Inspection on 23/02/07 for Cameron Road (51)

This inspection was carried out on 23rd February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 11 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) 17/01/06

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 23rd February 2007 1pm Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 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) H4037@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.V331165.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 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. The scale of charges is approximately £1200.00 per week. This information was provided by the manager on the day of the inspection. Information about the service provided is contained in the service users guide. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit lasted for about five hours and took place during the afternoon. The staff and the residents were spoken to. All of the shared areas and three of the bedrooms were seen. Staff, care and other records were checked. Staff were asked about the care that residents receive, and were also observed carrying out their duties. Relatives were contacted and asked for their opinions of the service. Feedback was received from the relatives of four of the five residents. This was a key inspection and all of the key inspection standards were tested. What the service does well: What has improved since the last inspection? What they could do better: Residents needs have changed and staffing levels need to be reviewed to ensure that there are enough staff on duty to support residents and to enable them to participate in activities both at home and in the community. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 6 In view of the change in needs it is important that risk assessments are kept up to date so that strategies are in place to enable staff to minimise risks and to keep people safe. Some redecoration is needed to make the building more welcoming and homely. This service is for people with complex needs and challenging behaviour and staff try very hard to understand residents and to address the behaviours. Training specific to working with this client group would assist staff to do this. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 residents have all lived together for several years. Therefore there have not been any recent new admissions. It is therefore not possible to directly test Standard 2 with regard to prospective residents’ needs being assessed. However, the organisation has an admissions procedure that includes gathering of information and assessments. It also contains details of how a prospective resident would be introduced to the home. The staff would be able to assess and introduce a new resident to the home if needed. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ plans contain detailed information so that staff can meet their needs. Risk assessments need to be reviewed so that they contain up to date information about risks to residents and how to minimise these. EVIDENCE: 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 love fast food, the pub and bowling. “I like a calm environment”. 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 content of the notes has improved a lot and gives a much better picture of the individual. Night staff also record the checks that they have made. Therefore there is information about each Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 10 individual, which can be used as part of the review process and to identify ongoing and changing needs. It is also used by staff to try to identify reasons for various behaviours and appropriate ways to respond. 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. One relative spoken to said that she had attended her son’s review last summer but would have liked his social worker to have been there. The manager had explained to her that the social worker had been invited but was unable to attend. Residents’ plans had been reviewed and updated as required by the previous inspection. 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. Overall the risk assessments are very detailed and relevant to individuals. Two of the residents have had changes in their medication and as a result of this have become more alert and active and this has brought additional and different risks. Some of the risk assessments had not been updated and this must happen regularly to ensure that staff have current and accurate information when working with individuals. However from discussions with staff it was evident that they are very aware of residents’ behaviour and of the risks that this brings in a variety of situations. They were also able to describe how they minimised risks. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12, 13, 15, 16 & 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents are encouraged to be as independent as possible. Although the residents are encouraged to take part in activities and to be part of the local community this is affected by staffing levels. Residents are supported to keep in contact with their relatives and relatives are kept informed about what has been happening in the residents’ lives. Residents are given meals that they like and that meet their needs and individual preferences. EVIDENCE: Residents are encouraged and supported to develop their skills. For example one resident’s daily log recorded that he had been prompted to strip his bed. Another resident likes to fold the washing when she returns from the day service. Some of the residents go to day services for part of the week. Others Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 12 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 this must be one-to-one due to their challenging behaviour. However residents’ needs have changed and feedback was that activities are limited by staffing levels due to the high support needs of the residents. One relative particularly expressed concerns about the lack of activities and felt that although her son goes out for a while most days this was not enough and he needed more stimulation both in and outside the home. Case records indicate that some of the residents spend a lot of time in the home without any specific activities. Please see standard 33 for a requirement with regard to staffing levels. Two residents went on holidays organised by the 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 another goes home for Sunday lunch every couple of weeks. As previously stated another one goes on holiday with his family. A relative said that she visits at least two weekly and often each week. Relatives are invited to reviews and relatives spoken to confirmed that they attended these meetings. Residents are supported to keep in contact with the relatives. Menus are based on staff and families knowledge of residents’ likes and dislikes. Menus seen were healthy and nutritious. Staff said that they introduce different foods and observe how residents react. One resident will push the food away or stamp his foot if he does not like or want it. The same resident will give staff his spoon if he has had enough to eat. Another’s facial expressions indicate if he likes it. One resident has been supported to eat more healthily and to lose some weight and his mother feels that this is very beneficial for him. Staff also said that the residents do have some ways to say what they want. For example, one will go into the kitchen and stand there and staff will know that he wants something either to eat or drink. Residents are given meals that they like and that meet their needs and individual preferences. