Inspection on 15/05/07 for Chant Square (15 &17)

This inspection was carried out on 15th May 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chant Square (15 &17) 22/05/06

Chant Square (15 &17) 19/12/05

Chant Square (15 &17) 21/04/05

Chant Square (15 &17) 09/12/04

Chant Square (15 &17) 04/05/04

Chant Square (15 &17) 29/09/03

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 Chant Square (15&17) 15 & 17 Chant Square Stratford London E15 4RT Lead Inspector Sarah Greaves Unannounced Inspection 15th May 2007 12:00 Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 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 Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 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. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chant Square (15&17) Address 15 & 17 Chant Square Stratford London E15 4RT 020 8519 0551 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) East Living Limited Mrs Harpavan Sonia Sandhu Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd May 2006 Brief Description of the Service: 15-17 Chant Square is a registered care home for people with a learning disability. The home comprises of a seven- bedded unit (no.15) and a one bedded flat (no.1). The home is situated in Stratford, close to local shops, amenities and public transport facilities. The home occupies two ordinary domestic properties in a residential street. East Living manages 15-17 Chant Square, which is a local care provider and housing association. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted in one day. The inspector met the residents of both 15 and 17 Chant Square, and also gathered information through a variety of methods (direct and indirect observations, discussions with the registered manager, a deputy manager, care staff and the cook, as well as reading care plans, documents, policies and procedures, and staff records). The home’s storage and administration of records was checked and all rooms within the premises were viewed. What the service does well: What has improved since the last inspection? Six requirements and two recommendations were issued in the previous inspection report. The service has evidenced that daily food temperatures are being undertaken and issues in regard to the training of bank support staff have now been resolved. Residents are more actively accessing advocacy style groups (access had been limited due to general community resources), which will assist them to contribute their views about the quality of the service at Chant Square. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 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 Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that the service has properly identified their needs, and has effective systems in place to offer trial visits and suitable information about the home. EVIDENCE: The inspector looked at two randomly chosen care plans during this inspection. Each care plan evidenced that the needs of the residents were fully assessed prior to moving into the home for a trial period. The inspector has previously viewed the level of preparation undertaken by the service in order to assist a prospective new resident and found it to be very detailed (such as facilitating numerous visits to the home for the prospective new resident as well as meeting relatives, day centre staff and any other relevant persons or organisations). Residents were provided with a comprehensive contract, which was presented in a suitable pictorial format. This was given to residents (and shared with their representatives), along with other useful information such as a residents guide and complaints procedure. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assured that their needs will be recognised and appropriately planned for, including their entitlement to make choices about their lives. EVIDENCE: The inspector read two care plans on this inspection visit. The care plans were of a good standard and were up-to-date with on-going assessments and reviews. The service undertook the care plans using a ‘person centred approach’. The registered manager has demonstrated a good awareness of the needs of all of the service users in regard to making meaningful choices, particularly as some of the residents are not able to communicate verbally. The residents are supported to attend an advocacy organisation ‘People First’, which meet fortnightly. Residents have also been assisted to join external groups and classes that promote self- advocacy, greater independence and decisionChant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 10 making. The service uses pictorial cards for menu planning and grocery shopping lists; the registered manager demonstrated the plans for a new chart with the photographs of all of the staff, which would also be used as a reference aide. The inspector noted that some residents were very able to verbally communicate their needs, and they appeared relaxed and confident when speaking to management and care staff. The risk assessments were suitably written and up-to-date. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered good support to participate in activities and join in with community life. The food service is very good; although the home needs to make sure that fresh fruit is available. EVIDENCE: The inspector gathered information about residents’ activities through reading the care plans, talking to residents and to the registered manager. The inspector, whilst approaching Chant Square, observed that a resident was on her way out for a trip with a member of staff; this was confirmed to be a shopping and café visit in Stratford. A number of the residents were out during the earlier part of this inspection attending day centre groups or spending time with staff. Residents took part in activities such as trampolining, hydrotherapy, aromatherapy, drama and music groups, swimming and trips to local amenities (pub lunches, restaurants and hairdressers). The home has a volunteer who visits once a week to support residents with arts and crafts. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 12 Residents had planned and booked their summer holidays, apart from one resident who stated to the inspector that she had not yet decided where to go. The service evidenced that residents were supported to maintain external relationships and friendships. Residents were supported to visit relatives and the home welcomed visitors. The individuality of residents was recognised, such as supporting people to meet their cultural and religious needs. The inspector noted that the food was very good. The cook baked homemade cakes every week and there was a wide, balanced choice of cereals, biscuits, crackers, fruit cordials and other snacks. The home had run out of fresh fruits on the day of this inspection although there was fruit juice. This issue was rectified during the inspection. