Random inspection report
Care homes for adults (18-65 years)
Name: Address: Care Approach Canonbie Recovery Centre 118 Canonbie Road Forest Hill London SE23 3AG one star adequate service 06/10/2008 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Peter stanley Date: 2 4 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Care Approach Canonbie Recovery Centre 118 Canonbie Road Forest Hill London SE23 3AG 08452269903 08452269904 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Jonathan Davids Limited care home 6 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 6 The maximum number of service users who may be accommodated is: 6 The Registered Person may provide the following categories of service only: Care home with Personal Care - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder - Code MD Date of last inspection Brief description of the care home Canonbie Recovery Centre was registered on 30 April 2008, to provides support and rehabilitation for up to 6 adults with a diagnosis of mental disorder. Since this date, the home has been owned by Jonathan Davids Ltd, the responsible individual being Mr Ade-Odunlade. Since the departure of the previous (registered) manager, Ms Adenike Ogunleye, in June 2009, the home has been managed by an acting manager, Ms Adeola Fapohundra.
Care Homes for Adults (18-65 years) Page 2 of 8 0 6 1 0 2 0 0 8 Brief description of the care home The home is situated in a converted house in a quiet residential road in Forest Hill, and provides accomodation for up to 6 service users. The home is close to local bus routes, and is within a mile of both Honor Oak and Forest Hill railway stations. Service users have sufficient bathroom and toilet facilities, and have access to a communal lounge and kitchen. There is a garden at the rear. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
We visited initially on 12 August, no staff records to view, informed that these were being held at Head Office. On return visit, on 24 August, staff records had subsequently been transferred to Canonbie, being securely stored in lockable cabinets. Inspection of staff recruitment records for 5 new staff members indicated that recruitment checks are being satisfactorily completed. For one staff member, CRB is pending, POVA and other checks having been completed. Received assurance from acting manager that staff member is under supervision and does not have any unsupervised 1 to 1 contact with service users. Staff rotas examined, indicating that 2 staff members are on at all times. Discussed management cover. With appointment of new deputy manager, assured that there will be on-site management cover for 7 days a week. Present arrangements not felt to be sufficiently full proof, with on-call cover from Friday to Sunday. The complaints procedure (copy of which was posted on the notice board) needs to be updated, to include the contact details for CQC. Present one gives out-of date CSCI details. Spoke with 3 residents, all of whom presented as settled and happy with the support being provided. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 1 5 The details for the CSCI must 31/12/2008 be revised on the Statement of Purpose, Service User Guide, Complaints Procedure, and all key documentation, so as to provide up-to-date contact details for the CSCI. These should be: CSCI Regional Contact Team, 4th Floor Caledonia House, 223 Pentonville Road, London N1 9NG. Tel: 0207 239 0330 So as to provide users with the correct and up-to-date CSCI contact details. 2 6 15 A CPA review must be 31/12/2008 arranged for one client whose last review was in July 2007 and is overdue. So as to ensure that the clients mental health and support needs are being met. 3 20 13 For clients to be sufficiently protected from medication errors, all staff must undertake accredited medication training. For clients to be sufficiently protected from medication errors. 31/01/2009 Care Homes for Adults (18-65 years) Page 5 of 8 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 4 37 9 The home must apply to CSCI to complete the registration of the new manager. To asssure users, and other stakeholders, that the Home is being managed by a person who has proved their fitness to manage. 31/03/2009 5 42 13 In the interests of safety, the 31/12/2008 Home must provide certification of an inspection for legionella, of its water supply. To protect clients and staff from any infection from the watwer supply. 6 42 13 So as to evidence that clients 31/10/2008 and staff are being protected from the risk of fire, the Homes responsible individual must ensure that a record of all the Homes fire drills is maintained. To evidence that the safety of clients and staff is being protected. Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
