Inspection on 22/09/05 for Corner House Residential Home Ltd

This inspection was carried out on 22nd September 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Corner House Residential Home Ltd 11/08/06

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

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Edenvale

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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 22nd September 2005 10:20 Corner House Residential Home Ltd DS0000022833.V253224.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 Corner House Residential Home Ltd DS0000022833.V253224.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. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Corner House Residential Home Ltd Address Corner House Residential Home 131 Stokes Road East Ham London E6 020 7474 3033 020 7474 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) Mrs Salamut Mrs Salamut Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th April 2005 Brief Description of the Service: Corner House is a residential care home offering support and accommodation to five adult service users 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. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection this year and unannounced. It lasted for nearly four hours and 16 standards were assessed. The inspector interviewed the coowner who also works as a carer in the home. She viewed key documentation and four staff personnel files. The inspector viewed the arrangements for the administration of medication and made a tour of part of the premises and the garden. One service user was at home and the inspector had a private chat with him. The inspector would like to thank the service user and co-owner for their cooperation with the inspection. What the service does well: What has improved since the last inspection? The manager has responded positively to requirements and recommendations made at the previous inspection, although not everything is yet fully achieved. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 6 The manager has invested a considerable effort in revamping the statement of purpose and service user guide and reproducing them in a user friendly format. She is also working on the complaints literature. The ground floor bedroom has been freshly decorated and provides a comfortable environment for its occupant. Arrangements for the administration of medication have been improved and a staff recruitment issue has been addressed, both measures affording greater protection for service users. 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.V253224.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 Corner House Residential Home Ltd DS0000022833.V253224.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): 1,3, 4,and 5. Prospective service users have the information they need about Corner House to decide if they want to live there. They can be assured that their needs will be met and their aspirations supported. Prospective service users would be offered a chance to visit the home before moving in. Service users do not currently have individual contracts with the home. EVIDENCE: The manager is commended on the service user friendly statement of purpose which she has produced. It gives a great deal of useful information about the service. The inspector pointed out two errors in the information about contacting the Commission for Social Care Inspection (CSCI) (pages 49 and 63). The manager should amend the information in the statement of purpose regarding contacting the CSCI. This is a requirement. The manager is in the process of revamping the service user guide and the inspector studied the draft. There are some areas which need amendment. Under complaints procedure information is given twice about the CSCI, the second time the information incorrectly states that the commission is to be contacted if the home fails to resolve the complaint. The commission can be Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 9 contacted directly at any time. The guide should contain the complaints procedure which has been adopted for the service, identically reproduced. The guide needs to give the qualifications of the staff. It would benefit from being titled Service User Guide on the front cover. The numbering is not correct. The manager must produce a service user guide which complies with the regulations. This is a restated requirement. The inspector noted that both the statement of purpose and service user guide are illustrated with attractive photographs of the home and that service users appear in these. The manager must ensure that service users give their written permission for their images to be reproduced in these documents. This is a requirement. The five service users at the home have all been there for three years. In discussion with the carer on duty, who is also the co-owner, he was able to describe in detail and give examples of the varying needs of the service users. The inspector felt that needs were understood and met. One service user has just started college and told the inspector about it. He also said that he goes out to Heathrow, where he likes to watch the planes, to the temple, shopping and to the cinema and park. The inspector was told that another service user has changed his behaviour very positively and has also been able to give up smoking which has benefited him. The home has had no new service users for three years. In discussion the inspector was satisfied that if they did have a vacancy and a new referral to process, their practice would be good. Prospective service users would be offered opportunities to test drive the home. The home has devised a new contract of residence and the co-owner advised that this has not existed before. He stated that when signed by both parties and dated, a copy will be kept on the confidential section of service users files. The manager must ensure that each service user has a written contract or statement of terms and conditions with the home. Also that this is signed and dated by both parties and a copy is given to the service user. This is a requirement. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 10 Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 11 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): 8 and 10. Service users views are taken into account in the running of the home which is empowering and builds their self esteem. Confidentiality is respected and service users enjoy privacy in personal matters. EVIDENCE: The previous inspection recommended that records of service user meetings should be signed and dated by the manager. The inspector viewed the records of service user meetings and noted that they are now being signed and dated by the manager. There is a confidentiality policy and the inspector and co-owner had a discussion around confidentiality. The owners feel that certain service user information, for example financial information, should be kept confidential, even from care staff. For this reason they have instituted a confidential file for each service user which is locked away in a cupboard to which only they have a key. This demonstrated to the inspector that confidentiality is valued by the owners. Staff are trained in confidentiality. Files are locked away and information held electronically is password protected. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 12 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): 11. The personal development of service users is supported and encouraged, enabling them to achieve greater independence. EVIDENCE: As previously mentioned the inspector heard from one service user that he has just started college. He also advised that he is independent in preparing his breakfast. The co-owner advised that community trips are organised for Saturdays. These happen on alternate weeks because service users have to budget their monies, and also because they are out a lot in the week and like to have a lazier day on alternate weekends. Service users at Corner House are involved in a wide range of activities. Two service users have paid employment, others attend day centres, one is a regular church attender and one goes home once a month to stay with family. Three service user had a holiday recently where they stayed in a caravan in Clacton with three staff. Everyone had a good time. Corner House Residential Home Ltd DS0000022833.V253224.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): 20 and 21. The home has sound procedures for the administration of medication which safeguard service users. Issues of illness ageing and death are sensitively handled and progress has been made towards having discussions with service users about their views and preferences in this regard. EVIDENCE: The arrangements for the safekeeping of the keys to the medication cupboard have been improved. The inspector understood that workers at the home find it impractical to carry the keys around. Whilst not being actually carried on a designated member of staff, the keys to the medication cupboard are locked away and the inspector was satisfied that this arrangement is sufficiently secure. Medication administration charts were viewed and balances of medications are now shown. Balances of medications were checked and the system was found to be working well. The record of medications received into the home and disposed of was also found to be satisfactory, with returned medications being signed for by the pharmacist. The previous inspection required the manager to develop a protocol to support discussion between staff and service users regarding illness, ageing and death. The inspector was informed that the manager, her partner and two of the staff Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 14 attended training very recently on this topic. The inspector viewed documentary evidence of the course and the co-owner was able to relate some of the learning points. He advised that care staff are feeling more confident now about approaching service users on the subject. The manager must develop a protocol to support staff discussion with service users on illness, ageing and death. The is a restated requirement. Corner House Residential Home Ltd DS0000022833.V253224.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. Service users feel that their views are listened to and acted upon. There is however a need to further develop the documentation which underpins the handling of complaints. EVIDENCE: The previous inspection required the manger to ensure that the complaints literature gives the correct details for the CSCI and the information that the commission can be contacted direct. Also that it be produced in a simplified user friendly format. The inspector talked to a service user who said that if he had a problem he would talk to staff and they would try their best to sort it out. The inspector viewed various documents in relation to complaints. The evidence of the complaints log was that complaints are dealt with promptly and appropriately and dated and signed off by the manager. The log contained useful guidance for the manager about how to investigate a complaint, and also forms for recording complaints. There are three existing complaints procedures, two in the policy and procedures manual and one in the complaints log. There is also a framed complaints procedure in the lounge. There are a number of problems with these procedures:- wrong information about CSCCI and when they can be contacted. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 16 - the name of an inspector is given. This is not practical as the inspector is unlikely to be in the office and complaints would be dealt with in the first instance by the duty inspector. - conflicting timescales. There is now a new procedure which the manger has drafted. This is user friendly and gives reasonable timescales. The name and address of CSCI is given correctly and it is stated that the commission can be contacted direct at any time. The manager must ensure that the new complaints procedure is adopted and is the only procedure in existence (including being reproduced in the service user guide) and all the old complaints procedures are cleared away. This is a requirement. The home despite having several complaints procedures does not appear to have a complaints policy. The manager must develop a complaints policy as distinct from a procedure, and place this with the other policies in the policy and procedures manual. This is a requirement. