Inspection on 24/02/06 for Cumberland Gardens (7)

This inspection was carried out on 24th February 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cumberland Gardens (7) 26/10/06

Cumberland Gardens (7) 30/08/05

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

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

CARE HOME ADULTS 18-65 Cumberland Gardens (7) 7 Cumberland Gardens Off Great Perce Street Islington London WC1X 9AG Lead Inspector Ms Pippa Treadwell-Smith Unannounced Inspection 24th February 2006 11:00 Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 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 Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 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. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cumberland Gardens (7) Address 7 Cumberland Gardens Off Great Perce Street Islington London WC1X 9AG 020 7278 4421 020 7837 9591 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) Camden & Islington Mental Health & Social Care NHS Trust Miss Lorna May Williams Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: The Clerkenwell Project provides residential support for up to five service users who have mental health needs. Camden and Islington Mental Health and Social Care Trust operate the service. The project is run along a communal living framework with service users sharing the homes day-to-day activities. The staff team work within a multi agency team to provide individual support for each service user to live as independently as their abilities will allow. The home links in with day centres, colleges, clubs and other community resources so that service users have the opportunity to become involved in the local community. The project is situated within a quiet residential area that is also a conservation area. There is easy access to transport links, shops and other local amenities. Accommodation for service users is provided over three floors. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second unannounced inspection, of the inspection year 2005/2006. It took place over one day and lasted about four and a half hours. The registered manager and staff assisted the inspection process and the inspector was able to talk to the service manager of the project. No service users were available to take part in the inspection. A variety of records were looked at including care plans, training records and policies and procedures. 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. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 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 Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 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 the following standard(s): This standard was not assessed. EVIDENCE: Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 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 the following standard(s): Standard 7 The ethos of the home is to balance rights, risks and responsibilities so that service users can achieve a more independent life style. EVIDENCE: The home will be working towards a recovery model of care with a focus on social care and independence. This approach is reflected in the service user’s care plans and apparent when talking to both the manager and staff. Each plan of care is as individual as the service user identifying strengths and weaknesses. Where support is required then it is incorporated into the plan of care. Risk assessments are available where required. It is evident from the records and discussions that service users are involved. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 9 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): Standard 15 & 16 Support staff recognise the therapeutic value of positive relationships with family and friends. Service users are motivated to develop a more independent lifestyle. EVIDENCE: Staff encourage positive relationships with family and friends. Service users choose how much involvement they wish their family and close friends to be involved in the development of their care programme. There is a visitor’s policy, which ensures that visitor’s do not intrude on the privacy of service users. Where relationships have a negative impact, individual arrangements are made but staff continue to respect service user’s rights. In order to encourage more independence and responsibility, service users have keys to their bedrooms and the front door. Staff access service user’s rooms by permission and as the result of a health and safety issues. Care records show that service users have individual lifestyles. Feedback about service users during a handover identified that staff offer guidance and support to enable service users to make informed choices. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 10 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): Standard 18 & 20 Arrangements are in place to meet the health and personal care needs of service users. Staff training has ensured that the arrangements for handling medication have improved. EVIDENCE: The service does not provide personal care. Service users are supported to meet their own personal hygiene needs. All the service users are registered with a General Practitioner. The home operates a key worker system. Discussions with staff showed that they understood the needs of the service users and these should be met. The likes and dislikes of service users are recorded as well as their preferred routines and any communication difficulties. The health care needs of the service users are documented and there is access to health care professionals although not all service users are compliant. These situations are managed by staff. Policies and procedures are available for reporting accidents and other significant incidents are available and known to staff. Five staff have attended medication training. The manager has taken a proactive role in assessing competency. There are certificates available. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 11 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): Standard 23 Service users are protected harm by the home’s policies and procedures relating to adult protection. EVIDENCE: The home has a copy of the Camden & Islington Protection of Vulnerable Adults policy and procedure. The staff handbook contains a copy of whistle blowing procedures. Staff have attended briefing sessions regarding adult protection. Privacy, dignity and choice are part of the aims and objectives of the project. Staff attend equality and diversity training. These policies and procedures and training opportunity are reflected in the care practice of the staff. Staff have shown themselves to be responsive situations of potential abuse and have addressed concerns through the correct procedures. Risk assessments are in place when service users are vulnerable. There is a policy on handling service user’s finances and wherever risks have been assessed, service users are subject to budgetary restrictions. The home has a missing person procedure. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 12 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): Standard 24 Areas of the property are beginning to look shabby, as there have been delays to the upgrading work. EVIDENCE: On the day of the inspection there was a leak from the ceiling at the doorway to the stairs leading to the basement. This is a potential risk when staff and service users have to negotiate buckets in order to access the stairs. The home is due for refurbishment and there is no set date as yet. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 13 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): Standards 32, 34 & 35 Staff have opportunities for training and professional development in order to meet the needs of the service users and to fulfil the aims and objectives of the service. Service users are protected by the home’s recruitment and selection procedures. EVIDENCE: All permanent staff have achieved NVQ Level 3. Support workers complete a key skills framework; where as individuals they can assess where their weaknesses are and look to see how these needs can be met. Following training, staff complete an evaluation of the course and then complete an action plan, which identifies how the knowledge gained can be put into action in the work place. There is a personal development plan for each team member. Appraisals are undertaken. The manager is aware that she needs to develop a training plan especially as staff have sessions on dual diagnosis, team building, promoting independence and developing effective therapeutic relationships with service users. The provider operates a robust and thorough recruitment and selection procedure, which is underpinned by equal opportunities. Copies of CRB checks are held in the home but other records are held centrally. The inspector was able to discuss with the service manager a format for relevant information to Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 14 be kept in the home. There will be further discussion relating to this topic. The GSCC code of conduct is available in the staff handbook. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 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 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): Standard 39 There is no current review of the quality of the service. EVIDENCE: Service users are able to feed back through key worker meetings, house meetings and the complaints process however there is no formal annual service user survey done. The manager agrees that one needs to be developed. It is important as the home moves towards the recovery model of care, and then such a survey will enable them to measure their success in achieving the aims and objectives. There is a planned review of policies and procedure by a policy group. Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X X X 2 X X X X Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 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 YA39 Regulation Requirement Timescale for action 01/06/06 Regulation The Registered Person must 24(1-3) ensure there is a review of the quality of care provided at the care home. An annual service user survey should be conducted and produced in a format of a report, and a copy made available to the service user, 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 Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Camden Local Office Centro 4 20-23 Mandela Street London NW1 0DU 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 Cumberland Gardens (7) DS0000061532.V250191.R01.S.doc Version 5.1 Page 19 - 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. 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