Inspection on 20/11/06 for Finland Street 63

This inspection was carried out on 20th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 6 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 20/02/06

Finland Street 63 08/03/05

Finland Street 63 09/11/04

Finland Street 63 10/03/04

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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 Finland Street, 63 London SE16 7UA Lead Inspector Pam Cohen Unannounced Inspection 20th November 2006 14:00 Finland Street, 63 DS0000007066.V320426.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 Finland Street, 63 DS0000007066.V320426.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. Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 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 0208 299 8598 choicesupport@choicesupport.org.uk www.choicesupport.org.uk Choice Support Care Home 4 Category(ies) of Learning disability (0) registration, with number of places Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20 February 2006 Brief Description of the Service: 63, Finland Street is managed by Choice Support, 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. There is also a range of communal areas, 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, a shopping complex and leisure facilities. The home has room for four service users who all have complex support needs and high dependency levels. At the time of inspection there was one vacancy. Information was not available on weekly fees for the home. Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the afternoon of 20th November. The inspector spent time with the manager and inspected the home. Although not able to communicate with the service users because of their profound disabilities, one service user agreed that the inspector could see his room. The inspector also spoke to two of the staff on duty and checked care-planning documentation. 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. Finland Street, 63 DS0000007066.V320426.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 Finland Street, 63 DS0000007066.V320426.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): EVIDENCE: There have been no new service users admitted to the home for many years and so it is not possible to fully judge the assessment of prospective service users. However the home currently has a vacancy and it is clear that there is a thoughtful process in hand, to make sure that the needs of any new service user are met, including staff training where necessary. Finland Street, 63 DS0000007066.V320426.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): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ support needs are well reflected in their care plans, and they are supported to make decisions so far as they are able. The risks they are liable to are well documented and managed. EVIDENCE: There is a great deal of detailed information available about each service user and staff were knowledgeable about their needs. There are regular key worker meetings and reviews of care planning with relatives, advocate and other professionals. At these meetings, goals for the service user are set and assessed. This information however, is not collected within one clear format. The manager said that the whole format is being updated to be person centred and as accessible as possible to service users. The inspector also saw care being given in a way that reflected what was written in a service user’s care plan. Service users have only a limited ability to make decisions. However staff will try to facilitate decision making visually, showing service users two options. Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 9 They will also try by “trial and error”, assessing for example which of two activities a service user seems to enjoy most. There are excellent risk assessments on file, which both protect service users, and also mean that they can be supported in doing as much as they are able. Finland Street, 63 DS0000007066.V320426.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are well supported to take part in as many activities as possible within their ability. Food provision is good. EVIDENCE: The home continues to support service users to participate as much as possible in the life of the community, using local facilities such as shops, leisure facilities and churches. They are also being helped to access such activities as art groups and trampolining as well as some day trips. There is an activities programme for each service user and what they do is recorded Service users are supported to keep contact with family and friends where possible. From observation at the inspection and from talking to staff, the routines of the house are seen to be secondary to the wishes of the service users. During the inspection a service user was helping prepare the supper and clearly felt part of the life of the home. Service users are helped to have input Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 11 to the menu with picture cards and the menu is varied. The supper was being prepared with plenty of fresh meat and vegetables and looked tasty. Finland Street, 63 DS0000007066.V320426.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff look after service users’ personal care needs well and also work to ensure that their health care needs are met. Medication is generally dealt with in a proper and safe manner. EVIDENCE: Evidence from documentation and from the interactions between service users and staff would seem to show that service users get personal support in the way they would wish. There was also good evidence that service users’ physical and emotional health care needs are met, with appropriate referral made to health care professionals and psychologists where needed. These are followed up by good recording of any necessary action. Medication administration is dealt with well and staff have all necessary training. There is good liaison with the community pharmacist who visits twice yearly and is available for consultation at any time. Recording of the quantities available of one drug needs to be done in a way that makes it easier to monitor usage. Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s policies and procedures. EVIDENCE: The organisation and the home have good policies and procedures for dealing with complaints and allegations of abuse. The commission has received one complaint about the service since the last inspection and the home has dealt with this properly. Staff are trained in protection of vulnerable adults as part of their induction and have go on refresher courses as well. Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 14 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): 24,25,26,27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a comfortable and safe home with all equipment necessary to meet their needs. EVIDENCE: The home is comfortable, homely, well decorated and safe. Service users have their own rooms which are well personalised and have all specialist equipment needed to cater for their complex needs. There is also ample communal space including a sensory room. Outstanding work on a specialist bath has now been completed so that it can be safely used. Work has also been done on the shower room, leaving only some decorative work outstanding. On the day of inspection the home was clean and hygienic although specialist bags are needed to carry soiled laundry within the home. Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 15 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): 32,33, 34, 35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by staff who are well trained and well supervised. EVIDENCE: The number of staff who have an NVQ qualification or who are currently working towards one, means that the home is on course to have over 50 of staff qualified to this level. Staff appraisals lead to individual training programmes and there is a good training and development programme to deliver the training needed. Staff confirmed that they have regular supervision. Staff recruitment records are not kept in the home but in the central office who must ensure that the necessary forms that need to be seen at inspection are in the home. Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 16 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): 37, 39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users can be confident the home is properly managed and that health and safety is good. They cannot yet be sure that their, and their relatives’ views are properly assessed. EVIDENCE: The manager is experienced and is part way through her NVQ 4 qualification in management. The deputy manager has left since the last inspection but cover is being provided from another home. Staff spoken to during the inspection confirmed that they always have access to a manager when needed and that they get the support they want and need. At the moment there is some monitoring of service user satisfaction but a formalised quality assurance system is not yet in place. The home also does not have an annual development plan. The inspector spoke briefly to the Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 17 service manager who confirmed that there were arrangements for these to be put into place. Health and Safety was seen to be good in the home, and checking systems were in place. However, both cupboards used for storage of hazardous chemicals had the keys in the lock, which is not safe practise. Finland Street, 63 DS0000007066.V320426.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 X 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 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 3 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 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X X 2 X Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? NO 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 YA20 Regulation 13(2) Timescale for action The registered person must 31/12/06 ensure that amounts of all medication are recorded on the administration chart. The registered person must 31/01/07 ensure that soiled linen is safely carried through the home. The registered person must 31/12/06 ensure that recruitment documentation is available at the home. The registered person must 30/06/07 ensure that there is a quality assurance system, the results of which are analysed annually and a report sent to the CSCI. The registered person must 30/06/07 ensure that there is an annual development plan. The registered person must 31/12/06 ensure that cupboards containing substances hazardous to health are always secured. Requirement 2. 3. YA30 YA34 13(3) Sch 2 4. YA39 24(1) (a)(b) (2) 5. 6. YA39 YA42 24(1) (a)(b) (3) 13(4) Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 20 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 YA6 Good Practice Recommendations It is recommended that the information available for service users’ support needs be collected into one clear format. Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Finland Street, 63 DS0000007066.V320426.R01.S.doc Version 5.2 Page 22 - 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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