Inspection on 20/06/05 for Cranley Gardens (14)

This inspection was carried out on 20th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cranley Gardens (14) 23/08/06

Cranley Gardens (14) 15/11/05

Cranley Gardens (14) 19/10/04

Cranley Gardens (14) 26/07/04

Similar services:

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Chatsworth Care - Dawson House

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Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Cranley Gardens (14) 14 Cranley Gardens Wallington Surrey SM6 9PR Lead Inspector Deborah Yapicioz Unannounced 20 June 2005 09:30 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. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cranley Gardens (14) Address 14 Cranley Gardens Wallington Surrey SM6 9PR 020 8647 9703 020 8405 8206 mail@independencehomes.co.uk Independence Homes Limited 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) Chirstina Pantrini Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19/10/04 Brief Description of the Service: Cranley Gardens is a residential care home that is registered with the Commission for Social Care Inspection to provide a service for up to six younger adults (18 to 65) with mild to moderate learning disabilities and epilepsy. All the service users currently residing at the home young females aged between their early twenties and thirties. Christina Pantrini, has been in operational day-to-day control of the home since November 2003.The property itself is a spacious detached building situated in a quiet residential area of Wallington. There are six single rooms, one with its own en-suite facilities. On the ground floor there is an open plan ‘L’ shaped lounge/dinning area and kitchen. There is also a large conservatory, attached to the lounge that leads out into the garden. A separate office/sleep-in room is provided on the ground floor and is accessible to both service users and staff. Other facilities include two toilets and baths, one of which has a shower. There is amble space at the front of the building for parking vehicles. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 20th June 2005 and was spent meeting with a support worker Jill Plummer, looking at records, observing service users and staff members, talking to service users and a tour of the premises. The home manager was not on duty at the time of the inspection and Jill Plummer facilitated the inspection. Overall the home continues to provide a good standard of care to the people living there. What the service does well: What has improved since the last inspection? What they could do better: There were no new issues identified as a result of this inspection. However the three issues identified at the last inspection for which resulted in requirements being made have been carried over. The documentation relating to staff having regular recorded supervision sessions and an annual appraisal was not available as the home manager was not present. The third outstanding issue relates to service users contracts detailing individual terms and condition, this Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 6 remains outstanding as there was no copies in service users files. These three outstanding issues will be checked at the next inspection. 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. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4, Generally the home provides good information and introduction opportunities for prospective service users and their families to make an informed choice about moving to the home. EVIDENCE: Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 9 The home has produced a comprehensive statement of purpose, which contains the information required by the Standards, including the projects aims and objectives and the facilities and services provided. The home also provides service users with a copy of the service users guide. Service users views of the home are included in the guide. Service users contracts were not available at the time of the unannounced inspection. These will be looked at during the next inspection. The home has a preadmission procedure. Service users are only admitted to the home once a full assessment of their needs; compiled by their care manager or other relevant person has been received. Although the home has had no new service users since the last inspection assessments have been completed for the current group of service users. The home has a varied training programme available to build on the skills of the staff team. All new staff have to complete ”Familiarisation” training which includes how the brain works and dealing with Epilepsy. The staff team have refresher training every six months, which keeps people updated on new drugs and current thinking. New staff to the home “shadow” established members of staff as part of their induction. Prospective service users have an opportunity to visit and live at the home on a trial basis before deciding to move in. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 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 standard(s) 6,7,9 The service users have comprehensive individual care plans with detailed information on their needs and personal goals. Individual care plans include consultation with service users and are regularly updated by the key-worker to reflect current needs and ensure service users wishes are represented. The home carries out risk assessment to enables the service users to participate in activities in the home and in the community with appropriate support. EVIDENCE: Each of the service users at the home have a personal plan which details goals, medical information, reviews, diaries, training records, records of choices, contacts, risk assessments, and an assessment of care needs. The plans follow on from the initial assessments completed by their care manager. Daily care notes are completed by the staff team and a monthly report detailing seizures and any areas of concern are sent to the company’s head office. The home has a key worker system. The service users and their key workers regularly review individual goals. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 11 The home operates a risk management system and individual assessments are on service users files. Risk assessments include using public transport, bathing and self-medication. The service users participate in the day-to-day running of the home, through regular service users meetings, and the homes key worker system. A local authority representative acts as the appointee for all the service users at the home. The service users are encouraged to take a degree of responsibility with their own finances, with the support of the staff at the home. Monies held on behalf of the service users are checked regularly. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,15,16,17 The service users at the home are offered the opportunity to engage in age appropriate activities with an emphasis on using community based facilities. The daily routines and house rules promote residents’ rights and encourage independence. Dietary needs are catered for with meals that are nutritionally well balanced, nicely presented, and clearly based on the service users food and drink preferences, providing them with daily variation and healthy eating options. EVIDENCE: The service users are encouraged to be as independent as possible and participate in food shopping, choosing and cooking meals and choosing trips and holidays. Part of the role of the key workers at the home is to encourage service users at the home to maintain and develop independent living skills. The home has a weekly activity timetable and details of the service users weekly commitments are also recorded on service users files. The home has a weekly chore rota, which service users participate in. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 13 Two of the service users at the home have jobs on a supermarket and another has a volunteer position with the local branch of a political party. Another service user is currently looking for a suitable position. One of the service users is currently considering a move to a supported living unit. To help her achieve this goal the staff team are working with her to develop her independent living skills such as shopping and cooking. The service users are on the electoral register and can vote if they wish to. Each of the service users has an individual holiday. The home is keen to maintain the service users family links. Visitors are welcomed and the service users families are invited to their reviews. There is an open visitors policy. Friends are also welcome to visit The house rules and daily routines are as flexible as possible, bearing in mind the weekday commitments of the service users. At the weekends there is more flexibility with breakfast and bedtimes. The service users are given a choice of having keys to their bedrooms and the front door of the home. The service users open their own mail and can have assistance from the staff team to read it if they wish. