Inspection on 19/03/07 for Camilla Road, 64

This inspection was carried out on 19th March 2007.

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, 64 05/01/06

Camilla Road, 64 21/07/05

Camilla Road, 64 09/02/05

Camilla Road, 64 16/11/04

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 Camilla Road, 64 London SE16 3NJ Lead Inspector Ms Rehema Russell Unannounced Inspection 19th March 2007 11:00 Camilla Road, 64 DS0000007110.V329497.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 Camilla Road, 64 DS0000007110.V329497.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. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Camilla Road, 64 Address London SE16 3NJ 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) 0207 252 0074 0208 299 8598 choicesupport@choicesupport.org.uk www.choicesupport.org.uk Choice Support Kish Beegun Care Home 3 Category(ies) of Learning disability (0), Learning disability over registration, with number 65 years of age (0) of places Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 people with learning disabilities 2 (two) of whom may be over 65 years old. Date of last inspection Brief Description of the Service: 64 Camilla Road is a care home providing personal care and accommodation for three people with a learning disability. Choice Support, a voluntary organisation, manages the service and provides the care. The building is owned by Habinteg Housing Association. The home is located in Bermondsey, close to shops, pubs, the post office and other amenities. The home consists of single storey building, providing wheelchair access to all parts of the home. All of the homes bedrooms are single. There is a garden to the rear. Following the demise of the former residents, the home is currently empty. Prospective service users and their relatives/friends would be given the Service User Guide. A copy of the most recent CSCI inspection report is available on file at the home. Information about current fees are obtainable from the Choice Support Head Office. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out on 19th March 2007. At the previous inspection of 5th January 2006 there had been only two service users at the home. At this inspection it was found that both of these service users had died and that the home had been empty since February 2007. Another change was that the previous manager had moved to another establishment and the home was being jointly managed by the manager of a neighbouring Choice Support home, Mr. Kish Beegun. 64 Camilla Road had not been used since February 2007 but Mr. Beegun arranged for the home to be pre-heated on the day of this announced inspection and for himself and an experienced support worker who had worked at the home to be available for the inspection, both of which were appreciated. This inspector toured the home, spoke to the new manager and the support worker, and looked at documentation. Choice Support are currently deciding how the home will be used in the future, and as it is therefore now empty some of the documentation had already been removed from the home and was not available on the day of inspection. What the service does well: What has improved since the last inspection? All of the previous requirements except one had been implemented: • A service user with a large amount of savings had been asked how she wished to use the money and had chosen to go on 3 holidays • A shared file for personal information was split into individual files • A review of one service user’s support needs around toileting was carried out • The layout of the garden was modified to meet the needs of service users • Staffing numbers were reviewed and increased • Arrangements were made to support staff working alone in the home • The fire risk assessment was reviewed. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Camilla Road, 64 DS0000007110.V329497.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 Camilla Road, 64 DS0000007110.V329497.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users’ individual aspirations and needs are assessed and a thorough assessment process undertaken. EVIDENCE: The assessment papers for the most recently admitted service user were seen. These evidenced that the home had undertaken a full assessment prior to admission, including obtaining relevant papers from the previous placement and information on the service user’s psychiatric and other medical conditions. The initial placement had been reviewed by the placing authority within 6 weeks, which is good practice. As further good practice, as soon as the service user was admitted staff undertook a 3 day workshop to ensure that they understood her multiple needs and that the team worked consistently with them. Camilla Road, 64 DS0000007110.V329497.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, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed and changing needs are reflected in their individual care plans. Service users are supported to make decisions about their lives and are supported to take risks as part of an independent lifestyle. EVIDENCE: The care plan of the service user admitted during 2006 was examined. It was generated from the care management assessment and the home’s own assessment and detailed the 5 areas of care that were pertinent to the service user’s needs. The actions required to implement these 5 areas of care were then transferred to the weekly rota and signed by staff after implementation. The care plan file also contained guidelines/strategies for delivering personal care, a weight chart, other guidelines for areas such as support in the community and mental health, a cultural needs assessment form, a missing persons profile with photograph and an emergency disaster plan. The care plan was monitored and reviewed at 6 weekly keyworker meetings but due to the demise of the service user there had not yet been an annual review. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 10 Verbal evidence of service users’ making their own decisions was given. One service user although visually impaired, was nevertheless able to choose where she wished to go on holiday, which clothes to wear and which shoes she wanted to buy whilst out shopping. Another who had limited verbal communication was able to express her choices in short sentences and if she did not like something or did not wish to do it she was able to say this. All service users were able to choose when to rise in the mornings and what time they wished to go to bed. Risk assessments for individual service users were seen. These included risk assessments for fire safety, medication, and behaviour in the community. All risk assessments seen were signed and dated and all had been reviewed in January 2007. Camilla Road, 64 DS0000007110.V329497.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): 12, 13, 14, 15, and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users take part in age and peer appropriate activities and are supported to be part of the local community and engage in appropriate leisure activities. Service users have appropriate personal and family relationships and are offered a varied and nutritious diet of their choice. EVIDENCE: Service users were supported to access fulfilling activities outside the home through attendance at day centres, pop-ins and clubs, and the library. They were also encouraged and supported to access community facilities such as cafes, banks, and bowling and bingo facilities. In addition, the home provides a range of indoor leisure facilities such as television, DVDs, audio equipment, games, books and puzzles. Service users were also supported to take holidays away from the home, one service user able to fund herself for three holidays per year. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 12 Evidence showed that appropriate relationships with family and friends were encouraged. One service user regularly played bingo with her mother, evidence of a parent attending keyworker meetings was seen, as was evidence of one service user meeting weekly with a particular friend for lunch, and another visiting other Choice Support service users as friends. Menus were seen and these demonstrated that a varied and nutritious diet had been provided. A new menu had been devised each week, based on weekly discussions with service users where they expressed their choice of meals. Staff had provided pictures of various meals to assist one service user to express her choices. One service user had been helped to manage her diabetic and weight issues by a specialist diet. No service users were from minority ethnic groups and so culturally sensitive menus were not required. Camilla Road, 64 DS0000007110.V329497.