Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Chase (The) 165 Capel Road Forest Gate London E7 0JT The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anne Chamberlain Date: 2 7 0 1 2 0 0 8 Information about the care home
Name of care home: Address: Chase (The) 165 Capel Road Forest Gate London E7 0JT 02084787702 Telephone number: Fax number: Email address: Provider web address: tom@roselock.com Name of registered provider(s): Type of registration: Number of places registered: Alpam Homes care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 8 Over 65 0 Conditions of registration: The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 8 Date of last inspection Brief description of the care home The Chase is a residential home, which is registered for up to eight service users, with a learning disability. The home is situated within a short walking distance of Manor Park over ground station, and some local shops and amenities. The home is comprised of an older end of terrace house with a new double story extension at the rear. The home is owned by Alpam Homes, a local provider of care services. Fees at the home range from #1,250 - #2,000. Care Homes for Adults (18-65 years) Page 2 of 8 What we found:
This was a random inspection to monitor the homes compliance with the requirements made at the last key inspection in June 2009. The inspection was undertaken on behalf of the Commission for Social Care Inspection (CSCI) and the terms we and us will be used throughout. We viewed two service user files and the training records for staff in respect to First Aid training. We viewed the arrangements for the administration of medication. The registered manager of the home is currently on long term leave of absence and the home is being managed by another manager from within the organisation. This manager had introduced a comprehensive and sophisticated structure for the planning of care which she tells me is used throughout the other three homes in the group. The temporary manager told me that she does not have enough information written down about the service users to plan their care properly on paper. She stated that the home is currently relying on the knowledge which the staff, who have been at the home for some time, have of the needs of the service users and is if anything, erring on the side of caution where safety is concerned. We looked at the files for two service users. They both had a running file and a larger personal file. We noted that there is now a structure in place in the personal file for proper care planning. The file is divided into months and tasks are set out for each month to be achieved by the service user and keyworker, including appointments, review of care etc. However the manager stated that they need to undertake proper assessment before they can start to use the new model of care. She stated that she expects this to be done by six weeks time. We noted that key documentation had not been signed by service users, contracts and care plans. The manager agreed that this was the case and stated that service users and their families will be offered opportunities to sign all the new documentation. If they choose not to sign this will be recorded. There was no evidence on the files we inspected of written risk assessment. The manager agreed that this was the case. She said that in regard to safety the home was currently running on the knowledge of the experienced staff who know the service users well. She stated that by March (six weeks away) the risk assessments will be in place, based on reliable assessment information. They will be shared with service users who will be asked to sign them. We noted on service users files the documentation to support comprehensive healthcare, including monthly weighing. Although the appointments with specialists are spread across the year, there is a form at the back where all health appointments and the outcomes from them will be recorded together. Care Homes for Adults (18-65 years) Page 3 of 8 We inspected the arrangements for the administration of medication. The temporary manager stated that as of 9th March the home is going over to the Boots system, we saw this recorded in the house diary. She stated that she has written to the general practitioners advising them. We also saw a copy of the letter she has sent to the current pharmacy. She stated that this will include all necessary documentation including receipt of medications into the home, disposal of medications, spaces to record the reasons for the administration of prn (as required) medication. The staff will have training on 2nd March. They will be paid to attend and any staff who administer medication will be there. The temporary manager stated that she has instituted a procedure of two staff administering medication, one administering and one witnessing. The temporary manager stated that she is going to take the opportunity to start all service users on the same start date of the medication cycle, which will simplify things. We were shown a signature sheet for staff. We viewed the Medication Administration Record (MAR) sheets for two service users. The manager stated that after 9th March the MAR sheets will be prefaced with a photograph of the service user. We found no discrepancies with the medications of the service users. However we did note gaps on MAR charts including an occasion when a service user had missed two consecutive doses of a medication. The manager agreed that the current arrangements for the administration of medication do not meet the requirements made but stated that the requirements will be met when the Boots system is brought in, in March, including the writing of a policy which covers the full procedure. The complaints information carries an old address for the CSCI and the requirement has not been met. We noted that in the two files we inspected both carried photographs attached to their missing persons information. One sheet had the procedure to be followed on the back but one did not and the manager stated that she will add it. She also stated that the new files will carry a photograph at the front of the file. The cracked pane in the front window has been replaced. (The manager must ensure that all staff possess a valid first aid certificate (previous timescale of 31/08/06 and 15/01/07 and 01/12/07b not met). We inspected the training records for staff and saw the new training profiles which will be used, also two new First Aid Certificates. One staff member holds a three year certificate from 2007 and one from 4/3/06 which will need to be renewed this year. This requirement has been met. However the new 2008 certificates we saw which we were told last for 3 years, do not state this and we advised something should be attached to clarify the date on which they expire. What the care home does well:
The service has met requirements regarding a broken window pane, photographs of service users and first aid training for staff. Care Homes for Adults (18-65 years) Page 4 of 8 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 14 Risks for service users must be assessed and recorded. To keep service users safe. 30/03/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!
