Inspection on 11/08/06 for Corner House Residential Home Ltd

This inspection was carried out on 11th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Corner House Residential Home Ltd 22/09/05

Corner House Residential Home Ltd 12/04/05

Corner House Residential Home Ltd 24/01/05

Corner House Residential Home Ltd 17/08/04

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 Corner House Residential Home Ltd Corner House Residential Home 131 Stokes Road East Ham London E6 Lead Inspector Anne Chamberlain Unannounced Inspection 11th August 2006 09:30 Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 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 Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 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. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Corner House Residential Home Ltd Address Corner House Residential Home 131 Stokes Road East Ham London E6 0207 474 3033 0207 474 3033 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) taslimahs@tiscali.co.uk Mrs Salamut Mrs Salamut Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 Brief Description of the Service: Corner House is a residential care home offering support and accommodation to five adult residents who have learning disability without challenging behaviour. The home has five bedrooms and occupies a corner plot in a residential street in East Ham. The accommodation comprises entrance hall, large lounge with TV and comfortable seating, a kitchen diner, downstairs bathroom and ground floor bedroom. Access to the first floor is by stairs only. On the first floor there are a further four bedrooms, a bathroom with WC, a separate WC and the office. To the front of the property the area is paved with access to a ramped side entrance. To the rear there is a small garden. At the time of the inspection the home had no vacancies. The home is located close to the A13 main road and the Becton shopping area. Bus links to East Ham shopping area and facilities are close by. The range of fees for residents at the home is between £826.44 and £1124.16 Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted for some five hours. The inspector interviewed the coowner and two of the staff, and spoke very briefly to the manager on the telephone. She spoke with three residents. She also viewed key documentation, three residents files and three staff files. The inspector looked over the premises and garden and inspected the arrangements for the administration of medication. The inspector would like to take this opportunity to thank the residents, staff and co-owner of Corner House residential home, for their assistance and cooperation with the inspection. What the service does well: What has improved since the last inspection? A number of requirements from the previous inspection have been met. Documents have been amended; the manager has obtained the written consent of residents for their photographs to be reproduced in the homes Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 6 information; residents now have contracts; and residents views regarding ageing, illness and death, have been recorded The owners have this year commissioned major building works, a single storey brick building in the garden, which will provide excellent storage, and a wall surrounding the property, which adds a very smart appearance to the exterior. 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. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 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 Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 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,and 5. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The home has produced useful information, takes a good approach to assessment, and has issued residents with proper contracts. EVIDENCE: The inspector viewed the statement of purpose and the service user guide, both of which have been revamped. The documents are very well produced and provide a lot of information for prospective residents. The inspector viewed three residents files. There was useful assessment information on all the files. The home has not admitted a new service user for some time, but the inspector felt that should they do this they would ensure that they had sufficient assessment information before offering a placement. The previous inspection report required the manager to ensure that each service user has a written contract or statement of terms and conditions. The manager has produced these and the inspector was able to view an example, appropriately signed and dated. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 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,and 9. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents have care plans and take decisions which are supported with risk assessments. EVIDENCE: The residents files contained individual care plans for them. These were rather old, with some updating done. The inspector felt that the needs of the residents would have changed since their plans were written, and it would be beneficial now to write a new care plan for each resident. The inspector appreciates that this is a substantial undertaking for five residents, and has set the timescale accordingly. The manager must write new care plans for the residents. The inspector noted that the home has a policy on choice and residents take decisions about their lives. The residents meeting book evidenced that residents had decided they would like to go to Blackpool for their holiday. The Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 10 co-owner explained that this had not been possible for this year but that the management will try to arrange it for next years holiday. There is a risk taking policy and residents files evidenced robust risk assessments with regular updating. The inspector noticed that risk assessments had been undertaken with regard to the exterior building work which the home is having done. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 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): 12,13,15,16 and 17. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents access the community in a range of ways enjoying educational and recreational opportunities. They have positive relationships and exercise their rights. Food is wholesome and mealtimes are enjoyable. EVIDENCE: The inspector discussed the daily routines of the residents with the co-owner and also viewed their daily logs. Residents at Corner house are involved in the community in various ways. Two have paid employment, two attend day centres, and one has a programme of activities at home, including a college course. Strenuous attempts have been made to secure a day centre place for this individual, so far without success. Some residents attend church. One has family locally which she visits, and one goes to stay for a weekend every month with his family. Another resident has family abroad and telephones them regularly every month. