Inspection on 20/09/06 for Elmers End Road

This inspection was carried out on 20th September 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 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

Elmers End Road 12/05/09

Elmers End Road 22/05/07

Elmers End Road 10/01/06

Elmers End Road 01/06/05

Elmers End Road 28/01/05

Elmers End Road 23/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

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 Elmers End Road 23 Elmers End Road Anerley London SE20 7ST Lead Inspector Anne Wiseman Unannounced Inspection 20th September 2006 05:00 Elmers End Road DS0000006953.V299885.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 Elmers End Road DS0000006953.V299885.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. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Elmers End Road Address 23 Elmers End Road Anerley London SE20 7ST 020 8776 6564 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) www.leonard-cheshire.org.uk Leonard Cheshire Mr Lindon Philander Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: Elmers End is home for five young adults who have a learning disability. It is maintained in a domestic style and is located in a residential area of Penge, close to local shops. The home has three floors and the stairs to the two top floors are steep, there is no lift so Elmers End would not be suitable for persons with significant mobility difficulties. It is part of the Leonard Cheshire Foundation. Service users in this home are encouraged and enabled to be as independent as possible. Each service user attends the local day centres five days a week. Visits to their families are encouraged, including overnight stays. Leisure facilities in the local community are also accessed. Group holidays are organised by the home and staff accompany service users as appropriate. There is a staff team of five, including the Manager. Staff members in the home are recruited and trained through the Leonard Cheshire Foundation. Staff covers the house 24 hours a day. All local health provision is accessed. Specialist support is offered via staff at day centres and Bassett’s Centre. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection and was carried out over two days. The Registered Manager facilitated both visits. The Inspector arrived just before the evening meal on the first visit and she was able to meet the Service Users who were all at home. The Manager and two care staff were on duty on the first occasion and they were open and helpful throughout the visit. The home was clean, tidy and had a homely atmosphere. No major issues of concern were raised and the Inspector would like to thank everyone who helped during the Inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of these area where examined during this Inspection Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. All necessary information for people to make an informed choice about the house is available. EVIDENCE: The house has a statement of purpose and a Service Users guide. They are in a style that is easy to read. All the present Service Users have been living at Elmers End for a long time, but policies and procedures are in place and the Manager is aware of the process required to receive new Service Users into the house. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were Inspected on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Care plans are in place that reflects the needs and strengths of the Service User and records show that all Service Users are consulted on and participate in all aspects of the running of the home. EVIDENCE: Each Service User has a care plan that is reviewed regularly in consultation with them. All the Service Users are supported to retain independence and to be self-determining in their day-to-day life. The Service Users help in the house with some of the domestic chores and one of the Service Users carries out the weekly fire alarm test. Two of the Service Users are married and live semi independently in a flat on the top floor. They had raised some issues that they were not happy about and the Inspector visited them to talk about them. After talking to the Service Users the Inspector was able to discus the issues with the Manager, he felt that some of the areas were well founded and undertook to find ways to satisfy the couple. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 9 When the Inspector arrived for her second visit she was informed that all of the issues had been dealt with to both parties satisfaction. One difficultie had been that one of the Service Users had been advised not to go out unless accompanied by a staff member as his mobility had deteriorated. Although done for the best intentions it greatly restricted the Service User as he had been able to travel independently previously and had a busy lifestyle, staff were not always available to accompany him when he wanted to go out and so his independence was greatly restricted. A meeting was held that included the Service User and his family and a risk assessment was drawn up and safeguards put in place that allowed the Service User to travel independently again. This was a good outcome and shows the homes commitment to allowing Service Users to take risks as part of an independent lifestyle. All records containing personal information were stored in a secure area. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 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): All of this has been asses during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Service Users have the opportunity to take part in appropriate activities within the local community and are give opportunities for personal development. EVIDENCE: One of the Service Users has a job and others are doing computer courses and attend a local collage and a day centre. The home is within easy reach of the local amenities. Service Users enjoy eating out, using the trams, shopping and visiting the local cinema etc and present a good local presence. They are facilitated and encouraged to keep in contact with their families and friend and have regular visitors. Some of the Service Users have overnight stays at their families homes. The home hosts parties and BBQ’s which families and friends are invited. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 11 All of the Service Users have responsibilities within the home; one carries out the weekly fire alarm checks. Two run their own flat supported by staff. Their font door is fitted with a doorbell that staff us to gain access. Food on offer during the Inspection was in plentiful portions, appeared appetising and was well presented. The kitchen was well stocked with supplies of fresh, frozen and dry supplies. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 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 the following standard(s): All of these standards have been judged for this Inspection Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The Service Users are supported in ways they would wish with needs assessed and met. Medication is managed appropriately. EVIDENCE: Care plans stipulate preferences for personal support. The Inspector spoke with the manager and a support staff member who both displayed a good understanding of the needs of this client group, and talked about respecting Service Users right to make their own choice and to make decisions for themselves. All Service Users are registered with the local doctor and records indicated that they access him as needed and have regular medication reviews. Specialist support is accessed through the Bassets centre and the Central Learning Disability Centre. One of the Service Users has a mobility problem and has regular medical checks and wears special shoes. He is mobile within the house and uses a wheelchair outside. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 13 None of the Service Users manage their own medication and it was stored and recorded appropriately. The house has a medication policy and staff receive training around dispensing and handling of medication. The home has a policy that deals how they aim to manage those Service Users who are ill or dying. The home hopes to continue to care for the Service Users as long as their needs fall within the capability of the staff to care for them. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 14 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): All of these standards were addresses on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. There is a complaints procedure displayed in the home and there is appropriate training in place to enable staff to identify and deal with abusive situations. EVIDENCE: The complaints procedure is to standard and is displayed throughout the house. The house has a copy of the guidance notes on whistle blowing and No Secrets and the Protection of Vulnerable Adults training is given. Both the Manager and the staff member interviewed knew the signs of abuse, and what steps would need to be taken and assured the Inspector that they would encourage and support any Service User who wished to make a complaint. The service have not had any complaints since the last inspection but the Commission had received a complaint made on behalf of one of the Service User by his day service. This was discussed with the Manger and has been dealt with to the satisfaction of the Service User. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 15 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): All of the above standards have examined during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The home is comfortable, homely, is a safe environment and suites the needs and lifestyles of the Service Users. EVIDENCE: The Manager gave the Inspector a tour of the whole house and it was found to be comfortable and maintained to a good standard. All of the bedrooms were individually furnished and decorated and reflected each individual character and lifestyle. All were of a good size and held the required furniture. All the toilets and bathrooms provided privacy and were clean and free from offensive odours. Specialist equipment is provided as needed. Stairs have handrails on both sides to accommodate one of the Service Users poor mobility and his need for support. The house is kept clean and tidy; the staff and Service Users do the cleaning work. The dinning room is large and shelving at the back of the room, is used for polices and files. The Manager has undertaken to remove this paperwork from the room or to store it out of sight to give the room a more homely appearance. The flat upstairs has been decorated and new furniture bought. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 16 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): All of these standards have been examined during this visit. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. Staff records are held securely at the house and contained all required material. EVIDENCE: The Inspector had access to all staff records and they held interview details, job descriptions, health declarations, photographs, training records and there was evidence that staff were subject to enhanced CRB and POVA checks, and had produced two references that had been checked. There is a training program in place and both the manager and staff member confirmed that they had received the recorded training. The Inspector also had access to supervision records. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 17 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): All of this area has been Inspected on this occasion. Quality in this outcome area is good. This judgment had been made using available evidence including a visit to this service. The Manager appears to have good leadership skills, seems popular with the Service Users and reported as fair and easy to get on with by the staff. EVIDENCE: The home appears to be well organised, the Manager seems to be competent and well liked and sets a high standard by example. Service User meetings are held and outcomes addressed and Service User Surveys are taken annually and have been developed in a style that is accessible to the Service User. Polices and procedures are robust and have been developed to underpin the Service Users rights and best interests. Recordkeeping is appropriated and confidentiality respected. Health and safety procedures are in place and records checked were found to be accurate and up to date. Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 18 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 3 3 3 4 3 5 3 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 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 19 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. Standard Regulation Requirement Timescale for action 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 Elmers End Road DS0000006953.V299885.R01.S.doc Version 5.2 Page 20 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. 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