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal care that meets their individual needs and preferences. The staff team support the residents to get the healthcare that they need. Medication is appropriately administered by staff that have been trained to do this. 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 said that following this checklist really helps. Another plan confirms that the resident is able to choose what they want to wear. One relative said that her son looks smart and is always clean and tidy. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 14 He likes smells and staff help him to wear “cologne” each day. There is only one female resident and staff on duty confirmed that she is always assisted with personal care by female staff. Residents’ personal care needs are met. 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 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. On the day before the inspection the manager had taken one of the residents to the dental hospital for treatment. Records also show that residents have medication reviews and two residents have had their medication changed. One relative said that her son had been supported to lose weight over a period of time and that the staff had supported him to maintain this. Therefore residents are supported to receive the healthcare that they need. None of the residents can self medicate and staff are only allowed to administer medication when they have received training. The medication was securely stored in a separate locked cupboard and all the necessary medication administration records are kept. Medication records include photographs of each resident to lessen the chance of medication being given to the wrong person. Residents’ files contain details of the medication that they take and what this is for. There are also guidelines from the doctor about homely remedies and what can be given to the residents. The pharmacist visits regularly to check medication storage and records. The last visit was on 22nd February 2007 and everything was satisfactory. Medication is appropriately stored and administered. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure that would be followed in the event of any complaints being made. Staff have received adult protection training to ensure that they are clear about what constitutes abuse and what to do if abuse is seen or suspected. This gives residents a greater protection from abuse. Residents’ finances are adequately managed and monitored and this lessens the risk of financial abuse. EVIDENCE: There is a complaints procedure that would be followed in the event of any complaints being made. However residents are not able to realistically make a complaint due to their profound learning and communication difficulties. The organisation has an appropriate complaints procedure and is available in a user-friendly format. One relative said that if she raises any concerns they are taken seriously and dealt with very quickly by the manager. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 16 Mencap has produced a detailed adult protection policy that tells staff the actions to take in the event of abuse/suspected abuse being discovered. Staff have attended a course on protecting residents from abuse and are aware of their responsibility to residents. Relatives spoken to said that they were happy with the care that was provided. All of the residents need help with their finances and have limited capacity to understand about the concept of spending or saving money, other than that money is exchanged for goods. Records are kept of financial transactions. Regular checks are made by the manager to ensure that these are correct. The service manager also randomly checks residents’ finances as part of the monthly monitoring visit. The cash held for two of the residents was checked at the time of the inspection and was found to be correct. The amount recorded in their bankbooks agreed with records kept by the home. Appropriate receipts were on file. Residents’ finances are appropriately managed and monitored. Due to their complex and challenging behaviour some restrictions are placed on residents. For example one person’s wardrobe is locked. When some residents are out in the community they need a lot of support and supervision and risk assessments are in place in relation to this. However some residents will “run” across the road if they see something on the other side that they want or run into a shop and “grab lots of sweets”. These present dilemmas for staff on exactly what interventions they should use. These areas need to be explored fully in a multi disciplinary meeting and the appropriate action agreed and recorded. This will not only safeguard residents but also ensure that they receive support that does not infringe their rights. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents live in a clean home that is suitable for their needs but some areas need to be redecorated to make them more welcoming and homely. EVIDENCE: Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 18 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 that has been personalised to meet their individual preferences. 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. The residents’ like to use the garden in the good weather and since the last inspection the lawn has been returfed. The kitchen has been repainted and a new cooker fitted. The new cooker was a requirement of the previous inspection. Some new flooring has been fitted on the upstairs landing but this has not been finished off and in places is stuck down with sticky tape. The overall environment does not have a very homely feel and in places has become quite “drab”. One relative said that the decoration needed “livening up”. The residents are not able to comment on the décor of the home. The new flooring must be properly fitted and finished off so that it is of an appropriate standard and is safe. Communal areas need to be redecorated to brighten up the environment, make it more welcoming and homely for the residents and to meet a satisfactory standard. There are enough baths, showers and toilets and these meet the residents’ needs. None of the residents require any specific adaptations at this time. At the time of the inspection the home was clean and free from offensive odours. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36. Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. Staff are competent but need more specific training to assist them to meet residents’ complex needs and challenging behaviour appropriately. Staffing levels are no longer adequate to fully meet the changed needs of some of the residents. Staff are properly recruited and the necessary checks carried out. This helps to protect residents and keep them safe. In addition to informal support staff receive formal supervision and regular staff meetings are held. This gives a chance for work practice and the development of the service to the discussed. EVIDENCE: Since the last inspection there has been some changes in the staff team and relief staff have been covering vacancies. A new member of staff was due to start at the home shortly after the visit and recruitment is ongoing for the remaining posts. From discussions with staff and examination of the rota it Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 20 was evident that regular relief staff are now being used and that residents are being supported by staff that they know. Two staff are on duty per daytime shift during the week and the manager is supernumerary. There is also an additional member of staff from 4pm to 8pm weekdays