Inspection on 26/12/05 for Charis

This inspection was carried out on 26th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Charis 05/03/07

Charis 14/09/05

Charis 26/01/05

Charis 26/07/04

Similar services:

Agar Grove & St Augustine`s Alcohol Treatment & Rehab

Herbert Street

Haven (The)

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

CARE HOME ADULTS 18-65 Charis 31 Mile End Road Mile End London E1 4TP Lead Inspector Seka Graovac Unannounced Inspection 26th December 2005 10:45 Charis DS0000010294.V274326.R02.S.doc Version 5.1 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 Charis DS0000010294.V274326.R02.S.doc Version 5.1 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. Charis DS0000010294.V274326.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Charis Address 31 Mile End Road Mile End London E1 4TP 020 7790 3040 020 7702 8251 charis@thmission.f9.co.uk 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) Tower Hamlets Mission Mr Andrew R. Bannell Care Home 8 Category(ies) of Past or present alcohol dependence (8), Past or registration, with number present drug dependence (8) of places Charis DS0000010294.V274326.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14th September 2005 Brief Description of the Service: Tower Hamlets Mission was established in 1870 by Frederick Charrington, heir to a brewer’s fortune. It was set up as a charity by the Charity Commission in 1938, following his death. Charis opened in 1988. The word Charis means grace in the ancient Greek language. The Registered Provider, Tower Hamlets Mission aims to enable people who suffer from alcohol and/or drug dependency to break the cycle of chronic addiction and rebuild purposeful, stable lives through the provision of high quality, comprehensive residential therapy and rehabilitation. Charis Primary Programme is registered with the Commission for Social Care Inspection for provision of care and support to up to eight males with chronic addiction problems associated with alcohol or/and drug dependency. The Programme is six months long. Charis aims to assist its service users: to maintain abstinence as the foundation for a new life in recovery, to develop a more positive mental and emotional way of life, to develop a positive spirituality, to address any outstanding practical matters that need attention and to develop recreational and social activities in recovery. The Programme uses the Twelve Steps framework embracing the spiritual as well as physical, emotional, mental and social dimensions of a person. Apart from the Primary Programme, Charis provides move on accommodation on site in The Charis Second Stage and The Charis Terrace. The premises are situated in the heart of London’s East End, in a quiet close set back from the Mile End Road. The surroundings are peaceful and contemporary. The central feature of a light well and a courtyard with a small fountain and pool give light, a sense of space and a feeling of peace to the building that houses the Primary Programme. There is a Chapel for prayer and meditation. There are good public transport links and other community facilities within walking distance. The staff team and the management are experienced, skilled and committed to the development of the service, service users and themselves. Charis DS0000010294.V274326.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted on the Boxing Day 2005. It lasted under two hours. Its main aims were to check on the project’s compliance with two requirements that had been identified at the previous inspection and also to assess the project’s performance against the core standards that were not covered during the visit in September 2005. The only staff member on duty was the project’s Deputy Manager. The inspector spent some time talking with him as well as looking through the records such as: medication records, service users’ and staff files. The inspector also spoke to three service users who were in the building at the time of the inspection. She spoke to one person individually and had a discussion about the service with two other people together in the lounge. The inspector visited the communal areas of the home, including the kitchen. What the service does well: The service users were very complimentary about the project and the staff working in Charis. These were some of the comments they made in their conversations with the inspector: “This place is tip-top”, “This is a five-star service”, “You cannot find a better place”, “Staff are amazing”, “Staff are great”, “Very kind staff”, “Rules are not dismissed, but I feel so individual”, “People are genuinely bending over trying to reach me”… The other inspection methods used also indicated that the Charis continued to provide the service of a very high quality standard. No requirements or recommendations were made at this inspection. The project was either meeting or exceeding the assessed National Minimum Standards. All examined records were appropriately kept as required. The recruitment process was thorough. The staff were qualified and worked to a high professional standard. The environment was spotlessly clean, tidy and tastefully decorated to celebrate Christmas. Charis DS0000010294.V274326.R02.S.doc Version 5.1 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. Charis DS0000010294.V274326.R02.S.doc Version 5.1 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 Charis DS0000010294.V274326.R02.S.doc Version 5.1 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): 0. Not assessed on this occasion. EVIDENCE: All standards regarding Choice of Service were assessed as either meeting or exceeding the National Minimum Standards at the previous inspection. Charis DS0000010294.V274326.R02.S.doc Version 5.1 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): 0. Not assessed on this occasion. EVIDENCE: All standards regarding Individual Needs and Choices were assessed as fully meeting the National Minimum Standards at the previous inspection. Charis DS0000010294.V274326.R02.S.doc Version 5.1 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 the following standard(s): 17. Service users enjoyed their meals. Food was stored and prepared in accordance with the best practice. EVIDENCE: The kitchen was clean and well organised. Food was appropriately stored, labelled and dated as required. The Deputy Manager was preparing a “traditional “ Boxing Day meal: Gammon with Baked Potatoes and Cumberland Sauce and Winter Vegetable Mash with Buttery Crumb. Trifle and Xmas pudding were to be served afterwards. The food looked delicious. The menus were displayed indicating variety of meals being offered to service users. The dining area was tastefully decorated to celebrate Xmas. Arrangements with pillar-candles surrounded by dry lotus-flower pods and ornamental pines were on the dining table. The inspector was told that 22 people had their Xmas meal sitting together at the same table. The service users were very appreciative