Inspection on 18/10/05 for Cowden Road, 52 - 54

This inspection was carried out on 18th October 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Cowden Road, 52 - 54 03/11/06

Cowden Road, 52 - 54 29/10/04

Cowden Road, 52 - 54 05/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Whitworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Cowden Road, 52 - 54 52 - 54 Cowden Road Orpington Kent BR6 0TR Lead Inspector Sue Meaker Unannounced Inspection 18th October 2005 03.00p Cowden Road, 52 - 54 DS0000006911.V256276.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 Cowden Road, 52 - 54 DS0000006911.V256276.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. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cowden Road, 52 - 54 Address 52 - 54 Cowden Road Orpington Kent BR6 0TR 01689 896591 01698 896591 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) The Avenues Trust Limited Mr Andrew Crees Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 Adults of either sex with a learning disability ( within the category of mental handicap) 17th and 18th May 2005 Date of last inspection Brief Description of the Service: Cowden Road comprises of two terraced houses converted into one property providing support in a residential setting for five adults, of either sex, with a learning disability. The home is situated in a residential area within a cul de sac, close to Orpington town centre, with a good range of shops, leisure facilities and public transport links. All five residents have their own well appointed bedrooms, one is on the ground floor and has an en-suite bathroom comprising of a walk-in shower and toilet. The other four bedrooms are on the first floor, accessed by steep stairs with banisters either side; all the bedrooms have a vanity unit and also have access to a family sized bathroom on this floor, there is also a separate shower room and toilet for the residents use. The residents have access to an attractive well-maintained garden to the rear of the house; in which staff and residents have planted a variety of vegetables as well as flowers and shrubs; the staff and residents have constructed a pond in which they keep fish. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a statutory unannounced inspection carried out on the afternoon of the 18th October 2005, the inspection took four hours, the inspection comprised of a discussion with the home manager, a brief tour of the home, talking to the five residents and to one member of the staff team; there were no relatives present at this inspection. The previous inspection in May 2005 was comprehensive and all of the standards assessed at this time were met. This inspection focussed on standards that were not assessed at the previous inspection, these areas related to, some standards relating to the environment, staffing and the conduct and management of the home. Activities and concerns, complaints and protection were also looked at in relation to standards being maintained or exceeded. The residents expressed their satisfaction with the care and social activities, accommodation and facilities the home provided; and said that the manager and staff were aware of their needs and looked after them well. The home was clean and tidy well decorated and furnished to a high standard, creating a comfortable and relaxed homely atmosphere for the residents. What the service does well: The home provides a safe place to live for their residents, who all have learning disabilities; the residents are encouraged and supported to maintain an independent lifestyle of their choice; helping them to integrate into the local community and therefore achieving some independence. The residents are very involved in the day to day running of the home and are able to choose a range of activities appropriate to their needs. The manager and staff are committed to providing a high quality of care to their residents respecting the choices made relating to how they live their life inside and outside the home. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The home manager said that he would like more input from social services particularly when the residents have their six monthly reviews, he is endeavouring to improve this situation. The manager is also in the process of trying to access more input from professional agencies relating to specialised health care needs of the residents and updating knowledge about mental health issues. This was a very satisfactory inspection and it was evident that the manager and staff are committed to promoting the well being of the residents in their care. The home is to be commended on the range of activities, days out and holidays arranged for the residents; the residents spoken to were appreciative of the efforts of the staff to help them enjoy their life in the home. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 7 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. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 8 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 Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 9 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): NONE EVIDENCE: All the standards in this section were assessed in detail at the last inspection in May 2005, and were met. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 10 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): NONE EVIDENCE: All the standards in this section were assessed in detail at the previous inspection in May 2005, and were met. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 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 and 14 This home continues to provide very good activities for their residents to enjoy, consequently enhancing their quality of life within the residential care home environment EVIDENCE: . Since the last inspection in May 2005, the residents have enjoyed various holidays including trips to Whitby in Yorkshire, Margate in Kent, the island of Guernsey, Jersey and the Norfolk Broads. Day trips were also arranged, influenced by the diverse interests of the residents these included trips to the seaside, Margate and Hastings; the D-Day museum in Portsmouth, Sheffield Park; the Bluebell Railway; a Military Show and attending a Rememberance Service at the Priory Gardens. The residents are also encouraged to broaden their horizons through appropriate further education courses that are offered by local colleges, these are primarily aimed at developing the residents’ life skills, literacy and numeracy, one of the residents’ is attending a computer course at the local college. Residents are also encouraged to seek with the assistance of the Home Manager, employment in their locality working in day centres on a Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 12 voluntary basis, and one resident has a job via the Shaw Trust, preparing sandwiches and selling them to local businesses and factories. This home is to be commended on the range of activities, further education, employment, holidays and day trips it is able to offer the residents therefore maintaining their life skills enabling them to lead full, varied and independent lives, developing their social skills and providing them with a life outside and within the residential home setting. Cowden Road, 52 - 54 DS0000006911.V256276.