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well supported with their personal care and health care needs; however, the service needs to ensure that the ‘My Health Matters’ documents are completed. EVIDENCE: The care plans for residents demonstrated that their personal care and heath care needs were identified and addressed. Residents confirmed that they were appropriately supported with personal care, in a manner that met their preferences and needs. The inspector noted that the service had not completed the ‘My Health Matters’ booklets; the registered manager stated that two staff were waiting to be booked on to the next training provided by the local Primary Care Trust. No issues of concern were identified in regard to residents’ access to hospital and community health services. The inspector observed that staff did not consistently use a black pen for signing medication charts; there had been some improvement. Another issue found at the last inspection was the storage of prescribed topical lotions and creams in a prominent place within residents’ rooms (could be accessed by another resident). The inspector was informed that the service was introducing Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 14 lockable medication cabinets in each resident’s room, which would offer a secure place for the storage of their prescribed items. It was noted that there were prescribed items brought into the care home by the district nursing service that had now expired (sterile dressing materials). The registered manager was advised to notify the district nurses so that suitable arrangements could be made for disposal. The service appeared to have a good relationship with the district nurses, who presently visit every few months to review the clinical needs of some of the service users. The district nurses had recorded that a resident’s skin was being kept intact due to the very good care given by staff at the home. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to express their views and concerns, and are supported by staff with appropriate training. EVIDENCE: The service produced a suitably presented complaints procedure; the inspector observed that some of the residents would be able to make a complaint if they wished to. The service possessed appropriate guidance regarding safeguarding adults from abuse and staff had received training. A requirement was issued in the previous inspection report for the service to provide written guidance to staff regarding the social care organisations that they could whistle-blow to; this had been achieved. No issues of concern were identified at this inspection. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a comfortable and pleasant home. EVIDENCE: The premises are divided into two separate units; a ground floor sevenbedded unit at number 15 and a first floor one bed-roomed flat at number 17. The premises were found to be welcoming and homely. The registered manager stated that she was waiting for funding to buy new furniture for the communal areas at number 15; the inspector noted that new furniture had been purchased at number 17, which looked very smart. There were no specific issues of concern regarding the premises, other than general wear and tear, exacerbated by wheelchairs knocking against walls and doors. Residents were noted to have very pleasant bedrooms, which were personalised and decorated in pastel shades. The inspector was previously informed that residents chose their favourite colours for their rooms. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 17 The premises were clean and free from any offensive odours. The inspector was informed that arrangements had been made for the carpets to receive a periodic cleaning treatment. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assured that staff that have been safely recruited, appropriately trained and regularly supervised will support them. EVIDENCE: The inspector looked at a randomly selected sample of staff files. It was noted that staff had been properly recruited, in accordance to the Care Homes Regulations. Staff records evidence that staff received a comprehensive training package, which included induction training, training focused upon the needs of people with a learning disability, general mandatory training (such as moving and handling, and first aid) and National Vocational Qualifications (NVQ) in Care. The service demonstrated that staff were accessing NVQ level 3, following successful completion of level 2 (or exemption from level 2 based upon prior training and experience). The records for supervision demonstrated that staff received a good quality of regular supervision. Two requirements were issued in the previous inspection report in regard to training for bank staff; these requirements have now been deleted. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 19 Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a service that has now improved to a good standard; however, improvements must be made by the registered provider to ensure that the home is properly monitored and supported. EVIDENCE: The registered manager demonstrated that this service has steadily improved. It was acknowledged by both the registered manager and the inspector that there are still improvements that need to be attained, such as the further development of staff confidence and competence. However, the service demonstrated that residents are benefiting from more active participation in the local community, activities at home, better care planning and more focused guidance for staff. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 21 A requirement was issued in the previous inspection report for the registered manager to explore ways of enabling residents to become more involved in expressing their views about the service. As previously stated within this report, residents are supported to attend advocacy groups and the service involves them in the care planning process, through ‘person centred planning’. This requirement has been deleted. A requirement was issued in the previous inspection report for the registered provider to ensure that the monthly- unannounced monitoring visits are undertaken, in accordance to the Care Homes Regulations; this requirement was not met. In the past twelve months, it appeared that only eight of these visits occurred. The inspector noted that the reports were very detailed and of a quality to achieve improvements to the service. This requirement has been repeated for a second and final time. The inspector checked the service’s compliance with health and safety practices. The only issue of concern was that the service had not conducted a fire drill since November 2006. A requirement has been issued in this report. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 2 2 X Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 23 YES 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 YA41 Regulation 26 Requirement The Registered Person must ensure that the unannounced monthly monitoring visits are undertaken every month and a report is issued to the service. This is a repeated requirement. The Registered Manager must ensure that fire drills are conducted at least four times per year. Timescale for action 30/06/07 2. YA42 13 30/06/07 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. 2. Refer to Standard YA17 YA19 Good Practice Recommendations The home should make sure that there is always a supply of fresh fruit for residents. The registered manager should liaise with the Primary Care Trust for support to complete the health records. This task needs to be addressed as an important issue for residents. Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Chant Square (15&17) DS0000022832.V337782.R01.S.doc Version 5.2 Page 25 - 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. 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