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 14 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 Personal care is carried out in a way that residents prefer so that dignity and choice are maintained. Residents’ medication is well managed to ensure good health. Service users have been consulted on their personal, religious and cultural preferences in relation to illness, death and dying, thus ensuring their individual wishes are respected. EVIDENCE: All service users are registered with a local General Practitioner and have access to community health facilities such as opticians, chiropodist and dentists as required. The staff team keep a record of any medical appointments attended on the service users files. Any seizures are recorded and each service user has access to a neurologist. The home has a policy and procedure in place for the receipt, recording, storage, handling, administration and disposal of medication. Records examined showed that all medicines administered are recorded on Medicine Administration Record Sheets, which were up to date at the time of the announced inspection. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 15 The service users need varying degrees of assistance with their personal care. The level of support a service user needs would be discussed at their review and recorded on their individual plan. Risk assessments are in place for all the service users in respect of bathing. To minimise risks associated with service users having a seizure in the bath it is the homes policy that staff remain close to bathrooms while occupied by service users in order to provide discreet supervision at all times. Since the last inspection the home has consulted the service users on their wishes concerning death and dying so that the suitable arrangements can be made which comply with the service users religious beliefs and their cultural heritage. A record of their particular wishes is kept on their file. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 16 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) 22,23 There is complaints policy and procedure, which facilitates good access to the complaints system for the residents, their family or their representatives and ensures that they feel confident that the issues they raise will be dealt with sensitively and in a timely manner. The home has the appropriate policies and staff training in place to ensure the protection of vulnerable service users. EVIDENCE: The homes complaints procedure is accessible to all the homes service users in a suitable format that includes information about how they are able to contact the Croydon and Sutton area office of the Commission for Social Care Inspection, should they wish to do so. Also included in the procedure are time scales when service users can expect an answer. The home has a copy of the local authority Adult Protection Policy on site. New staff members receive Vulnerable Adults training. The home manager has attended the local authority training. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 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 standard(s) 24,25,28,30 The home is homely, bright and clean thus providing the service users with safe, comfortable surroundings that meet their needs. Service user’s bedrooms provide privacy and reflect individual interests and preferences. EVIDENCE: The home is situated in a residential road close to Wallington town centre. The house is also well situated to access community facilities in Croydon and Sutton. It is close to rail and bus links. The home was comfortable, bright, well ventilated and free from offensive odours on the day of the inspection. The communal facilities include a large open plan ‘L’ shaped lounge /dinning area and kitchen. There is also a separate conservatory attached to the lounge. The flooring in the conservatory has been replaced. The carpet in the hall landing and stairs has also been replaced. The homes office is adjacent to the main lounge. All the service users have their own single occupancy bedrooms, which have been decorated and furnished to suit their individual tastes. There are currently six service users at the home. There are many “homely” touches such as photographs of the service users through out the house. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 18 On the day of the inspection the home was clean, bright and well ventilated. The home’s premises are in keeping with the local community and are suitable for their purpose. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 19 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) 31,34,35,36 Although the staff team at the home have a range of skills and abilities, which enable them to meet the needs of the service users living at the home, there is a need to ensure that they receive supervision on a regular basis to safeguard the quality of care. There is a robust recruitment system in place which is a safeguard to offer protection to the homes service users. . EVIDENCE: The staff team at the home are issued with job descriptions, setting out the role and responsibilities of the staff at the home. Independence Homes also issue staff with a code of conduct. It is company policy that all new employees are not permitted to start work until two satisfactory references from their previous employees have been confirmed. Criminal Records Check are also undertaken. New members of staff complete an induction programme covering various subjects including health and safety. The home has regular staff meetings. The staff team at the home receive supervision from the home manager, although these are not happening as frequently as they should. The home manager is also in the process of completing annual appraisals for the staff team. These will be checked at the next inspection. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 37,38,42 The home appears to be well managed. Health and safety arrangements are adequate to ensure potential risks to service users health and safety are as far as reasonably possible identified and minimised. EVIDENCE: The manager of Cranley Gardens since April 2004 and was not on duty at the time of the inspection. The families of the service users are invited to reviews and their views are sought about the running of the home. The home has self-monitoring systems in place such as service users survey. Records required for the safety and well being of service users are in place including accidents, risk assessments, complaints, incidents, food records, fire records, staff and service users case files, medication records and so forth. All staff must attend training relating to health and safety issues including fire safety and epilepsy. A record of training attended is kept on staff files. A representative of the registered provider visits the home regularly and copies of the visit report are sent to the Commission for Social Care Inspection Croydon office. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 21 Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x x 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cranley Gardens (14) Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 23 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 5 Regulation 5(1)( c ) Requirement The registered person must ensure the homes new contracts/statement of terms and conditions of occupancy agreed between the home and the service users specify the rooms to be occupied; fees charged, what they cover, and the cost of ‘extras’ not covered by the basis cost of the placement The registered person must ensure all staff working at the home has an annual appraisal with their line manager to review performance against job descriptions and agree career development plans The registered person must ensure all staff receive regular supervision sessions Timescale for action 30/09/05 2. 36 18(2) 30/10/05 3. 36 18(1)(2) 30/09/05 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 G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 24 Cranley Gardens (14) 1. Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP 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 Cranley Gardens (14) G53-G53 S07163 CranleyGardens(14) unann V228606 200605 Stage 4.doc Version 1.30 Page 26 - 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. 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