Inspection on 08/05/07 for Coverdale Road (2)

This inspection was carried out on 8th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Coverdale Road (2) 25/04/06

Coverdale Road (2) 06/10/05

Coverdale Road (2) 18/04/05

Coverdale Road (2) 21/10/04

Coverdale Road (2) 05/04/04

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 Coverdale Road (2) 2 Coverdale Road Shepherds Bush London W12 8JL Lead Inspector Tony Lawrence Unannounced Inspection 8th May 2007 09:30 Coverdale Road (2) DS0000035470.V335231.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 Coverdale Road (2) DS0000035470.V335231.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. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coverdale Road (2) Address 2 Coverdale Road Shepherds Bush London W12 8JL 020 8749 9559 020 7386 6601 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) London Borough of Hammersmith and Fulham Miss Hannah Cronin Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2006 Brief Description of the Service: Coverdale Road is a registered care home providing accommodation and personal care for 6 people with a learning disability. At the time of this inspection there were 3 men and 2 women living in the home. The house is close to shops, public transport and other services. Hammersmith and Fulham Social Services Department own the property and manage the service. Service users have single bedrooms and access to spacious communal rooms and a pleasant, paved rear garden. The building is not suitable for people who use a wheelchair use or have mobility problems, as access is via steps at the front and the kitchen and dining room are on the lower ground floor. People living in the home attend local day services, while also spending time at home and using community facilities, supported by care staff. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on Tuesday 8th May 2007 from 09:30 – 15:30. Tony Lawrence, Regulation Inspector, carried out the inspection. He spoke with all 5 people living in the home, staff on duty and the Deputy Manager. Five people living in the home returned confidential questionnaires they had completed with support and their comments are included in this report. In November 2006, the Council began consultation on the possible closure of the home and a decision is expected in June 2007. Care staff and other professionals have been working with people living in the home to identify homes they could move to if the home closes. The weekly fee for the home is £1,325. 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. The summary of this inspection report can be made available in other formats on request. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person living in the home has a contract that details the services they will receive. EVIDENCE: Coverdale Road opened in 1985 and most of the residents have lived together for between 15 and 20 years. As some people living in the home have become older, it has been difficult to meet their care needs in the accommodation provided in the home. Stairs to the front door and internally make it a difficult place to live in if a person has mobility difficulties. In November 2006, the Council began to consult people living in the home and their representatives on plans to close the home and identify more appropriate accommodation for each person. This work has continued and the Council will make a final decision on the future of the home in June 2007. People living in the home have been assessed and supported to identify the kind of home they would like to live in and the people they would like to live with. One person moved out of the home shortly before this inspection and others have been to visit other possible homes. There is a shortage of accessible homes in the Borough and people have been supported to visit homes outside London. The Deputy Manager confirmed that no referrals would be considered for the home’s one vacancy until the future of the home is decided. The last inspection report included a Requirement that each resident must have a costed contract / statement of terms and conditions. During this visit the Inspector checked the care plan files of two people living in the home and each included a signed contract. While the contract includes most of the Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 8 required information to meet the National Minimum Standards, the Council should make sure that contact details for the Commission are included. Coverdale Road (2) DS0000035470.V335231.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service recognises the right of people to make decisions about their lives but there is a need to make sure that this happens more effectively. EVIDENCE: During this visit the Inspector checked the care plan files for two people living in the home. The last inspection report included a Recommendation that care plan files should be reorganised to make information easier to find. This Recommendation has been met and all current assessments and reports are now kept separately for each person. Some good work has been started to support one person whose care was reviewed during this visit to produce a Person Centred Plan. The plan clearly detailed things that people like and admire about the resident, as well as the people and things that are important to them. As part of the consultation process on the future of the home, a series of assessments has been completed with each resident. One person’s care needs assessment was dated March 2007. This assessment was completed by a qualified social worker, working with the resident’s key worker from the home. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 10 The assessment was detailed and included some clear goals. The file also included psychology and occupational therapy assessments, both completed in December 2006. The Inspector felt that the assessments were very well completed, detailed and relevant. The assessments concluded that the resident needs to move as their care needs cannot be met in the current accommodation provided at Coverdale Road. This person’s care plan file also included a good assessment of potential risks, but this was not dated. Staff should make sure that all assessments are signed and dated by the person completing them. The second person’s file included a care needs assessment, psychology and occupational therapy assessments dated December 2006. The Inspector also saw a health assessment completed by the person’s GP in October 2006. Risk assessments were dated march 2007 and covered fire safety, going out in the local community, bathing and personal care. Work had started in December 2006 to support this resident to write a Person Centred Plan, but there was little evidence of progress. Some good work had been completed to record what is important to the person, but the rest of the plan needs to be finalised. While the Inspector felt that the standard of assessments was good, there are concerns about the effect that closing the home will have on this person. The psychology assessment highlighted that this person reacts badly to change and the assessment by the Adult Rights Officer concluded that the person’s care needs could continue to be met appropriately in the home and any move should only be agreed if it clear that a better quality of life will result. It is a Requirement of this report that, where people do not have a representative, the local authority consults the Independent Mental Capacity Advocacy service to make sure that each person living in the home is represented in any plans to move them out of the home. The local authority must also make sure that each person’s placement is reviewed regularly. One care plan file included a placement review report that was dated February 2006 and staff were not able to find evidence of a more recent review. 5 people living in the home returned confidential questionnaires sent out as part of this inspection. All five people said that they had support to complete the questionnaire. All five people said that they ‘always’ make decisions about what to do each day and they can choose what to do during the day, in the evenings and at weekends. Coverdale Road (2) DS0000035470.V335231.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are involved in choosing and taking part in meaningful daytime activities. EVIDENCE: When the Inspector arrived at 09:15, one person living in the home was waiting for transport to the local day service. A second resident was due to go to the day service but chose to remain at home. One person later went to an adult education dance class, supported by a member of staff. A second resident who was due to go to the dance class chose to stay at home. Care staff supported one person to go shopping in the local community. Both people who chose not to take part in planned activities were offered opportunities to go out during the day. The Inspector checked the monthly review sheets for two people. The sheets list activities that people have been supported with each day. The review sheets show that people are supported regularly to go to adult education classes, day services, the cinema, local shops and cafes. The two care plan files reviewed by the Inspector during this visit included details about residents’ relatives, friends and other significant people. There was evidence Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 12 on one file that the person’s relatives have been involved in the consultation on plans to close the home. During this visit, the Inspector saw some good interaction between staff and people living in the home. People were asked what they wanted to do during the day and were offered choices. Staff responded well if people chose not to take part in planned activities and made sure that other opportunities were offered during the day. Some people had already finished their breakfast when the Inspector arrived. Other people were offered a choice of cereals, toast and jam and hot or cold drinks. Menus provided by the Manager are evidence that people are offered a variety of nutritious meals. Most people eat in the kitchen / dining room or lower ground floor lounge / dining room. Both rooms provide comfortable and attractive places for people to eat their meals. Coverdale Road (2) DS0000035470.V335231.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal healthcare needs are clearly recorded as part of each person’s plan. The delivery of personal care is individual and flexible. EVIDENCE: As part of the consultation process on plans to close the home, each resident has been assessed by a social worker, psychologist and occupational therapist. Individual’s GP’s were also asked for a statement of each person’s current health care needs. The care needs assessment completed with two people included some good information about their personal and healthcare needs. Both plans included good information on how the individuals prefer to be supported with their personal care. The assessments and care plans were clear about how identified care needs should be met. Both care plan files included details of appointments with medical professionals. The Inspector checked the medication records for all five people living in the home. The records were well maintained and the Inspector found no errors or omissions. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by clear complaints and safeguarding adults policies and procedures. EVIDENCE: Information provided by the Manager before this inspection is evidence that there have been no formal complaints or safeguarding adults incidents or investigations since the last key inspection of the home. Staff who spoke with the Inspector were aware of the local authority’s safeguarding adults policy and procedures. All said they would report any concerns to their manager or the Adult Protection Officer in Social Services. During this visit the Inspector checked the finance records for two people living in the home. The records were well maintained and receipts were in place for any expenditure involving residents’ personal money. All five people living in the home returned confidential questionnaires they had completed with support. All five people said that they know how to make a complaint and who to speak to if they are not happy. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are supported to personalise their bedrooms. Shared areas offer a choice of communal space. EVIDENCE: 2 Coverdale Road is a large end-terrace house in a residential part of Shepherd’s Bush. It is close to local shops, cafes and transport links, including bus routes and a tube station. During this visit the Inspector saw all communal parts of the home and 4 people’s bedrooms. Following refurbishment works and repairs the home now offers a good standard of accommodation. Residents’ bedrooms are well decorated and comfortably furnished. The four bedrooms the Inspector saw were all very well personalised with the residents’ own belongings, photos etc. Communal lounges and the kitchen / dining room were also comfortably furnished and well decorated. There is a sufficient number of bathrooms and toilets. People living in the home have use of an attractive garden with patio furniture. During this visit, the Inspector found all parts of the home were clean, tidy and hygienic. All five people who returned confidential questionnaires said that the home is ‘always’ fresh and clean. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are consistently supported by sufficient staff. EVIDENCE: Information provided by the Manager before this inspection is evidence that the home’s staff team comprises a Manager, Deputy Manager, 4.5 support workers and night care staff. The Deputy Manager confirmed that she and the Manager are the only permanent staff working in the home. Two support workers have 3 month contracts and agency staff cover the remaining posts. The Manager has tried to make sure that people living in the home have continuity in the care they receive, by using regular agency staff wherever possible. The rota shows that there is a minimum of 2 staff on duty at all times of the day and night. When the Inspector arrived at 09:30, two staff were on duty. A third person arrived at 10:00 and the Deputy manager started her shift at 10:30. The Deputy Manager confirmed that both she and the manager have Enhanced Disclosure checks from the Criminal Records Bureau (CRB). The two staff on short term contracts also have CRB Disclosures. Agency staff working in the home are asked to bring their CRB check with them when they work their first shift in the home. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 17 Information provided by the Manager is evidence that 70 of staff working in the home have completed their NVQ Level 2 qualification training or above. During this visit the Inspector felt that the staff team worked well together to make sure that the three people who did not attend day services all went out at some point during the day. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager understands the importance of person centred care and effective outcomes for people living in the home. EVIDENCE: The home has a permanent Manager and Deputy Manager. The Deputy Manager confirmed that both would remain at the home until a decision has been made about the future. If the home is to close, the Deputy Manager said she and the Manager would oversee the moves of each resident to their new homes. The Deputy Manager and staff who spoke with the Inspector showed a good understanding of the principles of person centred care and were able to describe how these have been followed when supporting individuals to plan their futures. Managers and staff from the home have been involved in the assessments of each person although the Inspector felt that their knowledge and experience of individuals had not always been reflected in the care needs assessments. Care plans and care needs assessments also included evidence that the local Advocacy Service have been involved in supporting people living in the home during the consultation period. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 19 During this visit the Inspector checked a number of records kept in the home, including care plans, finance records, medication records and assessments. The standard of record keeping in the home is very good. Records were well maintained and up to date and essential information was easy to find. No health and safety issues were noted during this visit. Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 3 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 3 X 3 X 3 X 3 3 X Coverdale Road (2) DS0000035470.V335231.R01.S.doc Version 5.2 Page 21 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. 2. Standard YA6 YA7 Regulation 15 15 Requirement Timescale for action 31/07/07 3. YA7 15 Work to support individual residents to develop a person centred plan must be completed. Where people do not have a 31/07/07 representative, the local authority must consult the Independent Mental Capacity Advocacy service to make sure that each person living in the home is represented in any plans to move them out of the home. The local authority must make 31/07/07 sure that each person’s placement is reviewed regularly. 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. 2. Refer to Standard YA5 YA9 Good Practice Recommendations The home’s contract / statement of terms and conditions should include contact details for the Commission for Social Care Inspection. Staff should make sure that all assessments are signed and dated by the person completing them. DS0000035470.V335231.R01.S.doc Version 5.2 Page 22 Coverdale Road (2) Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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