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 12 Residents spoken to by the inspector looked well cared for and seemed relaxed and positive. From speaking to a member of staff who has worked at the home for three years, the inspector felt that she had formed close bonds with residents and took a great interest in their progress and wellbeing. Three residents were going on a five day caravan holiday a few days after the inspection. Another resident was going home for a week, and another going on holiday with her day centre. Residents attend the local Gateway club and on alternate Saturdays they have some kind of outing. Sunday night is Elvis night when they go to a local restaurant. The inspector viewed records of the residents meetings, which had taken place in April, May and August this year. The ethos of the service is empowering and the inspector noted in daily logs, residents helping with housework. The previous inspection required the manager to obtain written consent from the residents to their photographs being reproduced in the statement of purpose and service user guide. She has done this and the evidence was viewed by the inspector on the files of residents. The inspector was satisfied that the rights and responsibilities of residents are respected. The inspector viewed the menu book which presented a range of nutritious meals. On the day of the inspection two of the residents had takeaway food for lunch which they seemed to enjoy. The home has a relaxed attitude to meals and mealtimes, with flexibility supporting choice. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 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. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents enjoy individual personal support, their health and emotional needs are met, medication is properly administered and the home has sought their views on ageing, illness and death. EVIDENCE: The residents at the home have some independent skills in personal care. Staff prompt and supervise. One resident has impaired mobility. She has a level access en-suite shower facility which supports her independence, but she does need some physical support from staff with personal care. The inspector noted on residents files evidence of a range of health needs being supported. The home liaises appropriately with specialists. The inspector also noted that the home had advocated for a resident who had had poor service from a health agency. The inspector talked with the staff about overnight arrangements. One sleep in staff member is available at nights. They said that only one resident wakes and all apart from this person are quite independent. Staff spoken to said they had no difficulties with the overnight arrangements. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 14 The inspector viewed the arrangements for the administration of medication. She checked the Medication Administration Record (MAR) sheets and levels of medication held, for a random specimen of three medications. The stocks held were correct but because of the way the MAR sheet had been completed when a resident was admitted to hospital, it appeared at first that the medications were short. The staff assisting the inspector agreed that they needed to change the way the sheets are completed to ensure they show a balance every day. The manager must ensure that the MAR sheets are completed to show the balance of medication accurately. The previous inspection required the manager to develop a protocol to support staff to discuss ageing, illness and death with residents. The inspector was pleased to see on the files of residents that these topics have been discussed and personal preferences recorded. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 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. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents views are listened to and they are protected from abuse, although the protection procedures can be improved upon. EVIDENCE: The inspector viewed the complaints procedure which is sound but produced in a very tiny print. This is not user friendly. A summary of the procedure is framed downstairs and again this is very small. The inspector recommends that the manager re-produce the complaints procedure in a larger typeface. The home has an abuse policy and a whistleblowing policy, both of which were viewed by the inspector. The abuse policy does not make reference to the local authority policy and the manager must amend it to do this. She must also ensure that she has a summary of the local adult protection policy in the office. It would be helpful to have a flow chart on the wall of the office to show staff the steps which the local authority takes when an adult protection referral is made to them. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 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): 24 and 30. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The home is comfortable and safe, clean and hygienic. EVIDENCE: The inspector made a partial tour of the building, including the garden. The home is in a good decorative state and is comfortably furnished. There are some black marks on the wall behind the sofa which need to be, wiped off or painted out, and there are some full black bags there which need to be stored somewhere more appropriate. The owners have had built a brick wall around the property, and in the corner of the garden, a single storey brick building. This facility will afford much additional storage. The resident with impaired mobility has additional storage needs and the manager said that they had her in mind when they commissioned the building. The co-owner also told the inspector that the kitchen is to be refitted whilst the residents are on holiday. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 17 The inspector commends the owners of this home for undertaking this nonessential work for the wellbeing of the residents. In addition to the above works the front garden has been relayed, but this has resulted in a change of levels almost under front gate. The inspector tripped up this tiny step on her way into the home. The manager must ensure that the hazard is highlighted either with a white strip or a mind the step warning, or both. The inspector found the home to be clean and hygienic. The inspector viewed the water temperature checks which had been done every day with the same tap. She advised the co-owner that it is not necessary to check water temperatures every day, once a week is sufficient. However it should be different taps each time so that over a cycle every tap is tested. