Inspection on 18/01/07 for Evelyn House

This inspection was carried out on 18th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Evelyn House 08/08/05

Evelyn House 03/09/04

Evelyn House 13/04/04

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 Evelyn House 221 Devonshire Hill Lane London N17 7NP Lead Inspector Caroline Mitchell Key Unannounced Inspection 18th January 2007 11:50 Evelyn House DS0000010793.V316471.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 Evelyn House DS0000010793.V316471.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. Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Evelyn House Address 221 Devonshire Hill Lane London N17 7NP 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) 020 8888 1649 Mrs Evelyn McVeigh Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual whose date of birth is 22/09/1949 and who has a diagnosed mental disorder is permitted to remain in this home. That person may occupy one of the three places allocated to adults with a learning disability. 8th August 2005 Date of last inspection Brief Description of the Service: Evelyn House is a small residential care home situated in Tottenham North London, near to A10 the North Circular Rd and close to Tottenham High Rd and Wood Green shopping centre, New River sports centre and Alexandra Park are close by. Evelyn House has a lounge area, a kitchen and a small toilet and bathroom that is situated on the first floor. The home is registered to provide 24-hour care for up to three service users with learning disabilities between the ages of 18 and 65 and of mixed gender. Evelyn house was first registered in October 2001 with Haringey Inspection Unit as a small care home. The registered provider is Mrs Evelyn McVeigh. As the home was not operating at the time of this inspection, it was not possible to gain information about the fees for service user placements. Following “Inspecting for Better Lives” the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken on an unannounced inspection, although the inspector did attempt to contact the registered person in order to discuss the current status of the service and the future plans of the registered person for the service. Unfortunately, at the time of writing this report the registered person had not responded. Although registered with the Commission as a care home for people with learning disabilities, Evelyn House is not operating as a care home. At the last inspection, a gentleman who lived there told the inspector, that rooms were being rented separately. Upon arriving at the home on this occasion the inspector met a lady who had difficulty in speaking English, and was reluctant to allow the inspector admission. It was evident that the rooms continue to be rented out on a commercial basis. Therefore, it was neither possible, nor relevant to review any of the National Minimum Standards at this visit. 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. The summary of this inspection report can be made available in other formats on request. Evelyn House DS0000010793.V316471.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 Evelyn House DS0000010793.V316471.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. JUDGEMENT – we looked at outcomes for the following standard(s): The home is not currently operating, and no standards were reviewed. EVIDENCE: The previous requirement for the registered person to continue provide up to date information to the Commission regarding placement of service users in the home, the status of the home and her intentions as to the future of the home remains relevant and is re-worded as part of this report. In the same way, the previous requirement for the registered person to notify the Commission for Social Care Inspection in writing prior to the admission of any service users to the home also remains relevant. The requirement for the registered person to amend the statement of purpose to include the dimension of the lounge, kitchen/dining room and the bathroom will be reviewed at the point at which the home re-opens. Evelyn House DS0000010793.V316471.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. JUDGEMENT – we looked at outcomes for the following standard(s): The home is not currently operating, and no standards were reviewed. EVIDENCE: The requirement for the registered person to ensure that a clear and precise accounting procedure is in place with regards to individual service users personal monies held by the home will be reviewed at the point at which the home re-opens. Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The home is not currently operating, and no standards were reviewed. EVIDENCE: The requirements for the registered person to ensure that there are adequate stocks of food available in the home at all times and for the registered person to ensure that a valid certificate of vehicle insurance is in place and appropriate policies/procedures in place for staff who use the homes vehicle will be reviewed at the point at which the home re-opens. Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The home is not currently operating, and no standards were reviewed. EVIDENCE: The requirements for the registered person to ensure that all care staff are given clear guidance on how to complete the homes accident/incident forms and for the registered person to ensure that all care staff that administer medication undertake medication training will be reviewed at the point at which the home re-opens. Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The home is not currently operating, and no standards were reviewed. EVIDENCE: The requirement for the registered person to ensure that all care staff undertake training in adult protection procedures and for the registered person to ensure that all complaints are recorded will be reviewed at the point at which the home re-opens. Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The home is not currently operating, and no standards were reviewed. EVIDENCE: Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The home is not currently operating, and no standards were reviewed. EVIDENCE: The requirement for the registered person to arrange for all care staff within the home to undertake training in Infection Control will be reviewed at the point at which the home re-opens. Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 Page 14 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): The home is not currently operating, and no standards were reviewed. EVIDENCE: The requirement for the registered person to ensure that all the policies and procedures in the home are relevant to the specific client group (i.e. adults 1865 years of age) will be reviewed at the point at which the home re-opens. Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 Page 15 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 2 2 X 3 2 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 2 X X X LIFESTYLES Standard No Score 11 2 12 X 13 X 14 X 15 X 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 2 2 X X X X 2 X X X Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 Page 16 YES 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 YA1 Regulation 4(1c) Sch 1.16 Requirement The registered person must amend the statement of purpose to include the dimension of the lounge, kitchen/dining room and the bathroom as set out in Regulation 4(1)(c) Schedule 1.16 of the CHR 2001. The registered person must ensure that there are adequate stocks of food available in the home at all times. The registered person must ensure that all care staff are given clear guidance on how to complete the homes accident/incident forms. The registered person must ensure that all complaints are recorded. The Registered Person must arrange for all care staff within the home to undertake training in Infection Control. The Registered Person must ensure all care staff undertake training in adult protection procedures and once completed evidence of this must be available. The Registered Person must DS0000010793.V316471.R01.S.doc Timescale for action 28/06/07 2. YA17 16(2i) 28/06/07 3. YA19 37 28/06/07 4. 6. YA22 YA35 22 18(1c) 28/06/07 28/06/07 7. YA23 13(6) 28/06/07 8. YA7 16(2) 28/06/07 Page 17 Evelyn House Version 5.2 9. YA11 13 10. YA20 18 11. YA40 17 12. YA3 39 13. YA3 39 ensure that a clear and precise accounting procedure is in place with regards to individual service users personal monies held by the home. The Registered Person must have in place a valid certificate of vehicle insurance in place and appropriate policies/procedures in place for staff who use the homes vehicle. The Registered Person must ensure all care staff that administer medication undertake medication training. Evidence that this has taken place must be available for the purpose of inspection. The Registered Person must ensure that all the policies and procedures in the home are relevant to the specific client group (i.e. adults 18-65 years of age). The registered person must continue provide up to date information to the Commission regarding placement of service users in the home, the status of the home and her intentions as to the future of the home. The registered person must notify the Commission for Social Care Inspection in writing prior to the admission of any service users to the home. 28/06/07 28/06/07 28/06/07 28/02/07 28/02/07 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 Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Evelyn House DS0000010793.V316471.R01.S.doc Version 5.2 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. 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