Inspection on 10/11/05 for Chandos Road, 167 (Consensa Care Ltd)

This inspection was carried out on 10th November 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

Chandos Road, 167 (Consensa Care... 26/01/07

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Foxley Lane (121a)

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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 Consensa Care Ltd. 167 Chandos Road Stratford London E15 1TX Lead Inspector Lea Alexander Unannounced Inspection 11.00 10 November 2005 th Consensa Care Ltd. DS0000062699.V261912.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 Consensa Care Ltd. DS0000062699.V261912.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. Consensa Care Ltd. DS0000062699.V261912.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Consensa Care Ltd. Address 167 Chandos Road Stratford London E15 1TX 0208 552 8818 0208 471 9225 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) Consensa Care Ltd Mr Tendai Charles Hapaguti Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Consensa Care Ltd. DS0000062699.V261912.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First Inspection under National Minimum Standards Brief Description of the Service: 167 Chandos Road is a seven-bedded residential unit. It is owned and will be operated by the Consensa Care organisation that also operates several other residential homes in the area. The home is intended to offer residential care to service users with acquired brain injury. Although registered the home is not yet in operation, but hopes to open its doors to service users in the New Year. Consensa Care Ltd. DS0000062699.V261912.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a short, informal inspection during which the Inspector met with the Responsible Individual and toured the premises. 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. Consensa Care Ltd. DS0000062699.V261912.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 Consensa Care Ltd. DS0000062699.V261912.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): The home is not currently operational and to date has not assessed any prospective service users. EVIDENCE: The Consensa Care organisation has produced a statement of purpose and service user guides for its other homes and will be able to adapt these for use at 167 Chandos Road. Similarly its standard contract with service users could be adapted for use at the home. Consensa Care Ltd. DS0000062699.V261912.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): These standards could not be inspected, as the home does not currently have any service users. EVIDENCE: The Consensa Care organisation has developed individual service user planning and risk assessment tools, and will be able to review and apply these as appropriate at 167 Chandos Road. Corporate policies such as the confidentiality policy will also be adapted and applied at the home. Consensa Care Ltd. DS0000062699.V261912.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): These standards could not be inspected, as the home does not currently have any service users. EVIDENCE: Consensa Care Ltd. DS0000062699.V261912.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): These standards could not be inspected, as the home does not currently have any service users. EVIDENCE: The Consensa Care organisation has corporate policies regarding medication; self-medication and ageing that could be reviewed and applied to this home. Consensa Care Ltd. DS0000062699.V261912.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): These standards could not be inspected, as the home does not currently have any service users. EVIDENCE: The Consensa Care organisation has a corporate complaints and adult protection policies that can be reviewed and applied at 167 Chandos Road. Consensa Care Ltd. DS0000062699.V261912.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): These standards could not be inspected, as the home does not currently have any service users. However, the Inspector did tour the premises and found them to provide a range of shared and private space. EVIDENCE: The home is double fronted, extended Victorian terraced property. It has been extensively refurbished and currently provides a large entrance hall, two lounges - both of which are pleasantly furnished with a sofa, armchairs, coffee table, TV and stereo. There is a large kitchen with patio doors to the garden and a separate dining area that also has garden access. A small room off the dining area houses the freezer. There is a ground floor utility room that incorporates a WC. Two service users bedrooms are also housed on the ground floor, both of which have ensuite bathrooms. The home has installed portable ramp system that makes the entire ground floor wheelchair accessible. To the rear of the property there is a large garden currently laid to lawn. The responsible individual advises that the home intend to develop this as a sensory garden. The garden also houses a prefabricated building which currently houses the laundry facilities. The Inspector was advised of plans to convert this to an adjustable height training kitchen. Consensa Care Ltd. DS0000062699.V261912.R01.S.doc Version 5.0 Page 13 On the first floor there are a further five service user bedrooms and a small staff office. All the bedrooms and en suites have been kitted out with furniture and the responsible individual acknowledged that specialist furniture and equipment would need to be provided according to assessed need, as service users take up residence. The property also has a cellar area that has been treated and waterproofed and will be used as a document store. Consensa Care Ltd. DS0000062699.V261912.R01.S.doc Version 5.0 Page 14 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): These standards could not be inspected, as the home does not currently have any care staff. EVIDENCE: The responsible individual advised that recruitment for care staff would commence when the appointed manager takes up their post. Consensa Care Ltd. DS0000062699.V261912.R01.S.doc Version 5.0 Page 15 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): These standards could not be inspected, as the home is not currently operational. EVIDENCE: The home was registered in 2005. Consensa Care have previously provided residential care to service users with a history of long-term mental heath difficulties. This home aims to meet the needs of service users with acquired brain injuries and therefore represents a new direction for the organisation. The Manager appointed at the time of registration has left the organisation and the responsible individual advises that a manager with extensive experience of running a care facility for service users with acquired brain injury has been appointed and will take up post on the 14th November 2005. Upon taking up the post the Manager will have responsibility for appointing a deputy and other care staff, assessing referrals to the service and reviewing and developing policies and procedures to be implemented at the home. Consensa Care Ltd. DS0000062699.V261912.R01.S.doc Version 5.0 Page 16 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 X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Consensa Care Ltd. Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000062699.V261912.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? N/A 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 Consensa Care Ltd. DS0000062699.V261912.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford 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. 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