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 18 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): 32,34 and 35. Quality in this outcome area is adequate. The judgement has been made using available evidence including a visit to the service. Staff are competent and qualified and recruitment practice is sound. Core Training needs to be renewed annually. EVIDENCE: The inspector viewed three staff personnel files. They held evidence of staff qualifications. One member of staff is a trained nurse. The inspector also interviewed two staff. They said that because one resident is epileptic they always make sure that there is a care worker upstairs and downstairs to safeguard this person from harm. They said that their shifts always start with a handover. The inspector was satisfied that there is a good level of competency in the staff group. The homes recruitment policy as evidenced in staff files is sound and reflects equal opportunities and anti-discriminatory practice. The staff and residents are a culturally diverse group. Staff undergo comprehensive induction training and some staff have undertaken NVQ qualifications. A staff member told the inspector that undertaking the NVQ has made her work more interesting. The inspector was concerned however that staff are not refreshing their basic training each year. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 19 The manager must ensure that staff refresh their basic training each year, including fire, health and safety and manual handling. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 20 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): 37,39 and 42. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The home is safe and well run, but planning for development and quality assurance need to be incorporated. EVIDENCE: The inspector has met the registered manager of the home previously. She believes her to be well qualified to run the home. The evidence of this inspection is that the home is generally well run. As previously mentioned the inspector viewed the record of residents meetings. From talking to two residents she felt that they were relaxed about giving their views. The home clearly has achieved a great deal this year with the building programme it has undertaken. However there is a lack of Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 21 evidence of planning for the homes development, and quality assurance work to ascertain progress towards goals set. The manager must develop a plan for the development of the home linked to the progress of residents. She must design a quality assurance tool to measure progress towards the set goals. The inspector viewed the arrangements for the storage of hazardous substances like cleaning materials. The items are stored in a locked cupboard but there are of a wide variety of products. There are some records kept of products and the manager has given general instructions about spills and accidents, repeated for each product. This is not really a satisfactory situation and does not meet the reququirements of the Control of Substances Hazardous to Health (COSHH) legislation. In order to improve the COSHH arrangements the manager must; limit the use of products to as few as possible; list these products and obtain product information for them from the manufacturers, including what to do in the case of spills or accidents. The inspector viewed the fire safety records. She noted that fire alarms are regularly tested and so is emergency lighting. Fire drills were held in May and February. The home has a fire manual. At the back is a fire risk assessment form which would guide a manager through the process of undertaken a fire risk assessment on the home. It has not been completed. The manager must ensure that a fire risk assessment is completed for the home, and made available for inspection. The inspector noted that there was a food hygiene inspection in March 2005, that a gas inspection had been undertaken in December 2005 and that the portable appliances were tested in February 2006. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 x 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 x 2 x x 2 x Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 23 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. 1. 2. Standard YA6 YA20 Regulation 15 13 Requirement The manager must write new care plans for the residents. The manager must ensure that the MAR sheets are completed to show the balance of medication accurately. The manager must ensure that the abuse policy makes reference to the local authority policy. The manager must ensure that she has a summary of the local authority adult protection policy in the office. The manager must ensure that the black marks on the wall behind the sofa are wiped off or painted out. The manager must ensure that the full black bags behind the sofa are stored somewhere more appropriate. The manager must ensure that the hazard by the front gate is highlighted either with a white strip or a mind the step warning, or both. The manager must ensure that the temperature of the water is tested from each tap, and DS0000022833.V306734.R01.S.doc Timescale for action 01/03/07 01/09/06 3. YA22 13 01/10/06 4. YA22 13 01/10/06 5. YA24 23 01/10/06 6. YA24 23 01/10/06 7. YA24 23 01/10/06 8. YA30 13 01/10/06 Corner House Residential Home Ltd Version 5.2 Page 24 9. YA35 18 10. YA39 24 11. YA42 23 recorded, in a cycle of weekly checking. The manager must ensure that staff refresh their basic training each year, including fire, health and safety and manual handling. The manager must develop a plan for the development of the home linked to the progress of residents. She must design a quality assurance tool to measure progress towards the goals set. The manager must ensure that a fire risk assessment is completed for the home, and made available for inspection. 01/01/07 01/01/07 01/10/06 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 YA22 Good Practice Recommendations The inspector recommends that the manager re-produce the complaints procedure in a larger typeface. Corner House Residential Home Ltd DS0000022833.V306734.R01.S.doc Version 5.2 Page 25 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. 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