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. Staff provide personal support that is tailored to meet individual service user’s needs. Service users’ physical and emotional health needs are met and they are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The most recently admitted service user had been admitted to the home because she was unco-operative and unmotivated in her previous placement. The staff team immediately held a 3 day workshop to explore her needs and what strategies they would use to gain her co-operation and try to motivate her. This resulted in consistency of care and success even in the relatively short period that the service user was at the home, the service user’s social worker commenting in a review “(I) thank staff for what they have achieved with her in such a short space of time”. Documentary evidence was seen that staff ensure that service users access the full range of healthcare professionals including community nurses, general practitioners, psychiatrists, optician, dentist and chiropodist. In discussion Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 14 with community nurses, staff implemented a successful specialist diet for one service user which involved the monitoring of daily sugar levels, a mainly vegetable and low carbohydrate diet, and a walking schedule. There was no medication or medication charts at the home but the inspector had access to the most recent Pharmacist visit report (17th January 2007) which stated that medication at the home was “very well managed” and that there were no issues of concern. Camilla Road, 64 DS0000007110.V329497.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. The home has a complaints procedure which is in a format accessible to service users. Service users are protected from abuse, neglect and self-harm. EVIDENCE: The complaints book was seen and evidenced that there had been no formal complaints received by the home. The home has a written complaints policy and procedure and also has the complaints procedure available in appropriate graphic form and language format for the former service users. All staff have had adult protection training, which is mandatory training for Choice Support care staff. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a homely, comfortable and safe environment which is fully wheelchair accessible. Service users’ bedrooms promote their independence, the bathroom and toilet provides sufficient privacy, shared spaces are of sufficient size and are well fitted and furnished. Aids have been provided as required and the home is clean and hygienic. EVIDENCE: The home’s premises are suitable for its stated purpose, being accessible, safe and well maintained. It is purpose built and situated in a residential area that has local shops a short walking distance away. The home is fully accessible to disabled people, on ground floor level only, and the well maintained rear garden is wheelchair accessible. The home was comfortable and homely throughout. The lounge has television, video and audio equipment, comfortable armchairs, ornamentation that reflects the individual cultures and interests of service users, and photographs of service users enjoying themselves on holidays and days trips. All bedrooms are single and Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 17 personalised to reflect the former service users’ individual tastes and preferences. There is a large bathroom and toilet, which has suitable handrails and aids to meet the needs of the former service users. The inspection of 5th January 2006 required that plans to support one service user using the toilet were reviewed and this had been done. There is a well furnished dining room and a large kitchen with good quality equipment and fittings. The home was clean and hygienic throughout. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 33 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by an effective staff team. EVIDENCE: As there were no service users at the home, the majority of staffing standards could not be assessed. The inspection report of 5th January 2006 required that the Registered Person ensure that the staffing rota and staffing numbers were reviewed against the needs of service users inside and outside of the home. This had been done and since that inspection, staffing numbers had been increased from 2 to 3 per shift, enabling service users to be taken out more frequently. A further requirement was for the Registered Person to ensure that staff were trained specifically and assessed as competent to work at the home alone, supporting staff and service users with a clearer and comprehensive policy and procedure. The inspector was told that this had been achieved by ensuring that this home and the two other Choice Support homes nearby each had each other’s front door keys, and that there is a 24 hour on-call system. In this way there was always support available from other staff in person or from line management via the telephone. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 19 The member of staff who had worked at the home until February 2007 and who attended the inspection was very familiar with the characteristics, behaviours, habits and preferences of the former service users, and had obviously been fond of each of them. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 20 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): 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home uses a variety of methods to ask service users their views. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The home has a variety of ways by which it seeks service users’ views. Staff speak to service users on a daily basis, entering any issues/requests/suggestions that occur into individual diaries for each service user. Keyworkers meet with service users every six weeks to find out whether they are enjoying staying at the home, if they have any problems or if there is anything they wish to change at the home. Monthly visits are carried out by the line manager of the home, with a report of the visit findings written, and the manager writes a quarterly report for the parent organisation, for which service users are asked their views, and which is supplied to the placing authorities. In addition, the Registered Provider holds an annual service user Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 21 forum where service users’ views are sought and published in a newsletter. The inspection report of 5th January 2006 required the Registered Provider to make sure that there is a written annual plan for the home which gives service users, and other stakeholders, a chance to state any changes they would wish to see at the home. The timescale set was 30/04/06. The inspector was told that an annual plan had not been written but that the home believed it had fulfilled this requirement via the manager’s quarterly reports. At the time of this inspection the home was empty and the Registered Provider was considering the future of the home, and so it was not appropriate to repeat the requirement for an annual plan. The Registered Provider employs another company to manage the health and safety issues at the home. A number of health and safety documents were seen and were found to be in good order. These included: • quarterly alarm tests, • weekly fire call point tests, • bi-annual fire extinguisher tests, • detailed records of quarterly fire drills, • monthly monitoring checklists (e.g. equipment, first aid, fire doors, risk assessments), • weekly monitoring checklists (e.g. repairs, equipment, doorways, hoists, temperatures), • COSHH storage, • Annual gas safety certificate, • annual portable electrical appliances tests, • fire safety risk assessment. The new manager told the inspector that he had recently checked the five year electricity safety certificate and it was in order. Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 22 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 2 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X 3 X X 3 x Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 23 N/A 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 Camilla Road, 64 DS0000007110.V329497.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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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