Inspection on 30/08/05 for Cumberland Gardens (7)

This inspection was carried out on 30th August 2005.

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 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

Cumberland Gardens (7) 26/10/06

Cumberland Gardens (7) 24/02/06

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 Cumberland Gardens Off Great Perce Street London WC1X 9AG Lead Inspector Pippa Treadwell-Smith Unannounced 30th August 2005 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. Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cumberland Gardens Address 7 Cumberland Gardens, Off Great Perce Street, Islington, London, WC1X 9AG 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) 020 7278 4421 020 7837 9591 lorna-will@supanet.com NHS Miss Lorna May Williams Care home for younger adults 5 Category(ies) of MD Mental disorder 18 years and over registration, with number of places Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No conditions Date of last inspection 02.02.05 Brief Description of the Service: The Clerkenwell Project provides residential support for up to five service users who have mental health needs. The service is operated by Camden and Islington Mentak Health and Social Care Trust. 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 G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day in August 2005 and lasted about 4 hours. The manager assisted with the inspection. The inspector was able to talk to staff and service users as they came and went from the home. A variety of records were looked at and in particular care plans. The Commission for Social Care Inspection sent out comment cards as part of the inspection process. There was a positive response and three General Practitioners, three Care Managers and four service users responded. What the service does well: What has improved since the last inspection? What they could do better: An area where the home could do better was discussed with the manager. Staff need to update their medication training. Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 6 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 G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 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 Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 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) 2 Staff work out with service users what they want and need so that the home is sure it can meet the service users wishes and needs. EVIDENCE: Two of the service users said that they liked living in the home. Overall the comment cards from service users echoed this although some only liked living in the home “some of the time”. Three care files were inspected and each one contained an appropriate assessment. Service users are involved in assessments and reviews. Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 9 There is a clear care planning system in place to ensure that service users needs are being met. EVIDENCE: The records for three service users were looked at and indicated that for each one there is a current plan of care which sets out the needs of the service users and how they are to be met by the home. There is clear evidence that these were being reviewed regularly. In addition to the care plans there are minutes of regular meetings between the key worker and their key service user. One record showed that the minutes of the meetings are read and agreed at the start of each new session. Each file contained an assessment of any areas where there was considered to be any risks to the service user and how these risks were to be dealt with. Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 17 The arrangements for group and individual activities are well organised and attempt to meet individual needs. The meals in the home are good involving service users to ensure that choice and variety are available. EVIDENCE: Service users meet regularly as a group and individually with their key workers in order to discuss all areas of care and support including social activities. ON the day of the inspection an outing had been organised. An inspection of the care records and discussions with the service users identified that a range of social events are planned; these include boat rides, pub outings, video nights and day trips. The minutes of the key working meetings show that integration in the local community is discussed and encouraged. An example is of confirmation that a service user has a place at a local centre. Staff support service users to obtain higher benefits through an advocacy link. The weekly menus are discussed at the house meetings. The minutes of the meeting show that service users have been giving positive feedback about the quality and variety of the food provided. Overall the comments cards completed by service users confirmed that they liked the food. Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 11 Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 12 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) 19 & 20 The support workers have a good understanding of the health and welfare needs of the service users. The systems of administration have been subject to review to ensure the safety of service users. EVIDENCE: All service users are registered with a General Practitioner and have access to other health care professionals. Generally the GP’s who responded by sending back questionnaires felt that the staff had a good understanding of the service user’s needs and communicated and work in partnership with the practice. An inspection of the care records showed that service users attended out patients’ appointments at local hospitals. The service manager has looked into a possible drug administration error in the home and has taken steps in order to rectify the situation. Discussions with the manager highlighted that staff should attend courses in the administration of medication to update their knowledge. The GP’s generally felt that the staff in the home manage medication appropriately. The medication administration records were clear and up-to-date. A risk management strategy can be in place for service users who are assessed as competent to manage their own medication. Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 13 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 There is a clear complaint’s procedure and service users are able to make their views known. EVIDENCE: The home has policies and procedures in place in relation to reporting and investigating complaints. Service users said that they knew who to approach if they had any concerns about the care they were receiving. There is a complaint’s procedure made known to the service users. They said they could raise concerns as part of their key working meetings or as part of the house meetings. Those service users spoken to felt confident to approach the manager if they had concerns. The Care Manager’s and the GP’s who responded by returning comment cards recorded that they were satisfied with the standard of care in the home and had not received any complaints. Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 14 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 & 30 The home provides a safe and comfortable environment for the service users. EVIDENCE: The home is due for major refurbishment, which will provide improved facilities for both service users and the staff. As the home is in a conservation area it does pose some difficulties with making changes to the exterior as well as the interior of the property. The home is in keeping with the neighbourhood and it does not stand out as a care home. Service users have access to public transport links and community facilities. An integrated fire alarm system is installed and this is tested on a regular basis. A partial tour of the home found it to be clean and tidy. Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 15 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) This standard was not assessed at this inspection. EVIDENCE: Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 16 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 & 42 The home ensures that the service users are safe and secure whilst living in the project. The service users benefit from a well run home. EVIDENCE: The manager has successfully completed the fit person process for registration and has also completed the Registered Manager’s Award and NVQ 4 in Care. A wide range of records were looked at including fire safety and accident reporting. These records were detailed, up-to-date and accurate and confirmed that the home is being run responsibly with essential checks being made and acted upon. Fire procedures are discussed in the house meetings. A fire risk assessment is in place however records show that there is no map of the building, which the fire brigade would require in the event of a fire. Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cumberland Gardens Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 18 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 20 Regulation 13(2) Requirement All support staff require accredited training to include a basic knowledge of how medicines are used and how`to recognise and deal with problems in use. They need to be aware of the principles behind all aspects of the homes policy on medicines handling and records. A plan of the building will be required to be available for th efire brigade in the event of a fire. Timescale for action 30.11.05 2. 42 4c(v) 30.11.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Cumberland Gardens G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Centro 4 20-23 Mandela Street Camden Town London, NW1 0DW 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 G58 s61532 Cumberland v223156 160805 Stage 4.doc Version 1.40 Page 20 - 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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