Inspection on 17/01/06 for Cameron Road (51)

This inspection was carried out on 17th 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cameron Road (51) 28/01/09

Cameron Road (51) 23/02/07

Cameron Road (51) 07/09/05

Cameron Road (51) 07/03/05

Cameron Road (51) 10/08/04

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 Cameron Road (51) 51 Cameron Road Seven Kings Ilford Essex IG3 8LG Lead Inspector Jackie Date Unannounced Inspection 17th January 2006 02:00 Cameron Road (51) DS0000025891.V280271.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 Cameron Road (51) DS0000025891.V280271.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. Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cameron Road (51) Address 51 Cameron Road Seven Kings Ilford Essex IG3 8LG 020 8503 8219 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) www.mencap.org.uk Royal Mencap Society Mr Chee Ong Ngai Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: 51 Cameron Road is home for five adults with severe learning disabilities and challenging behaviour. Residents have little or no verbal communication skills, and very limited ability to make decisions about their lives. They all need a lot of support and supervision from staff. The house is semi-detached and is in Seven Kings, in the London Borough of Redbridge, close to bus routes, the station and local shops. Each resident has his or her own bedroom. On the ground floor there is a lounge, kitchen, bedroom and shower room. The remainder of the bedrooms, another bathroom and the staff office/sleep-in room are upstairs. The garden has a range of garden furniture and is used by the residents. Some of the residents go to day activities outside the home and the others go out with staff. At the time of the visit four men and one woman were living at home. Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted for about three hours and took place during the afternoon. It was the second of the two inspections that each home must have during the inspection year. During the two visits all of the key standards have been checked. The manager, staff and three of the residents were spoken to. All of the communal rooms in the house were seen and care and other records were checked. The main purpose of this visit was to monitor the progress of the requirements from the previous inspection. After the visit some of the relatives were contacted by telephone and asked for their opinions of the service. What the service does well: What has improved since the last inspection? A new rug and new chairs have been purchased for the lounge and a new rug for the hall. Risk assessments have been reviewed and updated as required by the previous inspection. The staff team continue to look for different ways of working with the residents to understand their needs and to manage their challenging behaviour. Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 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. Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 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 Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that information is available to enable the staff team to meet residents’ needs. If a vacancy arose the required information would be gathered on a prospective resident and they and their relatives could spend time in the home to find out what it would be like to live there and to enable the resident to make a choice about living in the home, within their capacity to do so. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the five standards. At the time of the last inspection standards two and three were tested and assessed as met. Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 9 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 Residents’ plans focus on their individual needs and abilities and contain detailed information so that staff can meet their needs. However the plans need to be reviewed and updated regularly to make sure that they contain current information about residents needs. Risk assessments are in place to enable residents needs to be met as safely as possible. EVIDENCE: Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 10 Each resident has a care plan. These are very detailed and give clear information about each person. They include details of what they can do, what they like, the support that they need and how they communicate. For example one persons plan says, “ I like to relax in the garden, I drink on my own but don’t like my drink to be too hot, I like nice smells”. The plans are supported by the use of photographs and pictorial symbols. The staff write daily notes about what each person has done and how they have been. The degree to which residents can be involved in the development of the plan is very limited due to their profound learning and communication difficulties. However the care plans are discussed with relatives and in some of the plans relatives had made notes and comments. At the time of the last inspection some of the residents’ reviews were overdue but dates had been set for the outstanding reviews. Some reviews are still outstanding. The manager said that they were arranged for December but that relatives had cancelled for various reasons. The resident’s plans must be reviewed and updated at least every six months in line with the National Minimum Standards for Care Homes for Younger Adults. Residents, their relatives and social workers must be invited to these reviews. This will ensure that that plans contain current information about residents needs. There are risk assessments in place. These identify risks for the residents and indicate ways in which the risks can be reduced to enable the residents needs to be met as safely as possible. For example one of the residents has been known to kick and hit staff when they are assisting him to put his socks on. It is identified in a risk assessment and guidance is given as to how to lessen the risk of this when assisting him. Overall the risk assessments are very detailed. Risk assessments have all been reviewed and dated as required by the previous inspection. This confirms that they are up to date and appropriate. Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 11 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 and 15 The residents are encouraged to be as independent as possible, to take part in activities and to be part of the local community. Residents are supported to keep in contact with their relatives and relatives are welcomed at the home. EVIDENCE: Residents are encouraged and supported to develop their skills. For example on the day of the inspection one resident was tidying up in the garden and another folded the washing when she returned from the day service. Some of the residents go to day services for part of the week. Others have been excluded due to their challenging behaviour. As previously stated the residents care plans state what they like to do and the staff team support them to do things that they like, both in the home and outside in the community. For example one resident likes to go out on the bus or train and to eat out. Another resident likes to go to the pub. All of the residents need support from the staff team when they go out and for some this must be one-to-one due to their challenging behaviour. Two residents went on holidays organised by the Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 12 home and a third resident usually goes on holiday with his family. The other two residents cannot cope with holidays and they have extra days out. The care plans seen indicated that these residents do not have any specific cultural or religious needs. Four of the residents have regular contact with their families. One resident regularly goes home to stay with his mother for a few days and as previously stated another one goes on holiday with his family. Some of the families were contacted for feedback on the service after the inspection. Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19 Residents receive personal care that meets their individual needs and preferences. The staff team support the residents to get the healthcare that they need. EVIDENCE: The residents require support with their personal care and details of the help that they need and how they prefer to be supported are in their individual plans. The care plan of one resident states that they enjoy having a shower and that they become very agitated if shampoo gets in their eyes. Details of how to deal with this situation are also in the plan. In addition very specific guidelines had been introduced to ensure that this person is assisted in the same way each time. Staff are then recording specific details of how they are assisting this person. The result of this is that the resident has been more relaxed when being showered and there have not been any outbursts for some time. There is only one female resident and staff on duty confirmed that she is always assisted with personal care by female staff. All of the residents go to the local doctor and specialist help is received when required. Staff take residents to all of their medical appointments. Residents’ files have details of health care issues and show that residents have regular Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 14 access to health care professionals. Records are kept of medical appointments and these show that residents have checks from the optician, dentist and when needed the chiropodist. One residents file says that they will go to the Dr but will not have their blood pressure taken and probably will not let the doctor listened to their lungs. The detail of this information ensures that residents get the support they need when attending medical appointments and that any risks associated with these visits is minimised. The father of one of the residents said that he was pleased with the progress that his relatives had made had made and that the home were always sharing ideas on how to deal with his relatives behaviours. He also said that he felt that his son was very well looked after. Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that there is a complaints procedure that would be followed in the event of any complaints being made. Also that staff are aware of issues of abuse and work to protect residents from abuse. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the two standards. At the time of the last inspection both standards were tested and assessed as met. Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28 and 30 The residents live in a clean home it is suitable for their needs EVIDENCE: Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 17 The house is near to the local shops and bus routes. The communal space consists of a lounge, kitchen diner and a garden. These areas are clean and satisfactorily maintained and decorated. Each resident has a single bedroom but these were not seen during this visit. There is a bathroom and bedroom on the ground floor and the remainder of the bedrooms, more bathing facilities and the staff office/sleep in room are on the first floor. The garden has suitable garden furniture, a barbecue and an outdoor heater. There are enough baths, showers and toilets and these meet the residents’ needs. Since the last inspection new chairs and a rug have been purchased for the lounge and new rugs for the hall. One of the residents’ mothers was involved in the purchase of these. The cooker in the kitchen does work but parts are broken and therefore it does need to be replaced to ensure the safety of both staff and residents. At the time of the inspection the home was clean and free from offensive odours Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 34 Staff have the experience and qualifications to meet the residents needs. Staff are properly recruited and the necessary checks carried out. This helps to protect residents and keep them safe. EVIDENCE: The staff team have experience of working with people with learning disabilities. Three of the care staff have successfully completed NVQ level 3 and three NVQ level 2. Two staff were in the process of doing NVQ level 3 but there were problems with the provider and now Mencap is looking for a new provider for NVQ. Therefore competent and qualified staff support the residents. The manager said that he had recently had recruitment training. Jobs are advertised, application forms completed and interviews held. The necessary checks are undertaken prior to staff commencing employment. A selection of staff files were checked and these contained all of the required information. The organisation operates an appropriate recruitment procedure that protects and safeguards residents. Cameron Road (51) DS0000025891.V280271.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): 37, 38, 39 and 42 The home is appropriately managed and provides a safe environment for the residents. EVIDENCE: The manager has considerable experience of working with people with learning disabilities and of managing residential services. He is a qualified nurse of people with learning disabilities and is in the process of completing the Registered Managers Award. Feedback from a member of staff was that the manager gives them guidelines on how to manage the behaviour of the residents and also demonstrates this by example. Feedback from relatives was that the manager is always ready to talk to them and discuss ideas. They have confidence in the manager and feel that he does his job very well. The home is appropriately managed. The quality of the service provided to the residents is monitored by the home manager and by Mencap. The service manager carries out monthly monitoring visits to assess how effectively the home is operating to meet its stated aims Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 20 and objectives, and reports from him indicate the action to be taken when deficiencies are identified. Quality assurance questionnaires that had been completed by relatives were also on file. All of the necessary health and safety checks are carried out and a safe environment is provided for the residents. Cameron Road (51) DS0000025891.V280271.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 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 2 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 3 3 3 X X 3 X Cameron Road (51) DS0000025891.V280271.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. 1 Standard YA6 Regulation 15, 13 Requirement The resident’s plans must be reviewed and updated at least every six months in line with the National Minimum Standards for Care Homes for Younger Adults. Residents, their relatives and social workers must be invited to these reviews. The cooker in the kitchen must be replaced Timescale for action 30/04/06 2 YA28 16 30/04/06 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 Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Cameron Road (51) DS0000025891.V280271.R01.S.doc Version 5.1 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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