisure activities. Service users are able to maintain relationships with friends and family. EVIDENCE: The deputy manager said that service users are encouraged and supported 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 at key worker meetings and in team meetings. The inspector was shown a copy of the new format for the service users key worker meeting, which is more structured. These are held monthly and are encouraged to contribute at their meetings. Meetings are recorded and signed and dated by both the service user and the member of staff. Copies shown to the inspector confirm staff listen to the views of service users and respond to them. DS0000022721.V275128.R01.S.doc Version 5.1 Page 11 There is a separate copy of the shift plan, which includes a record of what each service user is planning to do each day with a named member of staff. Any changes to this are noted on the shift plan. DS0000022721.V275128.R01.S.doc Version 5.1 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: The care files viewed by the inspector contained information for staff on service users who need personal support with their preferred personal care routines. These were reviewed every six months or as necessary. There were health action reviews records on each service users file. This recorded any tests that were carried out, dates of the tests with actions and outcomes all recorded. The record of health reviews attended indicated that each service user is supported by staff if this is what the service user requires in line with their individual healthcare needs. 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 inspector checked three of the service users medication at random. All medication stocks checked where in order. The deputy manager told the inspector medication was discussed at individual service users reviews if it was appropriate and this would be recorded in the review report. DS0000022721.V275128.R01.S.doc Version 5.1 Page 13 The inspector was shown the report by the local pharmacist who comes into the home every six months to check the medication and attends a team meeting to give the staff refresher training in medication. This indicated there were no issues that needed to be addressed by the home. DS0000022721.V275128.R01.S.doc Version 5.1 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): 23 There are safeguards in place to protect the service user from abuse, neglect and self-harm. EVIDENCE: Three service user’s accounts and records were inspected and were found to be in order. The inspector was told the financial records are locked away and only the manager and the deputy manager have access to the service users financial records. The deputy manager is the appointee to four of the service users. One service user can sign their own bank book. The deputy manager said if a parent or family member wanted to see the service users financial records, the manager or deputy manager would consult with the service user to check if that information could be shared. So far none have asked to do this. DS0000022721.V275128.R01.S.doc Version 5.1 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): 24,25,26,27,28,30 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 hallways, bathroom, shower room and the communal rooms have all been redecorated in the last year, making the home bright and cheerful. 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.V275128.R01.S.doc Version 5.1 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. 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. The deputy manager said in the spring of this year, the service users would start to develop the garden again and grow their own vegetables as they have done in previous years. DS0000022721.V275128.R01.S.doc Version 5.1 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): 32,33,34,35,36 Appropriately trained, supported and supervised staff meets service users’ individual and joint needs. The recruitment procedures followed are safe, thorough and comply with the legal requirements. EVIDENCE: The inspector spoke to two staff individually who said the management of the home was very supportive and they were getting all they needed. They confirmed they had supervision each month. This is recorded and signed by the manager and member of staff. They confirmed they had the mandatory training. One member of staff told the inspector they were supported in supervision and encouraged to take management training as part of their professional development. The deputy manager said he stayed on to give night staff support and supervision and said all staff NVQ level 3. The staff files are kept at the organisations head office and were unavailable in the home for inspection. DS0000022721.V275128.R01.S.doc Version 5.1 Page 18 The deputy manager told the inspector the organisation had recently recruited three new staff for the home. Two of these are men, which the deputy manager said makes the team more balanced for gender care. Staff are not appointed until CRBs are in place and two references have been received from their previous employer. Even when staff transfer with in the organisation references are still taken up. New staff are given a job description, a contract and must have medical checks. DS0000022721.V275128.R01.S.doc Version 5.1 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): 38,39 Service users know the home is well managed and planned. EVIDENCE: The home has had a series of managers in the past two years. On the day of the inspection the new manager was contacted at the organisations head office but was unable to attend the inspection due to prior engagements. The deputy manager told the inspector the manager worked three days at the home and the other two days as a “patch manager”. He says this has been agreed with the registration team. The inspector has contacted the registration team for further guidance. The inspector contacted the manager after the inspection to discuss how he was planning to cover the management of the home. He explained that the deputy manager had agreed to up as the home manager for the two days the manager in his other role as patch manager. The manager told the inspector he had recently put in an application to be the registered manager of the home. DS0000022721.V275128.R01.S.doc Version 5.1 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. DS0000022721.V275128.R01.S.doc Version 5.1 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 X 2 X 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 X 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x X 3 3 X X X x DS0000022721.V275128.R01.S.doc Version 5.1 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. 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. Refer to Standard Good Practice Recommendations DS0000022721.V275128.R01.S.doc Version 5.1 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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