Inspection on 02/12/05 for Carlene House

This inspection was carried out on 2nd December 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

Carlene House 27/03/07

Carlene House 25/08/05

Carlene House 14/12/04

Carlene House 14/06/04

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 Carlene House 17 Woodcote Valley Road Purley Surrey CR3 3AL Lead Inspector Claire Taylor Unannounced Inspection 2nd December 2005 12.30p Carlene House DS0000025762.V271742.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 Carlene House DS0000025762.V271742.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. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Carlene House Address 17 Woodcote Valley Road Purley Surrey CR3 3AL 020 8668 7676 020 8669 6041 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) Fircroft Services Limited Mrs June F Woodrow Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th August 2005 Brief Description of the Service: Carlene House is a detached care home for ten adults with learning disabilities, aged between 18 years and 65 years. Situated in a quiet residential area of Purley, the home is well placed to access local transport links, amenities and resources. The home consists of ten single bedrooms, a good-sized lounge and dining area with an activities room on the second floor. The kitchen is spacious and there is a laundry room on the ground floor. Access to the first and second floors of the home is via a set of stairs. There are sufficient numbers of bathroom/shower and toilet facilities located throughout the home to meet the service users needs. The large landscaped garden is set out over two levels, with a raised lawn and patio area equipped with tables and chairs and barbecue facility. All service users attend day services and employment and the home offers a varied and structured programme of activities and outings. The home does not provide its own transport but supports service users to fully access various public transport services. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the home’s second for the year and took place during late afternoon. The home received a very positive report for the previous inspection (August 2005) and has once again showed consistency in its application of the National Minimum Standards as well as a commitment to improve upon standards. Inspection time was spent talking to the service users, the manager and the two staff on duty. A brief tour of the home took place and various records were looked at. Towards the end of the visit, two relatives arrived at the home and also gave their views. All those who took part in the inspection process are thanked for their time and comments. A selection of standards was assessed on this occasion. Other key standards were assessed at the home’s previous inspection in August 2005 and the reader is therefore referred to that report should they require any further information. What the service does well: This home continues to be run to an exceptionally high standard and service users continue to benefit from good quality care. The service focuses strongly on service users’ choice and independence. Service users’ rights and responsibilities around the home are clear. People living in the home are able to have influence on how the home operates. Carlene House is again commended for exceeding some standards, specifically in relation to activities for the service users. Service users lead fulfilling lives, both in the home and through being active members of the local community. There are many social activities offered in a variety of ways to service users that are based upon their needs and choices. Service users appeared relaxed and comfortable in their home. Individuals spoken to were complimentary about the staff and good activities provided such as parties and outings. Christmas preparations were well underway and the service users were looking forward to various planned Christmas events. Care plans set out well the individual needs of each service user and how staff members should meet these needs. The home continues to be kept clean, safe and decorated to a good standard so that service users live in comfortable and homely surroundings. The manager is knowledgeable and experienced and provides good support and leadership to a stable staff team who clearly understand the service users needs. Two visiting relatives gave highly complimentary views about the home and the way it is run. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 6 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. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 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 Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X None of these standards were assessed on this occasion. Standard 2 was assessed as met at the August 2005 inspection. EVIDENCE: Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 The care planning process is well managed and ensures a very personalised and consistently high level of service provision for the people living in the home. Staff encourage service users to make decisions about their lives that maximises their involvement and opportunities to contribute to the operation of the home. Service users are provided with the necessary support to take risks so that independence is maximised as far as possible. EVIDENCE: All of the service users have a plan of care that reflects their identified needs. Records sampled indicated that service users are fully involved in their individual planning meetings and supported to achieve their personal goals and aspirations. A review meeting for one service user was being held during this inspection and both the service user and their relative are thanked for inviting the inspector to sit in for part of the discussion. It was clear that staff work closely with each individual, their family and significant others, such as the day service, to ensure their preferences are responded to appropriately and the people important to them are involved with their planning of care. Daily records are also kept which highlight progress; achievements and any activities participated in. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 10 Service users’ care plans are reviewed on a six monthly basis, and provide detailed information relating to users’ support needs and short-term goals throughout the year. Person centred planning continues to progress further and each service user now has a health action plan booklet. Pictures, symbols and photos are included to make them more accessible to those service users who have limited verbal communication. This is good practice, making the care plan more meaningful to them and valuing their input to it. Records show that staff encourage and promote independence in all aspects of people’s lives. Staff have a good awareness of their role and responsibilities in taking on an enabling role when supporting residents. There were examples of specific programmes that had been developed to guide staff. Support is often given on a one to one basis, offering service users quality time with their key worker staff. Through regular house meetings with service users, relevant issues are discussed concerning all aspects of life in the home and in relation to individual needs. E.g. Recent discussions centred around forthcoming Christmas activities / events based upon service users choices and personal preferences. Care plans illustrate detailed risk assessments for each service user that are reviewed regularly and show that action is taken to minimise risk, whilst encouraging independence for individuals. These cover a variety of different areas for each individual, for example, cooking and going out in the community. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 13 Planned around their needs and preferences, service users benefit from an excellent choice of recreational activities and fulfilling lifestyle both within the home and local community. Standards 15,16 and 17 were assessed as met at the August 2005 inspection. EVIDENCE: Carlene House places a strong emphasis on community presence and involvement for the service users for which the home is again commended. Records and observation showed that service users are offered choices of activities and supported to engage in their preferred interests and hobbies. Activity plans are flexible so that daily programmes can alter if service users wish to do something different. The home does not have its own transport but service users regularly use public transport services including bus, tram and train. Community activities include swimming, social clubs, Rangers group, bingo, horse riding, trips to local pubs and restaurants. The home offers a wide range of in house entertainment facilities such as television, videos, music system, art and craft activities and jigsaws, computer and board games. Meetings are held monthly for the service users. Minutes showed that service Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 12 users have opportunities for discussing and planning activities. Records showed that the home values cultural and racial diversity for service users. One example being a “black service users working group” organised for one individual through his day centre. Additionally, service users are supported to follow their chosen religion and attend a place of worship as they so choose. All the service users went on holiday to Spain in September and were in the process of planning various Christmas activities including the home’s party and outing to the pantomime. Service users spoke favourably about these events and it was clear that their views have an influence on the way the activities are organised and the way the home is run. Service users returned from their respective colleges and day centres during the course of the inspection. On arrival, staff supported individuals to follow their chosen interests and routines. In view of the extensive activities provided and concise standard of record keeping, standards 12 and 13 have again been assessed as exceeded on this occasion. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 Promotion of health is well observed. Service users welfare is closely monitored to ensure that their physical and emotional needs are met. Medication is well managed to maintain maximised good health. Standard 18 was assessed as met at the August 2005 inspection. EVIDENCE: Records examined confirmed that arrangements were in place for meeting healthcare needs. Service users are supported to access a range of NHS facilities e.g. GP, Consultant, dental, chiropodist, optician and physiotherapy services. “Health action plan” record books are in place for each service user and were in the process of being finalised. Information relating to personal and healthcare needs including both routine and one off health interventions were well recorded. Care plans and specific strategies identify individual and specialist needs, which also reflect any changing needs. Detailed records were in place and involvement with specialist services highlighted where necessary. Medication administration sheets were noted to be accurate and staff have undertaken accredited training. The home receives three monthly audits from the pharmacist to further ensure that medication practices are undertaken appropriately. Records showed that no concerns have been highlighted. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 14 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 and 23 Arrangements for complaints and protection from abuse are well managed and ensure that service users feel listened to and safe. EVIDENCE: The complaints procedure contains all of the relevant and necessary information and is readily available to the people who live there, their relatives and other visitors. A log of complaints is kept in a book and no complaints had been made about the home since the last inspection. Service users are aware of who to go to if they feel unhappy and are provided with the necessary support to air their views or concerns. The manager has completed Croydon’s Training for Trainers adult protection course, and is able to deliver this training to the home’s staff. Records confirmed that staff are properly inducted on abuse awareness and policies and procedures regarding the protection of vulnerable adults. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 15 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 and 30 The home is maintained, decorated and furnished to a high standard which provides service users with comfortable surroundings in which to live. Facilities are clean, safe and homely. EVIDENCE: On this occasion, the communal areas and three bedrooms were viewed. The standard of cleanliness and hygiene throughout Carlene House remains highly maintained. Service users have been consulted and involved with arranging the décor in the home. For example, there are photographs of occasions such as holidays, birthday parties, family and friends as well as various art and craft creations in the lounge and dining area. Likewise, service users are encouraged and supported to personalise their rooms according to their preferences. Rooms viewed clearly reflected service users individuality and identified needs. At one service user’s request, their bedroom has been repainted in a colour of their choice. To enhance independence, service users are supported to participate in household cleaning tasks on a daily basis. Individual care plans reflect their choices and the home has an “independent living skills rota”. As previously recommended, the manager has written to the Environmental Health Department to arrange an inspection of the premises. At the time of this visit, the home was awaiting a response and this will therefore be followed up at the home’s next inspection. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 16 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): 32, 33 and 34 Service users benefit from a competent and knowledgeable staff team, who are provided with the necessary training and guidance to support their needs. Recruitment practices are securely managed to maximise protection for the service users. Standard 35 was assessed as met at the August 2005 inspection. EVIDENCE: Valuably, staff turn over at the home remains low resulting in stability and consistency of care for the service users. The manager reported that one staff had left since the last inspection. Service users appeared comfortable, and staff members have clearly established positive and cooperative relationships with each individual. Staff are provided with good support and the necessary training to meet the service users collective and individual needs. Examples include training in Makaton signing and the management of epilepsy. Since the last inspection, two staff have attended a conference on epilepsy to keep up to date on current issues and practice. Regular staff meetings are held on a monthly basis and in depth consultations about the home’s care practices and service users needs are routinely discussed. Records and observation showed that good communication processes are upheld in this home. Service users feedback on staff was very positive and observations showed that staff respect their individuality as well as demonstrate an understanding of their specific needs. The home was previously required to ensure that a new CRB/POVA Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 17 check is obtained before new staff commence work. I.e. checks are not transferable between employment. It was reported that the staff concerned has since left voluntarily so their particular records could not be checked. Recruitment practices are well managed however and the home has amended its policies to ensure that new police checks are carried out on any future employees. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 18 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): 37 The manager has good experience and professional qualifications relevant to managing the home which means that service users benefit from a well run home. Standards 39 and 42 were assessed as met at the August 2005 inspection. EVIDENCE: The home manager has been in post since the home first opened and has acquired relevant qualifications and extensive training needed to run this home. Mrs Woodrow has achieved an NVQ level 4 qualification in management. Once again, positive comments about the leadership and management style of the home were received from service users, staff and the two visiting relatives. Both staff members and service users were observed to enjoy respectful and open relationships with the manager. In addition, there was an open and inclusive atmosphere in the home and service users appeared comfortable and relaxed when interacting with the manager. Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 19 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 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Carlene House Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000025762.V271742.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No. 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 Carlene House DS0000025762.V271742.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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. 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