Inspection on 26/07/05 for Cornflower Terrace, 5a

This inspection was carried out on 26th July 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.

Other inspections for this house

Cornflower Terrace, 5a 31/07/06

Cornflower Terrace, 5a 03/02/06

Cornflower Terrace, 5a 25/01/05

Cornflower Terrace, 5a 13/07/04

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 5a Cornflower Terrace London SE22 OHH Lead Inspector Mark Stroud Unannounced 26 July 2005, 10:00 th 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 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 Stationary 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. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 5a Cornflower Terrace Address 5a Cornflower Terrace, London, SE22 OHH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of registration, with number of places 0208 299 2069 Choice Support Mrs Sian Clare Russell Hoolahan Care Home 3 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: 5a Cornflower Terrace is a care home providing personal care and accommodation for 3 people with a learning disability. Choice Support Southwark, a voluntary organisation, owns it.The home is located on a residential street, set back from the other houses, in East Dulwich. The home is close to shops, pubs, the post office and other amenities.The home consists of a two-storey building. One bedroom is on the ground floor, and has en-suite bath and toilet, the other bedrooms on the first floor. All the home’s bedrooms are single.There is no passenger lift. The home has a garden to the rear. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was made in the afternoon; one service user and one member of staff were spoken to. 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. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 7 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 standard(s) 2 Service users changing needs are known by staff. EVIDENCE: Service users needs are known and reviewed with a representative of the authority who arranged for them to live at the home. Records of these reviews that include their needs are kept at the home. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 8 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 standard(s) 6, 7 & 9 Service users know their needs are understood and that these are planned for, working with staff that understand how they feel. Where there is concern about risks, staff need to remember that service users need to keep themselves safe first. EVIDENCE: Service users have regular meetings with a familiar member of staff who knows there wishes and feelings well, making plans with service users, which include details of how to communicate with them well, and writing these down. The home plan care around the specific needs of service users well generally, including plans where they may wish to move to another home or setting. An exception concerned one service user has been supported to lose a lot of weight that has improved their mobility and independence when in the community. The home need to keep this support under review so that it is aimed at the current skills of service users, what they can do for themselves, and aims to develop these skills. The service user said that it is annoying that the fridge is locked. Where access to food is restricted, this, together with a plan to make them more independent again, must be agreed, including a representative from the authority that arranged for them to live at the home, and record this in the plan for their support (Service User Plan). Reviews of support show that service users do achieve a lot of goals, showing the home 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 9 do support service users to plan well, but this had not happened after a recent review, which listed new goals. Also, one service user is having trouble deciding about some of their plans, and this support for them must be recorded. Risk assessments show the concerns of staff and others, but are not so good at showing what service users are already doing to keep themselves safe and healthy, and how their skills are going to be maintained and developed. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 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 standard(s) 12, 13, 15, 16 & 17 Service users participate in social and educational activities that enable them to make relationships and develop interests with their peers and other members of the community, as well as keeping in touch with family. Service users have a healthy diet. EVIDENCE: Service users go to college to learn new skills like cooking, and also socialise with their peers around activities like bowling, line dancing and karaoke. The home support service users to decide who are the most important people in their lives, how to maintain these relationships, and how staff will work together with friends and family to provide the support service users need. Healthy eating information is displayed for service users in the kitchen, and service users benefit from a healthy diet. Service users are supported to go to activities of their own choosing at flexible times, choosing when to go to bed and get up. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 11 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 standard(s) 18, 19, 20 & 21 Service users are able to take responsibility and learn about their own health and medication, and know that their wishes will be respected if they become ill. EVIDENCE: Staff support service users to do things for themselves, showing they know how to communicate with them well, and that they respect them. One service takes responsibility for some of the administration of their medication. Service users are also supported to understand their own biology by staff, particularly where they have health problems or concerns about their health. Service users are supported to make plans for when they may become ill, and after their death, so that their wishes and feelings can be respected, and they know what will happen. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 12 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 standard(s) X EVIDENCE: These Standards will be assessed at the next inspection before the end of March 2006. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 13 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 standard(s) 24, 27 & 30 Service users live in a comfortable home where they can share accommodation. One service user’s privacy is neglected when staff use their personal toilet. EVIDENCE: The home has good communal space including a garden with seating, seating for seven people in easy chairs in the lounge. A new dining table has been ordered. Staff have a new bed in the sleepover room, so they are more rested to support service users more effectively night and day as required. A risk assessment has been agreed since the last inspection where it was found that staff use one of the service user’s toilets. The risk assessment still allows staff and other service users to use the service users en-suite toilet in the morning. The bathroom door on the first floor has been repaired. The service user says this is easier to use now, and that there is toilet paper and soap available to wash hands and keep clean. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 Service users know where and when they will be supported, and by who. EVIDENCE: Pictures of staff on shift are kept in the kitchen, so service users know who is supporting them at any time. The staff member was clear about their role, what they were doing through the day, and what other staff and service users were doing. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Service users are kept safe. EVIDENCE: Pictures and larger print show service users what to do if they are worried there may be a fire. One service user said there was a fire drill recently. Records showed regular health and safety checks. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 2 x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 5a Cornflower Terrace Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 17 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 6 Regulation 15 Requirement The Registered Person must ensure that restrictions on service users are recorded and up to date in plans, agreed by the funding authority and any other relevant professionals. The Registered Person must ensure that where there is concern about risk, recorded assessments focus on the independence of service users, what they are doing to keep themselves safe, and how this will be supported and developed. The Registered Provider must ensure that clear plans, with timescales and those responsible, are made to provide staff with an alternative toilet, and end the use of the service users en-suite facilities. Timescale for action 30.10.05 2. 9 13 30.10.05 3. 27 12(4)(a) 31.12.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 18 5a Cornflower Terrace 1. 6 Where new goals are agreed at reviews with the purchasing authority, or where a service user is finding it difficult to decide about their plans, support must be agreed and recorded promptly in their Service User Plan. 5a Cornflower Terrace G52-G02 7074 Cornflower V232700 D260705 Stage 4 UIV.doc Version 1.30 Page 19 Commission for Social Care Inspection 46 Loman St Southwark London 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. 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