of the effort the staff made to make their Xmas special. One Charis DS0000010294.V274326.R02.S.doc Version 5.1 Page 11 service user told the inspector: “You don’t have to earn your way in. You are respected just as you are.” Charis DS0000010294.V274326.R02.S.doc Version 5.1 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 the following standard(s): 18, 19 and 20. Service users received the appropriate personal and healthcare support. EVIDENCE: All service users were registered with a local surgery. Information regarding healthcare services during holiday period was displayed in the office. Information regarding dental emergencies was also displayed. The inspector was informed that none of the service users needed personal care. The service users benefited very much from the emotional support the project was providing to them. They were engaged in a structured programme that facilitated all areas of personal development. The Project holds daily group therapy meetings and recovery spiritual groups. Individual work includes “Life story”, “Stepwork” and counselling sessions with a Key-worker. Service users are also required to attend AA/NA (Alcoholics Anonymous, Narcotics Anonymous) meetings on a regular basis. The whole Project is focused on providing the best conditions for the service users to increase their awareness of underlying issues and self-understanding and fully engage in recovery. Breaking with the past and adoption of positive and Charis DS0000010294.V274326.R02.S.doc Version 5.1 Page 13 constructive attitudes towards the self, others and society were main purposes of the Primary Programme. One service user told the inspector that he has been dealing with very difficult emotions and “couldn’t have done it anywhere else”. The inspector examined some medication related records and found them to be appropriately kept. In accordance with the requirement made at the previous inspection, there was a lockable box in the office refrigerator used for the storage of medicines that needed to be stored on low temperatures. However, the inspector was informed that the service user whom the medicines belonged to, moved to the secondary stage of the programme (not regulated by the CSCI). Charis DS0000010294.V274326.R02.S.doc Version 5.1 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): 0. Not assessed on this occasion. EVIDENCE: Both standards regarding Concerns, Complaints and Protection were assessed as met at the previous inspection. Charis DS0000010294.V274326.R02.S.doc Version 5.1 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. Service users live in a homely, comfortable and clean environment that aids their recovery. EVIDENCE: The environment was spotlessly clean and tidy at the time of the inspection. It was designed and furnished well. The service users seemed comfortable and were using the space in a free way. The service users were very pleased with it. The inspector was informed that several new items such as: pool table, dishwasher, TV and DVD player have been bought for the service since the previous inspection. The project has also started recycling since the previous inspection. This included use of wormeries (recycling containers with worms in it) to create compost. Charis DS0000010294.V274326.R02.S.doc Version 5.1 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): 31, 32, 33 and 34. Service users were supported by professional and caring staff. EVIDENCE: The service users were very complimentary about the project and the staff working in Charis. These were some of the comments they made in their conversations with the inspector: “This place is tip-top”, “This is a five-star service”, “You cannot find a better place”, “Staff are amazing”, “Staff are great”, “Very kind staff”, “Rules are not dismissed, but I feel so individual”, “People are genuinely bending over trying to reach me”… The inspector viewed staff files for three randomly selected staff. The records seen indicated that the recruitment procedure was thorough and included spiritual references as well as professional ones. Each staff file also contained job descriptions ensuring clarity of roles and responsibilities. The staff titles also indicated that the individual staff covered variety of roles and the team was very flexible. One service user commented positively about the management washing up the dishes on Xmas day and the effect that had on his own relating to himself and other people. The examined staff files also contained copies of staff qualifications and training records. The staff qualifications and the experience were listed in the project’s statement of purpose. The care team consisted of ten staff, some of Charis DS0000010294.V274326.R02.S.doc Version 5.1 Page 17 whom were counsellors and had senior roles and some were care assistants. The majority of staff had degrees and various other qualifications related to counselling. The inspector calculated that among themselves the care staff team had almost a hundred years of experience in addiction/homelessness field. The staff turnover was very low. The duty roster was displayed in the office. There was only one staff member (the project’s Deputy Manager) on duty at the time of the inspection. He told the inspector that there was usually one staff member on duty at weekends and bank holidays. The inspector was informed that this practice never posed a problem and the Deputy was confident that the project was adequately staffed. The majority of service users were out of the building at the time of the inspection. Charis DS0000010294.V274326.R02.S.doc Version 5.1 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 project was run in the best interest of service users. EVIDENCE: The Registered Manager was competent, qualified and experienced. He had Bachelor Degrees in Law and Philosophy/ Theology as well as Diploma in Social Work and Residential Care Manager Award. He was supported by the Charity Secretary, two administrators and the Deputy. The Deputy Manager completed the training and the evidence gathering for the Residential Care Manager award and was awaiting to be formally notified. He also had various counselling qualifications and many years of relevant experience. The project continued to function well in the Manager’s absence. No requirements or recommendations were made at this inspection. The project continued to provide a high quality standard of service and improve. The service users had very positive experience of the project. They were fully supported to recover from addiction and adopt more fulfilling lifestyles. Charis DS0000010294.V274326.R02.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X X X X X X Charis DS0000010294.V274326.R02.S.doc Version 5.1 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 Charis DS0000010294.V274326.R02.S.doc Version 5.1 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Charis DS0000010294.V274326.R02.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!