Inspection on 05/01/06 for Camilla Road, 64

This inspection was carried out on 5th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Camilla Road, 64 19/03/07

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 Mark Stroud Unannounced Inspection 5th January 2006 02:55 DS0000007110.V271965.R01.S.doc Version 5.0 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 DS0000007110.V271965.R01.S.doc Version 5.0 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. DS0000007110.V271965.R01.S.doc Version 5.0 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 Choice Support Ms Verona Smith Care Home 3 Category(ies) of Learning disability (0), Learning disability over registration, with number 65 years of age (0) of places DS0000007110.V271965.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 people with learning disabilities 2 (two) of whom may be over 65 years old. 21st July 2005 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. There are currently two females living at the home, over the age of 60. Choice Support, a voluntary organisation, manages the service. The landlord is 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 the homes bedrooms are single. There is a garden to the rear. DS0000007110.V271965.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. I visited the home over an afternoon and evening, seeing both service users, and speaking to a member of staff working alone at the home. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000007110.V271965.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000007110.V271965.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): At the last inspection the following judgement was made :Service users know that staff understand what their needs are. EVIDENCE: These Standards were not assessed at this inspection. DS0000007110.V271965.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 10 Service users are able to achieve goals, and plans are being made for them to have their wishes and feelings better understood and make more decisions, and it is urgent for one service user to manage their finances. Personal information is not private to individual service users. EVIDENCE: At one service users review this year all goals for the previous year had been completed, and a goal for this year is to support the service user to agree a ‘communication passport’, a simple and practical guide which helps staff and other people understand what someone likes and needs, and tells someone about a service users personal identity. This should then be used for them to make more decisions and express their wishes and feelings. One service user has a large amount of savings. Plans have not been made about how to invest this properly, and how to use it. The home is keeping a lot of personal information in a shared file, which means it can’t be private. Information is kept securely within the home. DS0000007110.V271965.R01.S.doc Version 5.0 Page 9 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): 13 Service users have friends and supporters in the local community. EVIDENCE: Service users have a network of friends, who live in local homes managed by the same organisation. A staff member described good relationships with neighbours, who took their dog in during the inspection to avoid disturbing the service users. DS0000007110.V271965.R01.S.doc Version 5.0 Page 10 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): At the previous inspection the following judgement was made :Service users are understood and are supported to understand others. Service users are supported well with medication they are prescribed, are kept safely independent, and their privacy and dignity are respected. EVIDENCE: None of these Standards were assessed at this inspection. DS0000007110.V271965.R01.S.doc Version 5.0 Page 11 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): 22 & 23 Service users are happy with the service provided and know that staff will support them to stay safe. EVIDENCE: There have been no complaints since the last inspection. Staff should remind service users of their right to complain, and use ‘communication passports’ to support them to express their wishes and feelings, and make decisions. Staff understand how to keep service users safe from abuse, common signs that would indicate they may be at risk of, or are being abused, and what to do if they are worried. DS0000007110.V271965.R01.S.doc Version 5.0 Page 12 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, 29 & 30 Service users live in a comfortable, homely environment according to their choice, except for the garden, which is inaccessible to them. Staff need to support service users to ensure equipment, which helps them move around, is safe to use. EVIDENCE: Service users have been supported to buy new curtains and a settee for the lounge, and there are plans to repaint the hallway. The garden has been tidied since the last inspection. Service users choose flowers for the house. The garden is largely inaccessible to service users, who only use the patio. Staff need to continue to support service users to express their wishes and feelings about the garden, make decisions, and put them into practice. Service users have handrails, and equipment to support their mobility inside. Plans to support one service user using the equipment in the bathroom were out of date, referring to equipment that is not used. The home has clarified with health professionals that none of the current service users have continence needs. The home have drawn up suitable plans should a service users needs change temporarily. DS0000007110.V271965.R01.S.doc