Inspection on 20/07/05 for Camilla Road, 56

This inspection was carried out on 20th July 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

Camilla Road, 56 08/12/06

Camilla Road, 56 16/12/05

Camilla Road, 56 08/02/05

Camilla Road, 56 18/06/04

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Edenvale

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Chatsworth Care - Dawson House

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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 56 Camilla Road London SE16 3NL Lead Inspector Alison Pritchard Unannounced 20th July 2005, 15.45 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 56 Camilla Rd Address London , SE16 3NL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0207 231 7878 none in the home ChoiceSupport@ChoiceSupport.org.uk Choice Support Miss Barbara Eileen Francis PC Care Home only 2 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 2 (TWO) people male or female with physical and learning disabilities. Date of last inspection 8th February 2005 Brief Description of the Service: 56 Camilla Road is a residential care home providing accommodation and care services for two people with learning disabilities. It is part of a larger organisation, Choice Support Southwark, which operates many other homes in the borough. The home, a 3 bed roomed house, is set out over two floors. The bedrooms are located on the first floor. The ground floor and the rear garden are wheelchair accessible. Habinteg Housing Association owns the property. It is located in a residential street, close to shops, public transport and community services. The building blends in well with other houses on the same estate. The two service users (a man and a woman) have lived in the home for many years. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, carried out over an afternoon in July and lasted for two and a half hours. The inspection methods included: discussion with two members of staff, observation of care practices, examination of records and a tour of the building. The extent of the residents’ disabilities and the lack of familiarity of the inspector to the residents meant that detailed conversations were not possible. 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. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4 The admission policy ensures that the home gathers enough information about a potential resident to make a decision about the suitability of the placement. EVIDENCE: Although there have been no recent admissions to the home, the policy of the managing organisation is to obtain assessments for potential residents prior to their admission. They also encourage introductory visits to the home. The first twelve weeks of a placement are regarded as a trial period, after which a review meeting would be held and the suitability of the home as a long-term placement assessed. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 There is a clear care planning system in place to adequately provide staff with the information they need to satisfactorily meet residents’ needs. Residents’ views are included in decision-making processes. EVIDENCE: The home is introducing the ‘person centred planning’ approach to care planning. Each resident has a care plan which draws on the home’s knowledge of the person, their social history, personal goals and interests as well as physical and health care needs. The goals identified in the care plans are clear and reflected in the care practices of the home. Review meetings including professionals and an advocate are held every six months, or more often if required. The most recent review meetings took place in March 2005. The staff team know the residents and their communication systems well. There are communication aids available for residents and guidelines to ensure that staff use them with consistency. This assists residents to be informed about for instance, who will be working with them, and to make choices about activities. The observation during the inspection was that the home is run according to the residents’ wishes. Discussion with staff demonstrated their commitment to ensuring that residents’ views are integrated into the daily life of the home. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 9 Choice Support runs a group called ‘Customer Watch’ for residents to contribute feedback to the organisation and to provide a forum for regular discussion. This allows residents’ views generally to be part of the organisational planning. A risk management policy is used to make sure that, when appropriate, residents can be involved in activities which may include some degree of risk. Risk assessments which support residents to maintain independence skills were seen on a file and were judged to be appropriate to the residents’ needs. Information is kept securely, with due regard for confidentiality. The managing organisation is registered under the Data Protection Act. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 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 standard(s) 12, 13, 14, 15, 16, 17 Residents are able to join in a wide range of suitable activities in the community and at home. The meals in the home offer choice, variety and they are appropriate for the residents’ cultural background. EVIDENCE: The residents take part in a wide range of activities in and out of the home which reflect their interests and are age appropriate. The activities include attending adult education cookery classes, working at a café project for people with learning disabilities, keep fit, discos, cinema trips and line dancing. One of the residents is a keen Millwall FC fan and attends all of the home games accompanied by a member of staff. It was reported that the resident is well known at the ground. Within the home both of the residents make use of the sensory room, are visited by an aromatherapy masseuse and a music therapist. In addition residents listen to music, watch television and join in household activities such as cooking. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 11 Arrangements were being made for a party to be held to celebrate one resident’s birthday. Friends of the residents were to be invited. A party had been held some weeks earlier for the other resident’s birthday. The visitors’ policy is suitable for the needs of the home, and it was noted that staff used the visitors’ book appropriately. One resident is supported to maintain contact with some friends; they had been invited for lunch later in the week of the inspection. The menu was viewed and it was seen that the meals provided are varied, nutritious and appropriate for the residents’ culture. One of the residents has pictorial guidance to ensure that staff assist her to eat in a manner which promotes her independence. