Inspection on 18/10/07 for Cumberland Road, 84

This inspection was carried out on 18th October 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cumberland Road, 84 29/11/06

Cumberland Road, 84 26/01/06

Cumberland Road, 84 13/07/05

Cumberland Road, 84 18/01/05

Cumberland Road, 84 25/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Townley Road, 2-3

Chatsworth Care - Tudor Lodge

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

CARE HOME ADULTS 18-65 Cumberland Road, 84 Hanwell London W7 2EB Lead Inspector Ms Jean Bovell Unannounced Inspection 18 October 2007 11:00 th Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cumberland Road, 84 Address Hanwell London W7 2EB 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) 0208 566 2404 0208 566 2404 hm84cumberland@ealing.org.uk Support For Living Mrs Mariam Abiodun Gbaja Care Home 3 Category(ies) of Learning disability (0), Mental disorder, registration, with number excluding learning disability or dementia (0) of places Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th November 2006 Brief Description of the Service: 84 Cumberland Road was originally registered as a small home, under the Registered Homes Act 1984 and 1991 Amendment Act, for three service users. The Registered Providers are Support For Living. The staff team comprises of a Registered Manager and five support workers. The Registered Manager is currently on maternity leave and her position is being covered by an Acting Manager. One of these posts has been divided into two in order to have a male worker in the team to work with the male service user. There is at least one member of staff working on each shift, with a person working a middle shift, to offer the opportunity for service users to receive one to one support during part of the day. The home provides a service for adults with a learning disability and or mental health needs. The home is a terraced property, which is situated in Hanwell. There are shops nearby in West Ealing or Ealing Broadway, both accessible by public transport, which is nearby. The accommodation consists of three single bedrooms. Service users are required to manage stairs to access the bedrooms, bathroom and toilet that are located on the first floor. There is a lounge, a kitchen/dining room and office/sleeping in room on the ground floor. A small garden is to the rear of the property, which is mainly paved, with some shrubs. Service users access day centres and community resources as appropriate. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 11:00am and 3:30pm on 18th October 2007. Two support workers and two residents were initially present. The Inspector was informed by a support worker that one resident was attending a drama class and the Acting Manager was on a training day. During the course of the inspection the home’s records, policies, procedures and documents were viewed. Observations were made and a tour of the building was undertaken. Two residents and three support workers were spoken with. The requirements that were made at the last inspection and all key Standards were examined. A completed Annual Quality Assurance Assessment (selfassessment) document was considered. The Inspector received appropriate assistance from two support workers. The Acting Manager returned to the home for a limited period and was also cooperative. What the service does well: Residents who were present at the time of the inspection appeared well cared for and comfortable within their environment. They indicated being happy at the home and interacted in a friendly manner with support workers who were attentive and competent in meeting their needs. People’s individual needs and aspirations are appropriately assessed prior to admission into the home. They receive opportunities for pursuing individual interests such as drama, horse-riding and specific college courses. People are also able to practise their particular religious beliefs and are regularly supported during separate activities within the community. All records, documents, policies and procedures viewed were satisfactory and indicated that the health, safety and welfare of residents were being protected. The overall environment is safe, homely and well maintained. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs and aspirations of prospective residents are appropriately assessed prior to admission into the home. EVIDENCE: There are three longstanding residents at the home and their records were viewed. It was indicated that subsequent to referral by the Community Team for People with Learning Difficulties, a needs led assessment had been carried out by the home. Social workers, relevant health care professionals and relatives were involved in determining the suitability of the home to meet separate identified needs and aspirations. In particular people were able to continue with previously attended college or day resource placements. A policy on Assessment and Admission was in place. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and related risk assessments are being appropriately undertaken and regularly reviewed. People receive support and encouragement in making decisions regarding their daily living routines. EVIDENCE: The care plans that had been drawn up regarding three residents were examined. It was reflected that people’s changing personal, physical/emotional, healthcare and social needs were being assessed. Appropriate actions, and six-monthly and long-term aims were put in place. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 10 Risk assessments were carried out in relation to specific activities identified within care plans and included travelling on public transport, ability to evacuate the house in case of fire and getting in and out of the bath. It was evidenced that care plans and risk assessments were being reviewed on a six monthly basis. A support worker confirmed that people were supported in making decisions in relation to daily routines such as meals, activities, personal purchases and what they wore each day. Residents who were present at the time of the inspection were observed moving freely around the home and individual choices and interests were reflected in their separate bedrooms. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive support while participating in separate activities of choice within the local community. The rights of residents are respected and contact with relatives and/or advocates is encouraged and facilitated. Varied and nutritional meals are being provided. EVIDENCE: Care plans were reflective of separate social needs being assessed. It was indicated that people were able to attend day resources, evening clubs, college courses and Sunday Church Services. Daily logs were also reflective of people Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 12 being supported during individual activities within the local community on a daily basis. Three residents participated in separate outdoor activities at the time of the inspection and included a drama session, lunch out and shopping. An open visiting policy is in place and contact between residents and their respective relatives or advocates are encouraged and facilitated. Support workers were observed knocking on bedroom doors prior to entering and interacted with residents in a respectful manner. The Inspector was informed by a support worker that residents were able to make and receive personal telephone calls. Letters were not opened prior to being handed to the relevant individual. People lacked capacity to undertake housekeeping tasks but regularly accompanied staff during the weekly shop. Residents were observed moving freely around the home, sitting quietly or viewing television in separate communal areas. There was sufficient fresh, dried and frozen food in the home’s kitchen and fresh fruit was accessible. The menus were reflective of varied and wholesome meal options being provided. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive support with personal care as required and their health care needs are being met satisfactorily. Policies and procedures on medication are in place and comprehensive. EVIDENCE: The personal care needs of people were identified within individual care plans and indicated everyone required assistance with personal care routines. A support worker confirmed that people’s privacy and dignity were respected when personal care tasks were being carried out. However, they received support in choosing what they wore each day, hairstyles and make up. The changing health care needs of residents were reflected in their separate care plans. They received access to relevant health care professionals as Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 14 required. Aromatherapy was provided on a regular basis. Annual health care checks were arranged and people were accompanied to medical appointments. Policies and procedures on medication were in place and the Acting Manager confirmed that medication training had been delivered to all care staff. Medicines held at the home were appropriately stored an administered. Medication Administration Sheets were accurately documented and signed. The Inspector was informed by a support worker that residents lacked capacity to self-administer medication. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is in place and satisfactory. People who use the service are being satisfactorily protected from abuse. EVIDENCE: The complaints procedure was accessible, clearly detailed and written/illustrated in a format suitable to meeting the needs of people who use the service. No complaints were received at the home following the last inspection. Accident and incident reports were viewed and were satisfactorily completed. Policies and procedures on the protection of vulnerable adults were in place. Staff training on POVA was not evidenced on records viewed and could not be confirmed by support workers. This issue was discussed with the Acting Manager and the Inspector was informed that training on the Protection of Vulnerable Adults had been arranged. Weekly benefit allowances are being paid directly into residents’ bank accounts but cash is kept securely at the home on behalf of residents. The separate financial records of three residents were inspected and no discrepancies were identified. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortably furnished and well maintained. The environment is calm and homely. EVIDENCE: The communal areas at the home are adequately spacious and suitable for shared and/or individual activity. The lounge is attractively decorated and comfortably furnished. Framed photographs of residents were displayed and copies of the service user’s guide and statement of purpose lay on a side table. The kitchen/dining area was clean and hygienic. Dining furniture had been replaced and kitchen units were in good order. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 17 The en-suite bathroom/toilet was hygienically clean. There were no offensive odours and required repairs had been carried out. Residents’ bedrooms were suitably furnished and fitted and reflected individual choices and interests. The garden was being maintained and accessible to residents. There were no issues regarding the laundry. Overall, the home was clean, hygienic and well maintained. The environment was safe, calm and homely. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support workers are adequately trained and qualified for meeting the needs of people who use the service. Recruitment policies and procedures are satisfactory but photo-identification was not included within all copies/confirmation of recruitment documents held at the home. EVIDENCE: The Acting Manager confirmed that two of four full-time care staff had achieved levels 2 and 3 National Vocational Qualification in health and social care. Personnel files are being held at Head Office but specific copies/confirmation of required documents including CRB disclosure reference numbers were kept securely at the home. However, photo-identification was not attached to each set of documents. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 19 The records indicated that new care staff received induction training and that subsequent training delivered included Moving and Handling, Health and Safety, Food Hygiene, Fire Awareness and Choking and Resuscitation. The Inspector was advised by the Acting Manager that a programmed of refresher training was scheduled to commence in November 2007. Support workers were observed being attentive and competent in meeting the needs of residents. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Acting Manager is suitably experienced and qualified. Quality assurance is being satisfactorily undertaken. The health, safety and welfare of people are protected within the home. EVIDENCE: The Acting Manager is currently covering maternity leave. She has been employed by the Organisation for 5½ years and was a Senior Support Worker at another home. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 21 Support workers spoken with reported that the Acting Manager was open, approachable and supportive. It was reflected on documents viewed that effective quality assurance had been carried out and completed on 7th August 2007. All health and safety records viewed were satisfactory. These included gas maintenance. Fire safety, water temperature and fridge/freezer checks. Fire drills were being undertaken and clearly recorded. Environmental risk assessments had been carried out. Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 23 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 YA34 Regulation 17(3)(b) Requirement The Registered Person must ensure that separate Photo-Ids are included within copies/confirmation of staff recruitment documents held at the home. The Registered Person must make sure that training on POVA is delivered to all care staff to ensure that people’s needs are being fully met. Timescale for action 20/12/07 2. YA35 18(1)(c)(i) 31/01/08 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 Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cumberland Road, 84 DS0000027728.V344726.R01.S.doc Version 5.2 Page 25 - 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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