Inspection on 15/02/06 for De Lucy Street (5)

This inspection was carried out on 15th February 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

De Lucy Street (5) 09/03/07

De Lucy Street (5) 02/12/05

De Lucy Street (5) 14/02/05

De Lucy Street (5) 28/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 De Lucy Street (5) 5 De Lucy Street Abbeywood London SE2 9ER Lead Inspector Keith Izzard Unannounced Inspection 22nd February 2006 02:30 De Lucy Street (5) DS0000036880.V282149.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 De Lucy Street (5) DS0000036880.V282149.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. De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service De Lucy Street (5) Address 5 De Lucy Street Abbeywood London SE2 9ER 020 8311 1571 020 8311 1571 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) Greenwich Council Mrs Della Vallery Nolan Care Home 4 Category(ies) of Learning disability (4) registration, with number of places De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd December 2005 Brief Description of the Service: The home is situated in a residential area, within easy reach of local amenities and public transport facilities. It is a two-storey, purpose built end of terrace property, which opened initially in November 1988. It has two single bedrooms on the ground floor, two single bedrooms on the upper floor, two bathrooms with WC’s, a lounge, kitchen/diner and a laundry room. The house has a garden to the rear and off-street parking for two vehicles. The property is owned by London and Quadrant Housing Association and managed by Greenwich Social Services under the Greenwich Living Options Scheme. The home accommodates four adult service users of both sexes on a long- term placement basis and there are no vacancies currently. De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two planned but unannounced inspections for this home in the inspection year 1st April 2005 – 31st March 2006. The inspection took place over a period of two hours and included a tour of the building, an examination of staff member personal files, an interview with the manager and brief discussion with two members of staff. Several Standards not assessed last time were assessed on this occasion and those that were linked to previous requirements. Concerns, complaints and health and safety were reassessed and theses were met. Both reports should be read in conjunction, the previous report was dated 02/12/05. What the service does well: What has improved since the last inspection? What they could do better: De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 Page 6 The service must introduce a survey of the views of residents, relatives, advocates and professionals involved in the care of residents to comment on the service provided by the home. 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. De Lucy Street (5) DS0000036880.V282149.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 De Lucy Street (5) DS0000036880.V282149.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): 3-5 Each service user has a written contract. Prospective service users know the home will meet their needs and would have an opportunity to “test drive the home. EVIDENCE: Standards 1 and 2 were assessed as met on the previous occasion. Please see report dated 2nd December 2005. The admission procedures in place complied with the requirement of this Standard. As no new residents had been admitted since the introduction of the National Minimum Standards the procedures had not been implemented and could therefore not be assessed in practice. The manager is aware of the requirements should any new residents be admitted to the home. De Lucy Street (5) DS0000036880.V282149.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): N/a Please see report dated 2nd December 2005. EVIDENCE: Only the key Standards, 6,7 & 9 were assessed at the previous inspection and they were met. Please see the report dated 2nd December 2005. De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 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 the following standard(s): N/a Please see report dated 2nd December 2005. EVIDENCE: All key Standards 12-17 were assessed at the previous inspection as met. Please see report dated 2nd December 2005. De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 Page 11 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): Please see report dated 2nd December 2005. EVIDENCE: All key Standards 18-20 were assessed at the previous inspection as met. Please see report dated 2nd December 2005. De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 Page 12 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): 22 & 23 Adequate systems were in place to ensure residents were protected from abuse and to manage complaints about the service. EVIDENCE: The home had local policies and procedures to deal with complaints and allegations of abuse. Staff members have received training on adult protection and any suspicions or allegations of abuse would be referred to the Greenwich Community learning disability team for investigation. There were no allegations of abuse made about the service to the home or the Commission since the last inspection. No complaints had been received by the home. Accidents records were well maintained and any unexplained injuries would be referred to CDLT for investigation. De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 Page 13 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): 24 Service users live in a homely and comfortable environment. Please see report dated 2nd December 2005. EVIDENCE: All Standards 25-30 were assessed at the previous inspection as met. Standard 24 was almost met. Please see report dated 2nd December 2005. In relation to standard 24 the requirement made that automatic closure mechanisms are fitted to doors and the upstairs bathroom door is properly sealed has been complied with. The previous Environmental Health Officer report requiring that a separate small hand - washing sink be installed in the kitchen area, is underway. The first floor ceiling light requiring repair and the other relocated for safety was complied with. Following a risk assessment completed by the manager, knives and utensils have been moved to a safe location. A new television has been fixed to the wall in the communal lounge. This Standard is now assessed as met. De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 Page 14 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, 34 & 35 Service users are cared for and supported by competent and appropriately trained staff members. Service users are supported and protected by the homes recruitment practices. EVIDENCE: The Inspector examined five care worker staff files and found that comprehensive training had, meeting this standard been provided and was also being planned for. The home already has the required minimum number of 50 qualified to NVQ 2. All staff members have individual training assessments and profiles and is directed toward meeting service user needs. Overall staff members are competent and have the qualities and skill necessary to provide a good quality of care. Standards 32 and 35 were met. Similarly the recruitment practices were also examined and found to comply with Schedule 2 and Standard 34 was also met. De Lucy Street (5) DS0000036880.V282149.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): 37, 39 & 42 Service users benefit from a well run home. The home must introduce a formal survey of the views of residents, relatives / advocates and also involved outside professionals involved with the care for residents. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The manager is experienced and has recently completed the level 4 NVQ managers award. Standard 37 is therefore met. Some progress has been made to implement Standard 39 but the home must introduce a formal survey of the views of residents, relatives / advocates and also involved outside professionals involved with the care for residents. See Requirement 1. A sample of records to do wit health and safety were examined and found to be up to date and well recorded. De Lucy Street (5) DS0000036880.V282149.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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score X X X X X Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X Standard No 11 12 13 14 15 16 17 X X X X X X X Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 De Lucy Street (5) Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000036880.V282149.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 4& Schedule 2 Requirement The Registered person must ensure that annual surveys of the views of residents, their relatives or advocates and involved professionals are conducted. Restated requirement, previous timescale of 01/11/05 not met. Timescale for action 01/06/06 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 De Lucy Street (5) DS0000036880.V282149.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 De Lucy Street (5) DS0000036880.V282149.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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