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 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 standard(s) 18, 19, 20 The health needs of service users are well met with evidence of good multidisciplinary working which has benefited residents. The medication is well managed. EVIDENCE: Guidelines describing how to carry out personal care tasks showed regard is given to the principles of respect and dignity. This was also demonstrated in staff interactions with residents which were warm and friendly. There has been a range of health care professionals involved with the residents appropriate to their needs. These include speech and language therapy, physiotherapy and occupational therapy services. Much of these workers’ input has been aimed at ensuring that residents are supported to maintain and develop independence and communication skills. None of the residents manage their own medication. A sample of medication records were checked. The records showed that medication management was good. Photographs of residents are included with the medication administration record. Reviews of residents’ medication (both prescribed and homely remedies) have been carried out by the GP. Guidelines for the use of medication given on an ‘as needed’ basis have been agreed by the GP and staff given training in procedures which require specialist knowledge. There is a system in place for medication stocks to be checked regularly. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 The complaints and vulnerable adults procedures contribute to the protection of residents. EVIDENCE: The complaints procedure meets the legal requirements and is included in the statement of purpose. No complaints have been received in the twelve months prior to the inspection. The training and development plan for the home includes training for all staff in the protection of vulnerable adults. The adult protection policy of the managing organisation is suitable for its purpose. There have been no investigations carried out under the adult protection procedures in the last year. There are appropriate and safe systems in place for checking financial transactions carried out on behalf of residents. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28, 29, 30 The building is clean, comfortable and homely. Specialist equipment is available and helps residents to maintain their independence. EVIDENCE: The facilities in the home consist of a large living room, a kitchen-diner, a specially equipped sensory room and a shower room on the ground floor. On the first floor the two residents’ bedrooms are located along with a bathroom and the staff office/sleeping in room. There is sufficient communal space for the needs and numbers of residents. The bedrooms are adequate in size and personalised. The building is very homely, comfortable and clean. There are a number of specialist aids which enhance the residents’ opportunities for independence. These include a shower chair, grab rails and communication aids. The sensory room is a useful resource for the residents as is the garden. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 There are enough experienced and trained staff to provide the care that the residents need. EVIDENCE: The home is staffed by a team of four full time workers. All of the staff members have worked at the home for in excess of 18 months and are familiar to, and with the needs of, the residents. There are 1.5 vacancies in the care staff team. Gaps in the rota are frequently filled by members of the permanent staff team who work additional hours on the Choice Support staff bank. On the day of the inspection there was one member of staff on duty in the morning/early afternoon and one on duty in the afternoon/evening. The evening worker was to sleep in the home overnight. Staffing levels are adjusted according to the needs of the residents and to ensure that residents can be supported to take part in planned activities. The training and development plan for the home includes a range of training appropriate to the needs of the residents, for example, epilepsy, care planning, moving and handling and communication skills. Information on whether staff members have achieved NVQ qualifications was not gathered during the inspection and should be forwarded to the inspector for inclusion in the final report. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 42 Management systems contribute to effective monitoring of standards. Overall health and safety matters are well managed in the home, one issue to be addressed was the need to ensure that fire drills take place at quarterly intervals. EVIDENCE: Monthly visits are made by other managers within the organisation (as required by regulation 26 of the Care Homes Regulations 2000). Additional monitoring visits are made by the service manager for the home. Health and safety matters are well managed in the home and a number of improvements have been made since the last inspection. In particular ‘Dorguard’ devices have been fitted so that fire doors shut automatically in the event of the fire alarm being activated. Records of checks of the fire system were in good order. However it was found that the most recent fire drill was more than three months ago. This does not meet the requirement that fire drills be conducted at quarterly intervals. A fire risk assessment was carried 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 17 out in March 2005. Checks of the electrical appliances were arranged to be carried out in the week after the inspection and the gas safety certificate was valid until mid August 2005. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 4 4 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 56 Camilla Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 2 x G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 19 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 42 Regulation 23(4)(e) Requirement The Registered Person must ensure that fire drills take place at quarterly intervals. Timescale for action 1st September 2005 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 32 Good Practice Recommendations Information on whether staff members have achieved NVQ qualifications should be forwarded to the CSCI for inclusion in the final report. 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 20 Commission for Social Care Inspection 46 Loman St 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. Extracts may not be used or reproduced without the express permission of CSCI 56 Camilla Road G52 G02 7109 56 Camilla 236555 200705 Stage 4 UIV.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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