Inspection on 26/01/06 for Cumberland Road, 84

This inspection was carried out on 26th January 2006.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cumberland Road, 84 18/10/07

Cumberland Road, 84 29/11/06

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 26th January 2006 Cumberland Road, 84 DS0000027728.V278027.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 Road, 84 DS0000027728.V278027.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 Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 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 Ealing Consortium Limited 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.V278027.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th July 2005 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 Ealing Consortium. The staff team comprises of a House Manager and five support workers. 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.V278027.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out between 10:45 am and 3:45 pm on Thursday 26th January 2006. The Registered Manager, three members of the care support staff team and three service users were present. During the course of the inspection, records, policies and documents were viewed. A tour of the building was undertaken, observations were made and the Inspector spoke to two service users and three care support staff members. The outstanding Standards from the last inspection and the identified requirements were examined at this inspection. The Registered Manager was co-operative and provided appropriate assistance throughout the inspection. What the service does well: The service users were appropriately dressed and appeared relaxed and well cared for. They interacted in a friendly manner with the care support workers and service users who spoke to Inspector indicated that they were happy with the care and support they received at the home. The home has maintained a permanent staff group. This has benefited the service users by providing consistency of care and enabling a stable environment. A rolling training programme is in place and ensures that staff receives regular and appropriate training for meeting the needs of the service users. The home’s policies and procedures were up to date and indicated that the best interests of the service users were being protected. Overall, the home was found to be clean, hygienic and well maintained. The atmosphere was calm and pleasant. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 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. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 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.V278027.R01.S.doc Version 5.1 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 the following standard(s): 1. The home’s service users guide and statement of purpose are appropriately informative. Standards 2, 3, 4 and 5 were examined at the last inspection and the minimum requirements had been satisfactorily met. EVIDENCE: The home’s service users guide and statement of purpose were in place. The documents contained all the required information relating to the home such as aims, objectives and environment. Both documents were written and illustrated in a format suitable for meeting the needs of the service users and had recently been reviewed. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 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 the following standard(s): 6, 9 and 10. Standards 7 and 8 were examined at the last inspection and the minimum requirements were satisfactorily met. Appropriate risk assessments had been carried out in relation to separate needs identified within care plans but had not been carried out following accidents or incidents experienced by service users at the home or within the community. Requirements made under Standards 6 and 9 at the last inspection were met. Confidential matters relating to the service users are respected at the home. EVIDENCE: Separate personal, social, dietary and health care needs were assessed within care plans viewed and action plans and goals had been put into place. Appropriate risk assessments were also undertaken. All care plans and risk assessments were reviewed on a six monthly basis. The records indicated that service users and their relatives participated in the drawing up of care plans Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 10 and were invited to reviews. This complied with requirements that were made under Standard 6 and 9, at the last inspection. Risk assessments in relation to recorded incidents and accidents that were experienced by the service users had not been carried out. The home’s policy relating to confidentiality was in place and accessible to service users and their relatives. Individual service users’ records inspected, were found to be up to date and securely filed. The Registered Manager confirmed that the rights of the service users were respected at the home and that confidential information was not shared with relatives. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17. Standards 11, 12, 13, 14 and 15 were examined at the last inspection the minimum requirements were satisfactorily met. A requirement made under Standard 17 at the last inspection had been complied with. The home respects the rights of the service users and their independence is being promoted. EVIDENCE: Service users were observed moving freely and comfortably around the home during the inspection. They were able to sit quietly or watch television in the lounge, help themselves to fruit or prepare hot drinks in the kitchen/dining room or be involved in separate activities in their bedrooms. Two service users were taken to activities of their choice within the community at the time of the inspection. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 12 The Registered Manager confirmed that service users brought down their own laundry basket and loaded the washing machine with supervision. They also laid the table, cleared up after meals, swept the garden and emptied waste bins. Care support workers were observed interacting appropriately with service users and knocked on bedroom doors prior to entering. The Inspector was informed by the Registered Manager that mail addressed to individual service users were handed to them unopened and that they were able to make or receive telephone calls privately. The menus were indicative of varied and nutritional meals being provided and it was evidenced that separate meals taken had been recorded. This complied with a requirement made under Standard 17 at the last inspection. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 21. Standard 18 was examined at the last inspection and the minimum requirements were satisfactorily met. Requirements made under Standards 19 and 20 at the last inspection had been complied with. The home’s policies and procedures relating to ageing, illness and death were satisfactory. EVIDENCE: It was evidenced on service users care plans that individual health care needs were being met. Medical appointments were recorded and regular weight checks had been undertaken. This complied with a requirement under Standard 19 at the last inspection. The medication administration sheets were appropriately signed in relation to administered medicines and complied with a requirement made under Standard 20 at the last inspection. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 14 The Registered Manager confirmed that none of the service users selfadministered their medication. The home’s policies and procedures on ageing, illness and death were in place. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23. Standards 22 and 23 were examined at the last inspection and the minimum requirements were satisfactorily met. Appropriate measures are in place to ensure that the safety and welfare of the service users are being protected. EVIDENCE: The home’s policy and procedures were clearly and appropriately stated and accessible to the service users and their relatives. The London Borough of Ealing manual on the protection of vulnerable adults was in place and a heath and safety poster was displayed. The Registered Manager reported that training on the protection of vulnerable adults would be delivered to all members of the care support staff team on 28th February 2006. The service users receive support in handling their own finances. Individual financial records were examined and found to be satisfactory. The complaints book was viewed and indicated that no complaints had been received following the last inspection. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25, 27, 29 and 30. The service users bedrooms and bathroom facilities are satisfactory and the environment is maintained to a good standard. Standards 24, 26, 28 and 30 were examined at the last inspection and the minimum requirements were satisfactorily met. EVIDENCE: Service users occupy single bedrooms which are suitably furnished and fitted, and reflect personal choices and interests. The bathroom and toilet facilities are appropriate for meeting the private and personal needs of the service users. There is no specialist equipment at the home as the service users are currently fully mobile and do not require physical assistance. The home was found to be clean, hygienic and well maintained. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34. The care support workers are appropriately trained for meeting the needs of the service users. Standards 31, 33, 35 and 36 were examined at the last inspection and the minimum requirements were satisfactorily met. A requirement made under Standard 34 at the last inspection had been complied with. EVIDENCE: The Registered Manager confirmed that of the four full time and two part time permanent care support workers, two had obtained levels 2 and 3 NVQ in care and two were commencing NVQ training in February 2006. It was evidenced on records viewed that refresher training delivered the care support staff during 2005, included moving and handling, epilepsy and rectal diazepam, choking and resuscitation, challenging behaviour, handling people with special needs, fire awareness and health and safety. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 18 A number of personnel files were viewed at random and found to contain copies of all the required documents including confirmation of CRB clearance, application forms, appropriate photo identification, references and signed contracts/statement of terms and conditions. This complied with a requirement under Standard 34 at the last inspection. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 19 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): 38, 39, 40, 41 and 42. The home’s ethos is beneficial the needs of the service users and their best interests are being safeguarded by the home’s record keeping policies and procedures. Standards 37 and 43 were examined at the last inspection and the minimum requirements were satisfactorily met. Requirements that were made under Standards 39 and 42 at the last inspection had been complied with. EVIDENCE: The Inspector was informed by the Registered Manager that a ‘person centred’ approach was in operation and that the home aimed to promote the independence and individual lifestyle of service users within a friendly, homely and supportive environment. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 20 The home’s policies and procedures were in place and had been recently reviewed. A requirement at the last inspection that a quality assurance review must be carried out and submitted to the CSCI had been complied with. Fire safety checks such as alarms, call points and emergency lighting were up to date and day/night fire drills had been undertaken. The records indicated that an inspection by Multi Alarms was carried out on 12th December 2005 and a magnetic stopper that had been fitted onto the office door. This was in compliance with a requirement made under Standard 42 at the last inspection. Water temperatures including those in service users bedrooms had been taken and recorded. This met with a requirement under Standard 42 at the last inspection. All health and safety records viewed were up to date and securely kept. Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 21 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 3 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 X 25 3 26 X 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 2 3 LIFESTYLES Standard No Score 11 X 12 x 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 X 3 3 3 3 3 X Cumberland Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 22 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 YA9 Regulation 13(4)(c) Requirement The Registered Person must ensure that appropriate risk assessments are undertaken following accidents or incidents experienced by service users at the home or within the community. Timescale for action 03/03/06 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.V278027.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection West London Area Office 58 Uxbridge Road Ealing London W5 2ST 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 Road, 84 DS0000027728.V278027.R01.S.doc Version 5.1 Page 24 - 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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