Inspection on 03/11/05 for Chase (The)

This inspection was carried out on 3rd 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chase (The) 15/04/09

Chase (The) 01/07/08

Chase (The) 27/01/08

Chase (The) 17/10/07

Chase (The) 25/05/06

Chase (The) 10/06/05

Chase (The) 16/03/05

Chase (The) 30/11/04

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 Chase (The) 165 Capel Road Forest Gate London E7 0JT Lead Inspector Sarah Greaves Announced Inspection 3rd November 2005 10:00 Chase (The) DS0000041012.V249781.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 Chase (The) DS0000041012.V249781.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. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chase (The) Address 165 Capel Road Forest Gate London E7 0JT 0208 550 0777 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) Alpam Homes Thomas Francis Byrne Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th June 2005 Brief Description of the Service: 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 overground station, and some local shops and amenities. The home is an ordinary domestic property with a ground and first floor. The home is owned by Alpam Homes, a local provider of care services. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector met all of the service users, the registered manager and some members of the staff team. During this inspection a sample of the care plans, policies and procedures were reviewed as well as other relevant documentation. The inspector also gathered information through a preinspection questionnaire completed by the home and the receipt of CSCI questionnaires from service users and their representatives. Twenty of the forty-two applicable standards were assessed at the previous inspection (unannounced) in June 2005. What the service does well: What has improved since the last inspection? A total of nine requirements and two recommendations were issued in the previous inspection report. The inspector found that all of the requirements and recommendations had been satisfactorily met at the time of this inspection. The most significant improvement since the last inspection was the presentation of the care plans and risk assessments, and the demonstrated involvement of service users in their care planning and daily activities/chores within the home. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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 Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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): 3,4 and 5 Service users were provided with appropriate information to enable them to make an informed decision as to whether they wished to move into the home. EVIDENCE: At the time of this inspection, there were six service users living at the home and two vacancies. The inspector was provided with satisfactory evidence that the most recently admitted service user had received several opportunities to visit the home prior to moving in. The service user transferred to The Chase from another care home owned by the service provider and was therefore familiar with the service users and staff through attendance at the day care centre operated by the service provider. Prospective service users were provided with a good selection of pictorial documents to help them to decide if the home could meet their own wishes and expectations. A recommendation was issued in the previous inspection report for the home to develop pictorial style contracts for service users; this recommendation was found to have been satisfactorily met. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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): 6.7,8 and 9 Service users participated in the identification of their objectives/ aspirations and care planning, which aimed to encourage independence and fulfilment. Service users contributed to the daily running of their homes. EVIDENCE: The inspector noted in the previous inspection report that the presentation of the care plans did not facilitate a clear identification of whether care plan objectives were reviewed within the designated timescales. Staff informed the inspector during the June 2005 inspection that some information relating to the care plans was stored on the home’s computer, which could not be accessed at the time. The inspector looked at two of the care plans at this inspection and found that they were comprehensively presented and regularly reviewed. At the previous inspection, there was evidence presented of the transcripts of interviews with service users; these had now been effectively employed to form the foundations of ‘person-centred’ care planning. At the previous inspection, the minutes for service users meetings could not be produced, which was also due to technical difficulties in accessing the computer. The inspector viewed these minutes at this inspection visit, which demonstrated that service users were promoted to participate in the daily life and future planning for their home. The inspector observed that service users Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 Page 10 were encouraged to undertake domestic chores, such as laying and clearing tables and helping to serve food. The care plans contained specific assessments related to the personal development needs of service users, with objectives to enable individuals to become more independent with personal care, domestic, life skills, shopping and social activities. The care plans contained risk assessments, which were regularly reviewed. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 16 and 17. Service users accessed appropriate activities and entertainments in the local community. Their entitlement to making choices as citizens was promoted. EVIDENCE: Since the last inspection, service users have been to a UK holiday centre and been on day trips to seaside resorts and historic town and cities. The inspector was informed that the majority of the service users spend each weekend or every other weekend with their families. Service users were offered the opportunity to attend a club for people with learning disabilities every Wednesday evening. The registered manager stated that the home was seeking information about the ‘Blue Octopus’ discos for people with disabilities. The inspector noted that service users visited a very local pub, which offered a food service as well. Service users were due to attend a ‘Polish Evening’ at the pub in the week following the inspection and were attending a fireworks display on the evening of the inspection. A Christmas meal had been arranged at an Irish restaurant in Seven Kings. The inspector considered that the home should ensure that at least one external entertainment should be provided every weekend, in accordance with service users wishes (such as an afternoon or evening trip to a restaurant, cinema, theatre or concert). Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 Page 12 As previously stated in this report, service users were encouraged to be as independent as possible. Service users were able to receive visitors of their choice and to have private communication with visitors, advocates and other representatives. A requirement was issued in the previous inspection report for the home to ensure that detailed records were maintained of the food provided; this requirement was found to have been met. The inspector joined service users for lunch, which was soup, bread and fruit. Service users confirmed that hot food options were offered at lunch times as well as sandwiches. The inspector has recommended for the home to offer hot dishes (for example, toasted sandwiches, pizza slices, pies and scrambled eggs on toast) as the main choice for some weekday lunches during the autumn and winter months, with sandwiches provided as an option for individuals who do not want hot food. Service users received their main meal in the evenings during the week and a more flexible approach was offered at the weekends, to fit in with recreational plans. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 Service users health and personal care needs were satisfactorily met; however, the home must ensure that the management of all service users medication is more rigorously undertaken. EVIDENCE: The care plans evidenced that service users received individualised support to meet their personal care and health care needs. No issues of concern were identified in regard to service users access to external health services. Three requirements relating to the management of medication were issued in the previous inspection report; these requirements were found to have been met. The inspector looked at the home’s storage and administration of medication; it was noted that one medication had been labelled by the pharmacist with a seemingly incorrect start date and the GP’s instructions for the administration of another medication did not correspond with the instructions recorded in the medication administration record. The home is currently registered for service users aged between eighteen and sixty-five. The present circumstances of the service users would not necessitate current consideration of whether they could remain at the home in the event of increased frailty due to the ageing process. However, the home was offering support to service users to document their funeral plans and make wills, if they wished to. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 Page 14 Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Service users benefited from a clear complaints procedure and staff with appropriate training in the protection of vulnerable adults. EVIDENCE: A requirement was issued in the previous inspection report for the home to amend the written complaints procedure to ensure that complainants are aware of their entitlement to inform the CSCI at any stage of their complaint; this requirement had been addressed. The inspector received a complaint relating to the care home prior to this inspection. The issues raised by the complainant have been commented upon in this report; at the request of the complainant, the inspector has not identified their specific issues of concern since they were care issues which would be assessed at least once during a 12 month period via the National Minimum Standards. A recommendation was issued in the previous inspection report for staff to access externally provided training in Adult Protection; this training has now been sourced from Redbridge Social Services. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30 Service users were provided with a comfortable and well-equipped environment. EVIDENCE: The inspector looked at some of the bathrooms, shower rooms, communal toilets and en-suite toilet facilities. These were all found to be well appointed, spacious and private. The home was very clean, comfortable and hygienic. Since the last inspection, new flooring has been provided in the main lounge and the rear garden has been paved. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 Page 17 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): 31,32,34,35 and 36 Staff recruitment, training and supervision are properly undertaken to ensure that the safety, welfare and best needs of service users are met. EVIDENCE: The inspector looked at two staff files; these evidenced that staff were recruited in accordance to the Care Homes Regulations and issued with job descriptions that were applicable to the needs of the service users. It was noted that care staff were now attending service user’s statutory reviews. The inspector reviewed the training profiles for each member of staff; compliance with attaining National Vocational Qualifications in Care at levels 2 and 3 (or a recognised equivalent) was good. The home provided staff with mandatory training (such as food hygiene and fire safety) and training applicable to the needs of service users (such as Makaton communication and autism awareness). The registered manager acknowledged that not all staff possessed a valid first aid certificate, which is considered mandatory within this home (as all of the staff apart from one care worker undertakes sole charge of the premises overnight). The supervision records seen by the inspector demonstrated that formal, one-to-one supervision was provided for staff at least once every two months. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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, 38, 39,40, 41,42 and 43. Service users benefited from a home that is effectively managed; however, the service provider and registered manager must ensure that quality assurance systems required by Regulation are adhered to in accordance to the Care Homes Regulations. EVIDENCE: The registered manager confirmed that he was undertaking the ‘registered managers award’. The inspector was pleased to find that the home has satisfactorily actioned the requirements and recommendations issued at the previous inspection, and the home appeared to be progressing well. The policies and procedures seen by the inspector were satisfactorily presented. The inspector found that two of the recent monthly ‘unannounced’ Regulation 26 visits to the home by an independent consultant (arranged by the service provider) were undertaken as announced visits. It was also noted that an unannounced monthly visit did not occur due to the independent consultant being on holiday. A requirement for the home to ensure that the garden shed is kept locked was met at this inspection. The inspector checked the following health and safety Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 Page 19 practices at this inspection: (1) Portable electrical appliances annual check (2) Landlord’s gas safety certificate (3) Monitoring of water temperatures (4) Monitoring of radiator temperatures (5) Fire drills and (6) Maintenance of the home’s minibus; these checks were all satisfactory. The home possessed valid public liability insurance and no issues of concern related to the home’s financial viability were identified. Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 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 X X 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X 3 X N/A 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chase (The) Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 2 DS0000041012.V249781.R01.S.doc Version 5.0 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 YA20 Regulation 13(2) Requirement The registered manager must ensure that the management of medications is safely undertaken. The registered manager must ensure that care staff possess valid first aid training. The responsible individual must ensure that a monthlyunannounced visit is undertaken each month. Timescale for action 15/12/05 2 3 YA35 YA43 18 26 31/01/06 15/12/05 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 YA12 Good Practice Recommendations The home should ensure that service users are offered an external entertainment every weekend. (This may be declined on occasions due to weather conditions or preferences for home-based activities). The home should sometimes offer a first choice of a warm meal on weekdays, particularly during the winter months. The home should discuss with service users if they would like a small pet. DS0000041012.V249781.R01.S.doc Version 5.0 Page 22 2 3 YA17 YA19 Chase (The) 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 Chase (The) DS0000041012.V249781.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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