Inspection on 20/02/06 for Finland Street 63

This inspection was carried out on 20th February 2006.

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 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

Finland Street 63 07/11/08

Finland Street 63 11/12/07

Finland Street 63 20/11/06

Finland Street 63 08/03/05

Finland Street 63 09/11/04

Finland Street 63 10/03/04

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Chatsworth Care - Dawson House

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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 Finland Street, 63 London SE16 7UA Lead Inspector Pam Cohen Unannounced Inspection 20 & 27 February 2006 10:00 Finland Street, 63 DS0000007066.V283586.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 Finland Street, 63 DS0000007066.V283586.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. Finland Street, 63 DS0000007066.V283586.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Finland Street, 63 Address London SE16 7UA 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) 0207 252 3875 Choice Support Mr John Joseph McNamara Care Home 4 Category(ies) of Learning disability (0) registration, with number of places Finland Street, 63 DS0000007066.V283586.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2005 Brief Description of the Service: 63, Finland Street is owned and managed by Choice Support Southwark who also provide other care homes in the borough for people with learning difficulties. The home is a modern, purpose built, single storey building where each service user has their own bedroom and there is also a range of communal areas. There is a small patio and garden in the front of the house and ample on-street parking. The home is situated in the heart of Surrey Quays, a relatively new development which has transport links and a range of shops and leisure facilities. The home has four service users who all have complex support needs and high dependency levels. Finland Street, 63 DS0000007066.V283586.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the morning of 20th February 2006 when the inspector had the opportunity to speak to the staff in duty. She returned on The last inspection had been 27th February to speak to the manager. comprehensive and this inspection was mainly to follow up requirements left at that 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. Finland Street, 63 DS0000007066.V283586.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 Finland Street, 63 DS0000007066.V283586.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. Prospective service users have access to all necessary information. EVIDENCE: There have been no new service users since the last inspection. On this visit a service user guide in a format appropriate for this service user group was seen, which included details of the local advocacy service. Finland Street, 63 DS0000007066.V283586.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): 9 Risk assessments are in place where needed. EVIDENCE: At the last inspection it was seen that there was good individual planning but that not all risk assessments needed was in place. This has now been addressed, specifically in the case of bedrails being used and in other areas where needed. Finland Street, 63 DS0000007066.V283586.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): 13,14. Service users are supported to access the local community as much as possible and their activities are well recorded. EVIDENCE: The manager was able to describe how service users are enabled, as much as possible, to participate in the life of the community, using local facilities such as shops and leisure facilities. At the last inspection it was seen that service users had good activities programmes but no clear way of showing if they were being followed. This has been addressed by the use of participation index charts, which were up-to-date and showed clearly what each service user had done on a daily basis. Finland Street, 63 DS0000007066.V283586.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): 20 Procedures are in place that enable safe administration of medication. EVIDENCE: At the last inspection it was seen that service users’ health care needs are well met. Medication was generally well dealt with and this remains so, with the manager being able to confirm that all the staff on duty have completed training to administer medication. Finland Street, 63 DS0000007066.V283586.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, Service users are protected by a proper complaints policy. EVIDENCE: Choice support has a centralised system for dealing with complaints which is robust. This home has had no complaints since the last inspection. Finland Street, 63 DS0000007066.V283586.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): 27,28,29,30 A comfortable and safe home is still let down by bathing and shower facilities. EVIDENCE: At the last inspection it was seen that the home is comfortable and homely but was let down by the shower room and bathroom. On this inspection it was seen that the shower room still needs maintenance work done to it and work is still needed on the specialist bath to ensure that staff health and safety is not compromised. The home has a good range of shared space with a living room, dining room, kitchen and a small patio garden. There is a wide range of specialist equipment needed for service users who have complex physical needs. The home was clean throughout and there are good procedures for dealing with clinical waste. The manager, after the last inspection, undertook a risk assessment to see whether there is a need for sluicing facilities. She concluded that there is not, but needs to keep this under review. Finland Street, 63 DS0000007066.V283586.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): 33,35,36 A well supported staff team provide effective care to service users. Lack of induction means that new staff may not have the skills needed to look after service users properly. EVIDENCE: The staff were seen to interact with service users well. The re-assessed needs of a service user for two to one care has prompted an increase in the morning staff rota to 4, which is to be commended. A new member of staff described his induction programme and this did not conform to sector skills specifications. It is hoped that this will stem the staff turnover that there has been since the last inspection which staff believe has been caused by too heavy a work load. There are regular staff meetings and all staff reported that they have regular supervision and appraisal. Finland Street, 63 DS0000007066.V283586.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 Several health and safety issues potentially put the Health and Safety of service users and staff at risk. EVIDENCE: There is a new management team of a manger and deputy manager. The manager is experienced and has just started her NVQ 4 in management. She is not as yet registered as manager of the home and this should be done as soon as possible. A new member of staff had not received Moving and Handling training. In view of the heavy needs of the service users in this area this put the member of staff and the service users at potential risk of injury and an immediate requirement was made that this training should happen within a week. Other issues seen in terms of Health and Safety were: • Fire alarms had not been recorded as tested since December 2005 • It was not recorded which staff had taken part in fire drills • Paint was stored in the utility room • The COSHH cupboard was not signed Finland Street, 63 DS0000007066.V283586.R01.S.doc Version 5.1 Page 15 • The freezer was dirty and needed defrosting. It was also running too warm. Finland Street, 63 DS0000007066.V283586.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 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 3 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 2 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 X 33 3 34 x 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x 3 x LIFESTYLES Standard No Score 11 x 12 x 13 3 14 3 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x x x x x x 2 x Finland Street, 63 DS0000007066.V283586.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 YA27 Regulation 23 Timescale for action The registered person must 30/04/06 ensure that the shower room and bathroom facilities are maintained and equipped to ensure that the health and welfare of service users and staff are protected. Target date of 31st October 2005 was not met. The registered person must 31/05/06 ensure that all new staff undertake an induction to Sector Skills Council specification within 6 weeks of appointment. Target date of 31st December 2005 was not met. The registered person must 30/04/06 ensure that staff attendance at fire drills is recorded in order to ensure that all staff have regular fire drill training. Target date of 30th November 2005 was not met. The registered person must 25/02/06 ensure that no new recruit starts working without having had proper moving and handling training. Target date of 30th November 2005 was not met. DS0000007066.V283586.R01.S.doc Version 5.1 Page 18 Requirement 2 YA35 12(1) 18(1) 13(4) 3 YA42 23(4)(e) 4 YA42 12(1)(a) 13(5) Finland Street, 63 5 YA42 12(1)(a) The registered person must 30/04/06 ensure that other health and safety issues highlighted in the report are addressed 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 YA42 Good Practice Recommendations It is recommended that the need to have a washing machine with a sluice cycle is kept under review. Finland Street, 63 DS0000007066.V283586.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Finland Street, 63 DS0000007066.V283586.R01.S.doc Version 5.1 Page 20 - 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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