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): NONE EVIDENCE: All the standards in this section were comprehensively assessed at the previous inspection in May 2005, and were met. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has systems in place to protect their residents, enabling them to feel safe and secure within the home EVIDENCE: The home has a comprehensive complaints policy and procedure, available in different formats primarily using Makaton symbols. The policy and procedure is detailed in the service user guide given to every resident; notices are also displayed around the home and in the statement of purpose. The complaints log was viewed and there have been no complaints recorded since the last inspection. The manager and staff of the home have received training relating to the Protection of Vulnerable Adults; the organisation has a robust policy and procedure for both residents and staff around adult protection and this would be strictly enforced if necessary. The home had a copy of the London Borough of Bromley’s guidelines relating to the Protection of Vulnerable Adults that would be followed in the event of any allegations of abuse. The home also has a policy and procedure relating to “Whistle-blowing” available to all residents and staff. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25, 27 and 29. The home provides bedrooms, bathrooms, toilets and specialist equipment, as appropriate, to met the diverse needs of the residents, enabling them to feel comfortable and safe within their chosen environment. EVIDENCE: The residents’ bedrooms were seen, with their permission, during this inspection, it was evident that the rooms reflected their needs; furnished and decorated to their choice, the bedrooms were personalised to reflect the individual tastes. The bedrooms were spacious and the furniture appropriate to the size of the room and mobility of the individual. There are four residents on the first floor and they all have washing facilities in their own rooms, there is also a bathroom, a shower room both with toilet facilities and a separate toilet for their use; all the rooms have locks that can be accessed from the outside in the event of an emergency. The resident on the ground floor has an en-suite walk in shower and toilet; due to this residents mobility difficulties these facilities are adapted specifically for his needs, and the size of the room is more than adequate for the use]]of the wheelchair. All the residents have clear, comprehensive and concise risk assessments relating to safe moving and handling, detailing exactly their capabilities to undertake tasks for themselves and their need of assistance Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 16 The home has a well equipped laundry room on the ground floor comprising of a washing machine, dryer, ironing and hand washing facilities, the residents are encouraged to do their own laundry and are allocated specific days for this tas; assistance is provided by the staff of the home if needed and risk assessments are in place to make sure the residents and safe and are aware of what they need to do to maintain their personal safety when using the equipment. Standards 24,26 28 and 30 were all assessed in detail at the previous inspection in May 2005, and are met. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 17 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 organisation has comprehensive recruitment policies and procedures however personnel files are kept at Head Office and the home only has a summary of personnel files giving minimum information to the home manager. EVIDENCE: The home has robust policies and procedures governing the recruitment and selection of staff. The organisation holds comprehensive personnel files at their head office, however the home does have a summary of staff details on file; it would be more appropriate for the home to have individual complete personnel files in the home; alternatively the summary could be more comprehensive. The home manager stated that all the appropriate checks eg. CRB and POVA, are carried out on all staff prior to employment and that he receives notification from head office as to the outcome. Standards 31,32,33,35 and 36 were assessed at the previous inspection in May 2005, and were met. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 40, 41,42 and 43. Comprehensive and robust policies, procedures, record keeping, health, safety and welfare of residents; and competent and accountable management of the home all contribute to the overall good conduct and management of the home. EVIDENCE: The home has comprehensive and robust policies and procedures governing the effective and efficient running of the home; these documents are easily accessible to the management, staff and residents of the home; records seen evidenced that the rights and best interests of all stakeholders in the home were safeguarded. Records kept in the home comply with schedule 4 of the National Minimum Standards; all records are well maintained up to date and accurate. Health and Safety records were checked at this inspection, they were well maintained, accurate and up to date; these records complied with Health and Safety regulations and were re-enforced by the organisations policies and procedures relating to Health and Safety. The Business Plan was seen at this inspection, the home manager receives a budget from the organisation and then manages the budget keeping monthly Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 19 records of all expenditure enabling the financial viability of the home to be monitored by the organisation. Standards 37,38 and 39 were assessed at the previous inspection in May 2005, and were met. Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cowden Road, 52 - 54 Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X 3 3 3 3 DS0000006911.V256276.R01.S.doc Version 5.0 Page 21 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. Standard Regulation Requirement Timescale for action 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 Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Cowden Road, 52 - 54 DS0000006911.V256276.R01.S.doc Version 5.0 Page 23 - 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!