Inspection on 30/06/05 for Chadwin Road (81-83)

This inspection was carried out on 30th June 2005.

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 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

Chadwin Road (81-83) 05/08/08

Chadwin Road (81-83) 06/12/06

Chadwin Road (81-83) 28/11/05

Chadwin Road (81-83) 29/11/04

Chadwin Road (81-83) 19/07/04

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 81 Chadwin Road 81 Chadwin Road Plaistow London E13 8ND Lead Inspector Nurcan Culleton Unannounced Inspection 30th June 2005 10:00am 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. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 81 Chadwin Road Address 81 Chadwin Road, Plaistow, London, E13 8ND 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) 020 7474 8378 020 7474 8378 Consensa Care Limited Mrs Chipo Kiss Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 29th November 2004 Brief Description of the Service: 81 Chadwin Road is a home owned and managed by Consensa Care and situated in a residential area off the A13. It provides support for 3 people with severe or enduring mental illness who have 24 hour support needs. Whilst the placement is permanent, support is offered with the aim to encourage service users towards independent living. The service does not cater for service users with with organic brain disease, learning difficulties or dementia. People with a history of serious risk to themselves or others or who require high levels of nursing care are also not accepted. The home is next door to 83 Chadwin Road, registered under the same organisation for the same number and category of service user. The service users from both homes often socialise and engage in activities together. There are plans to merge these two homes to make one larger home. Planning permission from the Local Authority has been obtained for this purpose and the organisation will also make a formal application to the CSCI. The home has recently been managed by an acting manager following the resignation of the previous Registered Manager. The plans are for the acting manager to become the permanent Registered Manager. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 30th June and lasted over four hours. The inspector interviewed the acting manager, two service users and two members of staff. The inspector examined essential records in the home and toured the premises. What the service does well: What has improved since the last inspection? What they could do better: Eight requirements have been given following this inspection. The home must provide service users with written information about the home through its Statement of Purpose and Service Users’ Guide. This information enables users of the service to judge the quality of service provision against the stated aims, objectives and services specified by the home. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 6 Several documents and certificates including the health, safety of the premises and management functions of the home (including business plan) were at head office. As a result, the quality of these documents and the health and safety of service users could not be sufficiently assessed. Copies of these documents must be available for inspection, as well as other key documents also missing (to be updated at head office), including the Statement of Purpose and Service Users’ Guide. Policies and procedures must be updated, a requirement from the previous to last inspection. Some decoration is required. 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. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4, 5 Service users needs are assessed prior to admission. Service users ‘test’ the home through a visit and a trial stay prior to admission. Service users have individual written contracts. Service users must have written information about the home prior to and following admission. EVIDENCE: The Statement of Purpose and Service User’s Guide were seen at the last inspection and were said to contain all items in Schedule 1 and Regulation 5. They were therefore not however available for this inspection as the Acting Manager informed that the documents were at Head Office. This was in order for them to be updated to reflect changes within the organisation. Copies of the S.U.G had not been given to service users. Service users spoken to confirmed they had visited the home prior to their admission. Pre-admission assessments were inspected in files. Signed contracts were also seen in files. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9, 10 Service users know their assessed needs which are outlined in their Individual Plans. Service users are involved in making decisions about their own lives and of the activities in the home. The home has a positive ethos to risk taking in service users’ lives. EVIDENCE: Assessments completed by social workers were available in files. Individual care plans were comprehensive and detailed. They contained service users’ identified needs, the desired outcome in the plan and the action required to meet the objective. Individual plans were signed by service users. Essential service users’ documents were signed by them. Records showed that service users are involved in decisions made in the home. The home runs a weekly Express Yourself Group for service users and monthly residents meetings. Minutes seen showed active consultation with service users. All service users are involved in communal meal preparation, shopping for milk, bread and newspapers, gardening and cleaning. A service users’ rota for shopping was seen in the lounge. Service users are involved in interviewing prospective support workers, whom the organisation refers to as rehabilitation associates. Risk assessments seen in files and activities supporting individuals to become independent showed a positive attitude towards risk taking. Confidentiality is maintained and service user files are kept secure. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.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) 11, 12, 13, 14, 15, 6, 17 Personal growth and development is encouraged. This is evident in group and individual leisure and learning activities. Personal friendships and family contact are encouraged and maintained. Service users’ rights and responsibilities are respected. EVIDENCE: Records examined and discussion with service users showed that appropriate leisure interests are pursued and service users are given opportunities for personal development. An activities book was inspected containing daily logs of group activities including swimming, group outings, dancing, meals out, picnics and parties. Service users resident in the house are Christian and a weekly church service is provided by a visiting local pastor. Personal development is encouraged through sessions in budgeting, meal preparation (with one to one support) and assistance with shopping. Service users are encouraged to attend college courses and are expected to commence courses starting in September this year. Service users have been referred to the Day Opportunities Centre for people with mental health needs. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 11 The main ‘assisted’ meal is at lunch time and the menu seen was varied and nutritious. Contact is maintained with family and friends. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.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, 21 Service users’ wishes regarding the personal support they receive are respected and maintained. Service users’ physical and emotional health needs are met. Service users’ medication is handled appropriately. EVIDENCE: Individual Plans outline personal support needs including service users’ wishes. An appointment diary registered all health appointments and a variety of appointments are maintained, including clinic appointments for depot injections, dental appointments, smoking clinic, hospital and GP appointments and CPA meetings. Emotional support is offered by staff and the CPN who offers fortnightly sessions for service users based at the GP surgery. The Boots (M.D.S) medication system is used. The MAR sheets examined were in order. Service users are encouraged to administer their own medication. Boots have previously provided medication training and are due to provide further training for all staff next week. New staff who have not received this training are closely monitored when assisting with medication. Service users’ files contained signed statements regarding their views on arrangements in the event of illness or death. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.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 Service users’ views are encouraged, listened to and acted upon. Staff are knowledgeable in adult protection issues and practices ensure that service users are protected from abuse and neglect. EVIDENCE: The complaints policy and book was examined. The complaints policy is written in a format accessible to service users and was displayed throughout the home, including service users’ rooms. The policy is appropriate and there were no recorded complaints. The service users confirmed to the inspector that they were happy with the service and no formal complaints had been made. Staff spoken to said that service users were satisfied with the service. Service users informed that they knew how to complain and that the issues they raised were responded to in most cases. The home has a satisfactory Adult Protection policy and staff spoken to demonstrated that they were familiar with its contents and of adult protection issues. Service users’ personal financial accounts were examined and deemed to be accurate. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.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 Bedrooms are personalised and service users live in a clean, homely environment, however some decoration is required. EVIDENCE: Service users each have their own bedrooms. Two bedrooms were seen. Bedrooms were clean with personalised items shown to the inspector, including personal possessions and items of furniture. Service users are encouraged to maintain their own rooms. One service user did not like the colour on her bedroom wall and had put in a request for a change of colour. The home had not yet responded to this. The acting manager informed that there was a hold on decoration due to the planned merger of the homes. In the interim, service users must however continue to have their rights upheld according to the minimum standards. The top window in one service users bedroom opened up fully to the point where a risk could be present to service users in this bedroom. Window restrictors are required or alternatively, a risk assessment to demonstrate the safety of the present situation. The bathroom seen also requires decoration to the walls. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 15 There was not hot water in the bathroom at the time of inspection, however the acting manager had put in a maintenance request for this and was due to be acted upon the following day. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36 Service users benefit from staff with relevant previous experience of this service user group. Staff regular training and are clear of their roles and responsibilities. Service users are protected from the home’s sound recruitment policy and practises. Staff are well supported and supervised to understand and respond to the needs of the service user group. EVIDENCE: Two members of staff plus the acting manager are on duty at all times. Staff interviewed spoke positively of their work experience. Job descriptions were seen and staff files inspected were in order. The acting manager informed that four members of staff are new. They are all enrolled to embark on NVQ training programmes. One member of staff who holds an NVQ Level 2 certificate is due to start a Level 3 programme. The inspector viewed their files and observed that new staff had relevant previous experience in this field of work with positive references. The acting team leader who commenced employment a month ago confirmed that she had received good induction and that she was adequately supported to know her duties and responsibilities. The second member of staff spoken to confirmed the same. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 17 Staff are regularly supervised and the monthly supervision rota was seen on the old office wall. Service users reported that they were treated well and with respect by the staff and their needs were responded to. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 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 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) 37, 38, 39, 40, 41, 42, 43 Service users benefit from the positive leadership and management approach of the home. The home must evidence the health and safety of service users in the premises. The home must evidence its business and financial management functions to ensure the best interests of service users. Policies and procedures must also be updated to safeguard the best interests of service users. EVIDENCE: The staff informed that they had an open and positive relationship with the acting manager who offered them regular, ongoing support and supervision. The acting manager showed areas of strength and leadership, particularly in improving standards of service and outlining expectations of service delivery. A performance standards checklist devised by the acting manager to set standards and to address discrepancies of practise by staff was examined. This is used in supervision to identify strengths and weak areas and training needs identified. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 19 The acting manager has taken responsibility for assisting to compile Individual Plans with service users and their key workers where previously it was the responsibility of the Responsible Individual. Fire testing equipment are checked on a weekly basis. Aside from a recent P.A.T test, Health and safety certificates were said to be at Head Office and were not available for inspection. Also at Head Office was the Business Plan and financial accounts. Quality assurance monitoring reports were also unable to be inspected. These must all be available for inspection. In addition, the organisation must review its policies and procedures adopted from Marula, the old organisation. 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 20 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 1 3 3 3 3 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 1 3 1 3 2 N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 81 Chadwin Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 1 1 1 1 1 G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 21 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 1 Regulation 4, 5 Requirement The Responsible Individual must ensure that copies of the Statement of Purpose and Service Users’ Guide must be available for inspection. The Responsible Individual must ensure that all service users are issued with a copy of the Service Users’ Guide. The Responsible Individual is required to decorate the bathroom wall. The Responsible Individual is required to install window restrictors where windows open widely or to demonstrate that they are not necessary through the provision of a risk assessment. The Responsible Individual is required to decorate service users rooms to suit their preferred taste. The Responsible Individual must ensure that copies of quality assurance and monitoring reports are available for inspection at all times. The Responsible Individual must ensure that all policies and procedures are updated and Timescale for action 10th Nov 05 2. 1 5 10th Nove 05 10th Nov 05 10th Nov 05 3. 4. 24 24 23 13(4), 23 5. 26 23(2) 10th Nov 05 10th Nov 05 6. 39 26 7. 40 17 10th Nov 05 Page 22 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 renewed where necessary 8. 43 13(4) The Responsible Individual must ensure that a copy of the organisation’s business plan is available for inspection at all times. 10th Nov 05 9. 10. 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 Good Practice Recommendations 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ 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 81 Chadwin Road G57 G06 S58206 Chadwin Road81 V236453 300605 Stage 4.doc Version 1.40 Page 24 - 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. 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