Inspection on 02/05/06 for Emmanuel Care Services Ltd

This inspection was carried out on 2nd May 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Emmanuel Care Services Ltd 09/04/09

Emmanuel Care Services Ltd 16/04/08

Emmanuel Care Services Ltd 25/05/07

Emmanuel Care Services Ltd 06/12/05

Emmanuel Care Services Ltd 13/06/05

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

CARE HOME ADULTS 18-65 Emmanuel Care Services Ltd 33 Disraeli Close Thamesmead SE28 8AP Lead Inspector Elizabeth Brunton Key Unannounced Inspection 2nd May 2006 10:00 Emmanuel Care Services Ltd DS0000042496.V292505.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 Emmanuel Care Services Ltd DS0000042496.V292505.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. Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Emmanuel Care Services Ltd Address 33 Disraeli Close Thamesmead SE28 8AP 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 3105111 0208 3105111 Mrs Remi Konan Mrs Remi Konan Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2005 Brief Description of the Service: Emmanuel Care Services was registered in February 2005 to provide care for up to three adults with learning disabilities. The home’s registration was subsequently changed, so that up to three adults with mental disorder (excluding dementia and learning disability) can be accommodated. The provider of the home is also the manager. The home is a three-storey semidetached house situated in central Thamesmead. A bus service connects with the town centre and all local facilities. There is one single bedroom on the ground floor and two further single bedrooms on the third floor. None of the bedrooms are en-suite but two rooms have washbasins installed. There is a lounge and kitchen/diner on the first floor, a bathroom with shower and toilet on the second floor and a toilet on the ground floor. There is a small, enclosed paved garden at the rear of the property. The weekly charge to service users staying in the home is £820 and this information was given by the provider/manager on 11.05.06. No service users had been placed in the home since it was registered and there were no staff in post, at the time of the inspection. Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 10 am and one inspector was in the home for twoand-a-half hours. This was a very limited inspection, as no service users had yet stayed in the home and there were no staff in post. The provider/manager was spoken to, the building inspected and records seen. 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. Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 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 Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 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): 1&2 Quality in this outcome area was good. This judgement has been made using available evidence, including a visit to the service. There was a statement of purpose and service users guide to inform potential service users and placing authorities about the home and the services provided. Full assessment information about potential residents was to be obtained. EVIDENCE: Changes had been made to the home’s statement of purpose, which now included all the required information. The service users’ guide was seen at previous inspections and was satisfactory. It was not possible to fully inspect other standards, as no service users had so far been placed in the home. The provider/manager was planning to ask for full assessment information about service users before placement. Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 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): 6, 7 & 9 Quality in this outcome area was good. This judgement has been made using available evidence, including a visit to the service. Care plans and risk assessments were to be carried out and service users encouraged to make decisions for themselves and to acquire skills. EVIDENCE: It was not possible to fully inspect any of the above standards, as there were no resident service users. Care plan and risk assessment formats were seen at previous inspections but there had been no opportunity to use these, as yet A lockable filing cabinet was available for storing confidential records. The provider/manager confirmed that she planned to support service users in learning skills and making decisions and choices for themselves. Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 9 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): 12, 13, 15 & 17 Quality in this outcome area was good. This judgement has been made using the available evidence, including a visit to the service. The home planned to support service users in activities and contacts outside the home and to involve them in providing varied and nutritious meals. EVIDENCE: It was not possible to fully inspect any of the above standards, as there were no resident service users. The provider/manager said that the home planned to support service users in their daytime activities and in maintaining contact with family, friends and the local community. Service users were to be involved in the choice and preparation of meals and in food shopping and varied and nutritious meals were to be served. Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 10 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): 18, 19 & 20 Quality in this outcome area was good. This judgement has been made using the available evidence, including a visit to the service. It was planned to provide the necessary support to service users to meet their personal and health care needs and facilities for the safe storage of medication were available. EVIDENCE: It was not possible to fully inspect any of the above standards, as there were no service users resident in the home. The provider/manager was aware that service users would have varying needs for personal/health care and support. Service users could choose to be registered with GPs at a local health centre, where a range of health care services were available. Medication was to be stored in a lockable medicine cabinet and the provider/manager agreed that care staff would need medication training. Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 11 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 Quality in this outcome area was adequate. This judgement has been made using the available evidence, including a visit to the service. A complaints procedure was in place but the home’s adult protection policy and procedure was incomplete. EVIDENCE: It was not possible to fully inspect the above standards, as there were no service users in residence. The home had a complaints procedure and information about making a complaint was included in the service users’ guide. There was a copy of Greenwich Social Services adult protection procedure and a whistle blowing policy but further work was still needed on the home’s own policy, procedure and guidance to staff on adult protection. (see requirement 1) Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 12 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 & 30 Quality in this outcome area was good. This judgement has been made using the available evidence, including a visit to the service. The accommodation was of a good standard. EVIDENCE: As at previous inspections, the home was clean, well decorated and furnished and there was adequate communal space for three residents. Two of the bedrooms were of a good size and one was smaller. Radiators were protected and windows were fitted with restrainers. It is recommended that the cupboard containing the central heating boiler in the bathroom, is secured before any service users move into the home. There was a small, rear, paved garden. (see recommendation 1) Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 13 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 Quality in this outcome area was good. This judgement has been made using the available evidence, including a visit to the service. Staff recruitment had been mostly thorough and staff training was said to be in hand. EVIDENCE: It was not possible to fully inspect the above standards, as there were no resident service users or staff working in the home. The provider/manager had interviewed and undertaken pre-employment checks on four prospective care staff. Though employment had been provisionally offered to these staff, it had not been financially possible to give contracts of employment, as no service users had yet been admitted to the home. The provider/manager confirmed that these staff were ready to start work in the home at very short notice. The recruitment records for the four prospective staff were inspected. Completed application forms, satisfactory CRB checks and photo ID was in place for all applicants. A second reference was still needed for one applicant. The provider/manager confirmed that another applicant would be asked to Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 14 provide evidence of her NVQ qualification before she started work. (see requirement 2) The provider/manager hoped that one of the staff, to whom she had provisionally offered employment and who had NVQ qualification, could progress to become the deputy manager, after further training. It was planned to normally have one member of staff on duty, with additional staff rostered on when necessary. According to the records, all four prospective care staff had previous experience in care work but not in working with service users with mental health issues. The provider/manager said that priority would be given to staff training, including training in mental disorder and that she had identified a possible training provider. Emmanuel Care Services Ltd DS0000042496.V292505.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 & 42 Quality in this outcome area was adequate. This judgement has been made using the available evidence, including a visit to the service. The provider/manager was committed to providing a service and had relevant previous experience. The building appeared to be safe but up-to-date safety checks of come equipment were outstanding. EVIDENCE: It was not possible to fully inspect the above standards, as there were no resident service users or staff working in the home. The provider/manager had been registered as fit to both provide and manage the home. She had relevant experience, was enthusiastic and committed and had worked hard to set up the home. The provider/manager had a qualification, which she said was equivalent to the NVQ level 4 in management and care, though this was still awaiting confirmation. Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 16 The building appeared to be safe and no hazards or risks to the safety of residents were identified during a tour of the building, apart from the need to secure the central heating boiler, as mentioned under a previous standard. Fire fighting equipment had been checked and serviced by the contractor in December 2004, so the required annual check was overdue. The provider/manager said this was to take place shortly. The gas and electrical installations were inspected in April 2005 and the certificates seen. However, PAT testing of the electrical equipment had not been carried out. (see requirements 3 & 4) The provider/manager confirmed that she had provisionally arranged the necessary insurance cover and that this would be put in place before service users moved in. She was asked to provide the CSCI with a copy of this, when the time comes. (see requirement 5) Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 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 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X X X X X 2 Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 18 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 YA23 Regulation 13(6) Requirement The home‘s policy, procedure and guidance to staff on adult protection must be more comprehensive. (This matter has been outstanding since June 2005) A second satisfactory reference must be obtained for one applicant, before her employment is confirmed. (This matter has been outstanding since December 2005) Fire fighting equipment must be serviced and checked by the contractor annually. Electrical equipment used in the home must be PAT tested annually. A copy of the homes insurance certificate must be sent to the CSCI, when service users move into the home. Timescale for action 01/09/06 2. YA34 19 01/07/06 3. 4. 5. YA42 YA42 YA43 13(4) 13(4) 25(2) 01/07/06 01/07/06 01/06/06 Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 Page 19 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations The bathroom cupboard containing the central heating boiler should be secured before service users move into the home Emmanuel Care Services Ltd DS0000042496.V292505.R01.S.doc Version 5.1 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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