and from 10.30am to 7.30pm at weekends. At night there is one waking staff and one member of staff sleeping in. Feedback from staff was that staffing levels had been sufficient but that due to changes in medication two of the residents are now more alert and require additional support, particularly when out in the community. In addition to this the amount of day services provided to residents is being cut and more residents are at home during the day. Therefore the current staffing levels can limit activities as the residents have very high support needs when in the community due to their complex needs and challenging behaviour. Staffing levels must be reviewed and sufficient staff must be on duty to meet the assessed needs of residents appropriately and safely at all times. The staff team have experience of working with people with learning disabilities. On the staff files were training records. Training covers a variety of areas including Moving and Handling, first aid, fire safety, health & safety, infection control, and food hygiene. Unfortunately additional planned training on working with people with autism did not take place. The residents have very complex needs, autism and challenging behaviour and it was evident that the staff team are continuously looking at how they work with residents to manage these behaviours. For example one daily entry in a residents record referred to a drink being thrown. The entry then included comments from staff about why this may have happened. Feedback from staff was that they are trying different strategies and that they feel that there has been an improvement in residents’ behaviour. Although the staff team are competent and committed, this is a service for people with complex needs and behaviours and as such more specific input and training is needed to support the staff to provide this service. Ongoing training must be provided on working with people with autism and working with people with complex needs and challenging behaviour. This combined with the skills and knowledge of the manager and the commitment of staff will enable the service provided to be developed further and the quality of life and opportunities for residents to be improved. The organisation operates an appropriate recruitment procedure. Jobs are advertised, application forms completed and interviews held. The necessary checks are undertaken prior to staff commencing employment. A random sample of staff records held in the home were checked during the inspection. These contained the necessary information and confirmation that appropriate checks had been made. Therefore the recruitment process offers safeguards to residents. Staff meetings and staff supervision have been taking place regularly, providing staff with the opportunity to discuss problems and to be involved in Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 21 the development of the service. Feedback from staff was that they receive a good level of support and guidance. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The home is well managed and provides a safe environment for the residents. The registered provider monitors the service appropriately to check the quality of the service provided to residents but needs to carry out a service review that includes consultation with residents and their representatives. 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. The residents have complex needs and at times exhibit “challenging behaviour” and it is important that the staff team have support and guidance as to how to support them. Feedback from staff was that they are well supported by the manager and that he regularly checks Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 23 with staff “how are you finding it”. They also said that he is “hands on” and will always help, he is available for advice and gives ideas and suggestions on the best ways to work with individuals. One relative said that she felt that the manager was committed and “lead the staff team well”. The home is appropriately managed. The quality of the service provided to the residents is monitored by the home manager and by Mencap. A representative of the organisation carries out monthly unannounced monitoring visits to the home. A report on this visit is left at the home and a summary of this sent to the Commission. The reports cover the necessary areas and indicate any action that is needed. Therefore the quality of the service provided to the residents is monitored by the organisation. Mencap does operate a system of service reviews but this service has not had a review for a few years and this needs to be carried out to ensure that views of relatives and other stakeholders are sought and any issues identified can then be linked into the continuous improvement plan that is in place. All of the necessary health and safety checks are carried out and the building is kept safe for all that use it. Electrical intake systems must be tested for safety every five years. The electrical installation in the home was checked in October 2001 and therefore needs to be retested to ensure that it is safe. The dining table is in the kitchen and is next to a radiator. Although the surface temperature of the radiator was not measured the inspector noted that this was very hot to the touch. A radiator cover is needed in the kitchen to minimise the chance of residents burning themselves when sitting next to this hot surface. In order to effectively deal with any blood spillages and avoid the risk of cross contamination of blood-borne infections a stock of granules containing sodium dichloroisocyanurate (Presept or equivalent) must be available at the home. Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 24 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 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 2 X X 2 X Cameron Road (51) DS0000025891.V331165.R01.S.doc Version 5.2 Page 25 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 YA9 Regulation 13 Requirement Timescale for action 30/04/07 2 YA12 16 3 YA23 13 4 YA24 23 Risk assessments must be reviewed and updated. They must then be reviewed regularly and as needs change. All residents must be supported 31/05/07 to participate in activities and to be part of the community and staffing levels must facilitate this. Necessary interventions and 30/06/07 restrictions placed on residents must be discussed and agreed at multi disciplinary meetings. The new flooring in the hall must 30/04/07 be properly fitted and finished off so that it is of an appropriate standard and is safe. Communal areas must to be redecorated to a satisfactory standard. Training must be provided on working with people with autism and working with people with complex needs and challenging behaviour. Staffing levels must be reviewed and sufficient staff must be on duty to meet the assessed needs of residents appropriately and DS0000025891.V331165.R01.S.doc 5 6 YA24 YA32 23 18 30/06/07 30/06/07 7 YA33 18 15/05/07 Cameron Road (51) Version 5.2 Page 26 safely at all times. 8 YA39 24 A service review must be carried out and this must include consultation with residents and their representatives. The electrical intake system must be tested and certified as satisfactory and safe. The radiator in the kitchen must have a cover/guard fitted. A stock of granules containing sodium dichloroisocyanurate (Presept or equivalent) must be available at the home. 30/06/07 9 10 11 YA42 YA42 YA42 13 13 13(3) 30/04/07 15/04/07 30/04/07 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.V331165.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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