This inspection was carried out on 10th October 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Clara Nehab House 13-19 Leeside Crescent Golders Green London NW11 0DA Lead Inspector
Tony Brennan Unannounced Inspection 10th October 2005 11:00 X10015.doc Version 1.40 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 Clara Nehab House DS0000010422.V251146.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 Older People. 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. Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Clara Nehab House Address 13-19 Leeside Crescent Golders Green London NW11 0DA 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) 020 8455 2286 020 8455 2120 Leo Baeck Housing Association Limited Mr David Lightburn Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: Clara Nehab House is registered to provide care for twenty-five older people. The Leo Baeck Housing Association operates the home. The accommodation is provided on three floors in twenty-five single en suite bedrooms. The lounge/dining room and an additional lounge are on the ground floor. The home is located in a residential area with shops and access to public transport close by. The original aim of the home was to provide care for people who had suffered Nazi oppression. Service users admitted to the home more recently may not have had that direct experience but choose to live there because the background ethos is relevant to their personal experience as the home maintains practices that meet the needs of service users from a Jewish background. Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken as part of the annual inspection process. The inspector also sought to confirm that the five areas for improvement found at the last inspection were addressed. The inspection took place over one day. The registered manager, David Lightburn, assisted the inspector. The inspector spoke with five service users and four staff. The inspector toured the building and examined a range of records relating to the care and management of the home. What the service does well: 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. Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 7 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): N/A None of these standards were inspected on this occasion. EVIDENCE: Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 8 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 10 Service users needs are reviewed regularly so that their needs are met. Service users privacy is maintained. EVIDENCE: Since the last inspection care plans have been reviewed monthly to ensure that the needs of service users are met. Service users said that staff respect their privacy and always knock on their bedroom doors. Service users also said that staff take time to ask how they wished to be assisted. Staff understood how to assist service users in a way that ensures that their privacy is maintained. The inspector observed staff interaction with service users and found that they were accorded respect. Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 9 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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 Service users are supported to maintain contact with relatives and other representatives of their choice. Service users are able to make choices about how they live in the home. EVIDENCE: Service users spoken to confirmed they had a choice as to whom they wished to see. Service users also said that there were no restrictions on visiting times. Service users said that the Rabbi visits regularly and that contact is maintained with the wider Jewish community. Service users spoken to confirmed that they could make choices and control their lives. Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 10 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): N/A None of these standards were inspected on this occasion. EVIDENCE: Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 11 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Service users live in a safe and homely environment. EVIDENCE: The registered manager explained that a number of bedrooms had been redecorated and the remaining bedrooms would be redecorated. The inspector saw that regular maintenance was taking place. The garden was tidy and accessible for service users. Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 12 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 Sufficient staff are not available at all times to meet service users needs. Staff don’t have all the skills and knowledge necessary to meet the needs of service users. EVIDENCE: There is still a need to recruit additional staff to ensure that there are sufficient staff available to meet the needs of service users. The registered manager informed the inspector that a recruitment process has started since the last inspection. Training records showed that four staff have achieved NVQ level 2 in care and that another four were about to commence the qualification. The home needs to get 50 of staff qualified to NVQ level 2 in care. Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 13 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 35 36 Service users are not consulted about the quality of the service provided. Service users financial interests are protected by the home’s procedures. Staff are appropriately supervised to ensure that the needs of service users are met. EVIDENCE: The registered manager explained that regular service user meetings are taking place to discuss the quality of the service provided. The registered manager said that there needs to be a survey of the views of service users and it was agreed that an action plan would be sent to the Commission outlining any action to be taken to improve the service. The registered manager explained that social service departments or families managed all finances. There was only one service user for whom the home had direct responsibility for their finances. The inspector found that a secure system with double signatures and receipts was maintained. Records showed that since the last inspection supervision was taking place regularly.
Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 14 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 2 28 3 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X X Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 15 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 OP27 Regulation 18(2) Requirement Timescale for action 01/12/05 2 OP33 24(1)(a)( b) The registered persons must ensure and confirm to the Commission that an extra member of staff is on the rota. (The timescale of 1/8/05 was not met). The registered persons must 01/01/06 ensure that a survey is carried out of service users and their representatives’ views of the service provided by the home. Any points for improvement must be addressed in an action plan, a copy of which must be sent to the Commission. 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 OP28 Good Practice Recommendations Th registered persons must ensure that 50 of staff achieve NVQ at level 2 in care. Clara Nehab House DS0000010422.V251146.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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