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 17 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 27. Corner House provides a homely and pleasant environment for service users where they feel safe and comfortable. There is adequate provision of bathroom facilities to meet individual needs and afford privacy. EVIDENCE: The previous inspection recommended that the ground floor bedroom be refurbished. The inspector was pleased to see that this has been done and the room provides a clean, homely environment for the service user. The home has a main bathroom on the first floor with one WC. There is a separate staff WC. On the ground floor is a shower room and WC. This is mainly used by the resident who has the ground floor bedroom, but occasionally another resident will use the shower there. The inspector was satisfied that the house has a adequate and private bathroom facilities. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 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): 34. The homes recruitment policy is safe and protects service users, but must be followed in every case. Also safety checks on staff must be kept up to date. EVIDENCE: The home has a new employee. She has a current Criminal Records Bureau (CRB) disclosure, with Corner House and appears to have been safely recruited, apart from one shortfall. Only one reference has been received for this staff member. The manager must ensure that a second reference is obtained for the new staff member. This is a requirement. The co-owner of the home who works there as a carer has a CRB dated December 2002. This will be three years old at the end of this year. The co-owner is advised to renew his CRB check now to ensure that it does not become more than three years old. This is a recommendation. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 19 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): 38, 39 and 40. This home benefits from an ethos of individual empowerment and strong hands on leadership from the manager/proprietors. A family atmosphere is fostered in the home and service users input their views into its development. The home has a range of policies and procedures to safeguard the rights and best interests of service users. EVIDENCE: The inspector discussed with the co-owner the leadership style in the home. He advised that as the home is very small and the ethos is that of a family home a flat staff hierarchy is promoted. He feels that this gives the service users the best care and encourages development in the staff group. The inspector viewed the minutes of residents meetings and observed that their opinions are sought on the running of the home. The co-owner stated that although staff work closely with service users he notices that service users will tend to discuss things with him and his wife. He feels this is because they were able to give service users a lot of one to one attention when the home Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 20 first opened and because they are a consistent presence in the house, one of them almost always being present. The inspector viewed the policies and procedures manual which is extensive and comprehensive. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 21 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 2 x 3 3 2 Standard No 22 23 Score 2 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 x x x LIFESTYLES Standard No Score 11 3 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x 2 x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Corner House Residential Home Ltd Score x x 3 2 Standard No 37 38 39 40 41 42 43 Score x 3 3 3 x x x DS0000022833.V253224.R01.S.doc Version 5.0 Page 22 YES 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 1 Regulation 4 Requirement The manager should amend the information in the statement of purpose regarding contacting the CSCI. The manager must produce a service user guide which complies with the regulations (previous timescale 01 August 2005 not met). Timescale for action 01/12/05 2 1 5 01/12/05 3 1 12 The manager must ensure that service users give their written permission for their images to be reproduced in these documents. 01/11/05 4 5 5 The manager must ensure that 01/12/05 each service user has a written contract or statement of terms and conditions with the home. Also that this is signed and dated by both parties and a copy is given to the service user. The manager must develop a DS0000022833.V253224.R01.S.doc 5 21 12 (3) 01/12/05 Page 23 Corner House Residential Home Ltd Version 5.0 protocol to support staff discussion with service users on illness, ageing and death (previous timescales of 1/12/04 and 23/4/05 and 01/08/05 not met). 6 22 22 The manager must ensure that the new complaints procedure is adopted and is the only procedure in existence (including being reproduced in the service user guide) and all the old complaints procedures are cleared away. 01/12/05 7 22 22 The manager must develop a 01/12/05 complaints policy as distinct from a procedure, and place this with the other policies in the policy and procedures manual. The manager must ensure that a second reference is obtained for the new staff member. 01/11/05 8 34 19 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 34 Good Practice Recommendations The co-owner is advised to renew his CRB check now to ensure that it does not become more than three years old. Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 24 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 Corner House Residential Home Ltd DS0000022833.V253224.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!