Inspection on 10/08/05 for Christ The King

This inspection was carried out on 10th August 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Christ The King 08/05/08

Christ The King 02/11/07

Christ The King 15/11/06

Christ The King 05/12/05

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

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 Tankerville Road 68 Tankerville Road Streatham London SW16 5LP Lead Inspector Lynne Field Announced Inspection 10:00 10 August 2005 th Tankerville Road DS0000055922.V251751.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 Tankerville Road DS0000055922.V251751.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. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Tankerville Road Address 68 Tankerville Road Streatham London SW16 5LP 020 8480 5028 020 8480 5031 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) The Healthcare Professionals Services Ltd Mr Victor Quarshie Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Christ the King, (Tankerville Road) is a small residential care home that aims to provide 24-hour care and support in an independent living setting in the community. It can take up to six service users, men or women aged 18 –65, who are experiencing mental health difficulties and need continual rehabilitation in the community following their discharge from hospitals or from other care institutions. There are six single bedrooms, four with en suite facilities. On the day of the inspection there were two service users in residence. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day and lasted for a total of five hours. The building was toured, both service users and staff were spoken to, staff handover was observed and documents and records were inspected. This was the first inspection visit to the home since it was registered on 19th October 2004, it was well facilitated by the registered provider, manager and staff. There was a level of commitment displayed by the registered provider and manager to ensure they were meeting the needs of the service users and complying with the standards. During the inspection written feedback on the service provided was seen from service users and the local general practitioner. Before the inspection the opinions a care manager were obtained by telephone. The care manager confirmed the home was well run and he was happy and confident with the level of support given to the service users he had placed in the home. The registered provider confirmed there would always be a Registered Mental Nurse (RMN) on duty and staffing levels would reflect the dependency levels of the service users. What the service does well: What has improved since the last inspection? This was the first inspection undertaken of this service. Tankerville Road DS0000055922.V251751.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. Tankerville Road DS0000055922.V251751.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 Tankerville Road DS0000055922.V251751.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): 1,2,3,4,5 Prospective service user needs and aspirations are assessed, so that a service tailored to their needs can be provided. All relevant documentation is in place. Service users are encouraged to spend time at the home before admission. Before and after admission service users needs are assessed and are documented. EVIDENCE: The manager confirmed that any new admission to the home would only be conducted after a thorough consideration of the placing authority’s assessment. The inspector was given copies of the statement of purpose and the service users’ guide which contain all the relevant information that a prospective service user and their family would want to know to help them decide if the home would be able to meet the needs of the service users. Assessments were on the files of both service users who had come to live at the home since it opened in April 2005. Contracts and risk assessment were seen on file for both service users. It is therefore evident that the home worked in partnership with service users and external professionals to meet service user assessed needs. Tankerville Road DS0000055922.V251751.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): 6,7,8,9 Families and other professionals are involved when reviews are held. Care plans are thorough and reflect service user needs and goals, which are reviewed monthly, or when the need arises. . EVIDENCE: Both service user files were seen and the inspector noted the care plans gave a thorough description of service user behaviours, reactions and preferences and how the service user was to be treated. There were immediate, medium term and long-term goals and these are reviewed monthly and recorded. Detailed and regular charts are kept of service user behaviours, household and community activities and contacts. Individual risk assessments had been carried out and staff spoken to were familiar with the updates of the risk assessments. The manager told the inspector that service users are encouraged to make decisions concerning their daily activities. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 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): 13, 14, 15 and 17 Service users take part in enjoyable and fulfilling activities and mix with the general community. Service users are supported to have appropriate personal and family relationships and are offered a healthy diet in a relaxed and cheerful atmosphere. EVIDENCE: Service users are supported to be part of the local community by shopping at local shops, eating at local cafes, attending local health facilities, being taken on walks in the local neighbourhood and to the park. These activities ensure that service users become part of the local community. Within the home television, video, DVD and music are provided, both in the lounge and individually in service user’s own bedrooms. There is an activities programme designed to meet each service user’s individual needs. Service users are also encouraged to take part in activities commissioned by outside specialists such as reflexology, aromatherapy, Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 Page 11 healthy eating etc. In this way service user’s are supported and encouraged to take part in activities that are enjoyable, beneficial to their mental and physical health and which give them the opportunity to develop skills within their abilities. Staff support service users to maintain family links by facilitating visits and writing letters. One service users father visits weekly. Menus were seen and demonstrated that service users are given varied and healthy meals. Service users have the opportunity to have a cooked breakfast each day should they want that. Feedback from the service users was they enjoyed the meals. The inspector joined the service users for their mid day meal and they observed to enjoy the lunch provided, with staff providing a relaxed and happy atmosphere. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 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): 18,19,20 Staff provide sensitive and flexible personal support and service user’s physical and emotional health needs are met. Administration of medication was generally in good order. EVIDENCE: Service users at times require prompting to carry out personal care and in some cases require support. Speaking with staff and observation of practices demonstrated that support and prompting is carried out sensitively and in a way that ensures service user’s privacy and dignity. Same gender personal care is given whenever possible. Service users were dressed and groomed according to their interests and personalities and photos displayed in their rooms indicated that staff ensure they are appropriately and stylishly dressed when they attend outside activities, day trips and events. Documentation in assessments and care plans shows a detailed understanding of individual service users’ preferences and needs, which helps to ensure consistency and continuity of care and with which key workers were familiar. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 Page 13 Documentation and verbal evidence from staff also demonstrated that service users are supported to access the full range of health care professionals and facilities and that appropriate consultation and support had been sought from specialist teams. Storage and administration of medication was checked and found to be in good order. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 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): 22,23 Practices and training at the home ensure that service users are protected from abuse. EVIDENCE: There is a complaints procedure displayed in the home and a copy is included in the service user’s guide to ensure that service users know how to complain. Service user meetings are held monthly and service users confirmed that they could raise any issues there. The complaints record indicated that there had been no complaints since the home had opened. There are adult protection policies and procedures in place including whistle blowing. Staff interviewed were clear about their responsibilities with regard to adult protection. Service user’s financial records indicated that they are supported to be as independent with their finances as possible. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 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): 24,25,26,27,28 & 30 The home is safe and comfortable with adequate private and shared space, toilets and bathrooms. Service users’ bedrooms promote their independence. The home is well maintained and furnished. EVIDENCE: A tour of the premises was conducted and the bedrooms of those service users who gave permission. The home is generally well maintained, and decorated and furnished in a comfortable style. The home has 6 single bedrooms over three floors. All bedrooms are of adequate size with four having en-suite facilities. Both service users spoken to confirmed that they were happy with their rooms and that they had all of the furniture and fittings they require. There is a range of communal spaces, including smoking and no smoking areas and a pleasant garden with a raised patio area. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 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): 31,32,33,34,35 Service users confirmed that they felt that competent staff supported them and records indicate the staff team is well qualified but staff should be employed directly by the home to give continuity of staff. Staff records give evidence that the home’s recruitment practices are in accordance with equal opportunities policies and that thorough checks are made to protect service users from abuse. The home’s training programme continues to be developed to ensure that it meets the assessed needs of staff and potential needs of service users. EVIDENCE: Service users were generally positive about the staff. There is a key worker system but service users said that they could speak to any of the staff. Observations of interaction between staff and service users provided evidence that staff had appropriate communication skills. Six staff files were examined. Procedures for the recruitment of staff are robust and provide the safeguards to offer protection to people living at the home but several staff were being employed on a regular basis through the nurse agency run by the proprietor of the home. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 Page 17 The deployment and number of staff available in the home appear sufficient to meet the needs of service users. Staff are well qualified and although it is not a nursing home, it has been agreed with CSCI because of specialist needs of the service users living in the home and the expressed request of the service users care manager, there will be a RMN on each shift 24 hours a day including nights. Four of the care staff have completed NVQ level 2 or 3. Staff are provided with regular training to promote the health, welfare and safety of service users. Observations of interaction between staff and service users provided evidence that staff had appropriate communication skills. Tankerville Road DS0000055922.V251751.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): 37,38,40,41,42 The manager is of good character, has long standing experience of managing a care home and is open and supportive in management approach. The homes policies and procedures safeguard service users rights and best interests. The working practices and associated records ensures the health safety and welfare of service users are promoted and protected. EVIDENCE: The manager has recently been employed to manage the service and has had many years experience in a management position as well as having run her own care home. She has attended relevant training to ensure that her practise is kept up to date and obtains advice and up to date information about her role and sector developments. Service users, staff and visitors made positive comments about the home and the way it is run. Service users records are held appropriately. Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 Page 19 The home has appropriate systems in place to ensure the health, safety and welfare of service users. Health and safety checks are conducted weekly. The fire system is subject to regular tests and equipment is suitably checked. There are written statements policy, organisation and arrangements for maintaining safe working practices in place, including appropriate risk assessments. Regular staff and service user meetings are held and recent minutes were examined and found to reflect a variety of relevant issues. Tankerville Road DS0000055922.V251751.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 3 3 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 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 2 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Tankerville Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 3 3 x DS0000055922.V251751.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NA 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 YA33 Regulation 18(1)(b) Requirement The registered person must ensure that staff employed on a temporary basis does not affect continuity of care for service users. The registered person must ensure the manager makes an application to become the registered manager of the home to the Commission for Social Care Inspection. Timescale for action 30/10/05 2 YA 38 8 30/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tankerville Road DS0000055922.V251751.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Tankerville Road DS0000055922.V251751.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. 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. 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