Version 5.0 Page 13 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): 33 & 35 Service users need more flexible support away from the home, from staff who receive training and recognition for the level of responsibility they hold. EVIDENCE: The service users are supported with three staff on a Friday so that a service user can go shopping regularly. At other times, because one of the service users needs two staff to support them in the community, the service users have to do activities together at other times. On the day I visited one staff member was on duty again working alone, but said this was because a staff member went home because the service users chose not to go out. The staff member felt service users wish to go out together most of the time, but this needs to be clarified, and an open discussion held about the implications of current staffing arrangements for the two service users. Staff have recently received training regarding finances, and need to use this to work with one service user who needs support to invest and use their money effectively. Staff don’t receive training regarding working alone. Training to develop Person Centred Planning at the home was cancelled before the last inspection visit and has not been rescheduled. DS0000007110.V271965.R01.S.doc Version 5.0 Page 14 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): 39, 40 & 42 Service users are not able to formerly record their wishes and feelings and make decisions about plans for the home. Staff need more support to work alone safely at the home. EVIDENCE: Staff now have a procedure that tells them some of the important things to remember when working alone, but this needs to be backed up with more detail and information, and training. Staff are not aware that there is any written annual plan for the home, which would give service users, and other stakeholders, a chance to say what they think should be changed, and how to do it. This should include the garden for instance, as well as more general plans to meet the changing needs and wishes of service users. There is a fire risk assessment that should be sufficient, but it has not been reviewed within the last year. DS0000007110.V271965.R01.S.doc Version 5.0 Page 15 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 x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 2 x x 2 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x 2 3 LIFESTYLES Standard No Score 11 x 12 x 13 3 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x 2 x 2 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 2 2 x 2 x DS0000007110.V271965.R01.S.doc Version 5.0 Page 16 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 YA7 Regulation 12 Requirement The Registered Person must ensure that the service user described is supported to express their wishes and feelings and make decisions about the use of their money, involving the social services department that arranged for them to live at the home, their relatives and friends as appropriate, and record support in their Service User Plan. The Registered Person must ensure that each service user has information kept about them stored in a personal record, unless professional advice qualifies this, and can be demonstrated. The Registered Person must ensure that the handrail in the bathroom is made good, securing the loose bolt. This Immediate Requirement has been met. The Registered Person must ensure that plans to support the service user described using the toilet are reviewed with an occupational therapist or DS0000007110.V271965.R01.S.doc Timescale for action 31/03/06 2 YA10 17 Schd 3 31/03/06 3 YA29 13(4)(a) 06/01/06 4 YA29 13(4)(a) 31/03/06 Version 5.0 Page 17 5 YA24 6 YA33 7 YA40YA35 8 YA39 9 YA42 similarly qualified professional, and any recommendations acted on recorded. 23(2)(a)(n) The Registered Person must ensure that the layout of the garden meets the needs of service users, making it accessible to them. 18(1)(a) The Registered Person must ensure that the staffing rota and staffing numbers are reviewed against the needs of service users inside and outside of the home with the Social Services Department that arranged for them to live at the home, and friends and family as appropriate. 18 The Registered Person must ensure that staff are trained specifically and assessed as competent to work at the home alone, if this is required, supporting staff and service users with a clearer and comprehensive policy and procedure. 24 The Registered Person must ensure that there is a written annual plan for the home which gives service users, and other stakeholders, a chance to say what they think should be changed, and how to do it, including the garden, and general plans to meet the changing needs and wishes of service users. 13(4)(c) The Registered Person must ensure that the fire risk assessment is reviewed annually, in consultation with the London Fire and Emergency Planning Authority. 31/05/06 31/03/06 30/04/06 30/04/06 28/02/06 DS0000007110.V271965.R01.S.doc Version 5.0 Page 18 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 YA22 Good Practice Recommendations The Registered Person should ensure that service users are supported, with the use of ‘communication passports’ to support them to express their wishes and feelings, and make decisions as to whether to make informal or formal complaints, and gain confidence about their right to complain. DS0000007110.V271965.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000007110.V271965.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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