Inspection on 27/03/06 for Green Lanes Projects

This inspection was carried out on 27th March 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 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Green Lanes Projects 05/06/07

Green Lanes Projects 23/01/07

Green Lanes Projects 28/09/05

Green Lanes Projects 17/01/05

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 Green Lanes Projects 40 Myddleton Road Wood Green London N22 8NR Lead Inspector Margaret Flaws Unannounced Inspection 27 March 2006 10:00 Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 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 Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 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. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Green Lanes Projects Address 40 Myddleton Road Wood Green London N22 8NR 020 8888 6338 020 8888 6338 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) Pangisani Mabhena Ms Angela Mary Mabhena Miss Janet Brown Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: Green Lanes Project is a registered care home providing care for up to six men and women who have a learning disability. The home is registered to care for adults between the ages of eighteen and sixtyfive years. The home is a large three storey house in Bounds Green, North Lonodn. The home is well situated for buses and overland trains and is a short bus ride away from the underground station at Wood Green. Service users of the home have easy access to local shops,churches, cafes etc within walking distance. The house has six single bedrooms with ensuite facilities and a large lounge, kitchen diner, conservatory and garden. The house is decorated and furnished to a high standard. The aim of the home is to empower individuals to live as independently as possible according to their preferences and abilities. The home currently has three service users with another three people using the home for respite care at weekends. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 27 March 2006. The Inspector was assisted by the Manager throughout the inspection, along with one staff member on duty and one service user. The inspection included a tour of the premises, examination of staff and other home records and consisted mainly of following up on requirements from the previous 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. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 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 Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 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): 2 There is comprehensive information available to potential service users and their families. Service users’ needs are well assessed and an outstanding contractual issue has been resolved. EVIDENCE: The home’s statement of purpose and the service user guide contain all the required information and are easy to read and understand. The service user guide has pictures to help people with a learning disability understand. Four service users’ files were examined. Their needs were fully and appropriately assessed, along with potential risks. A contractual issue has been resolved where two service users who live as a couple and share a room did not have signed contracts as required. This was the responsibility of the placing authority. The home continues to meet the service users’ needs by providing two rooms for the service users’ use but the placing authority only pays for one room. The home has accepted the local authority’s contract in this case and continues to prioritise the service users’ needs. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 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 and 9 Service users have good care plans which reflect their needs. They are supported to take risks where appropriate and can be assured that staff are fully informed of the risks to their wellbeing. EVIDENCE: Four care plans were inspected. The service users’ needs were clearly documented in them, with solid evidence of consultation and involvement in decision-making by the service users. The one service user spoken to confirmed that the staff understood her needs, acted to meet them, and to support her independence. “The staff are great – they really understand and support me.” Staff still accompany service users when they go out. The manager was able to explain the reasons for these service users not going out independently and this was clearly documented in the risk assessments. This decision was reviewed by the placing social workers shortly after the last inspection in relation to two service users and was confirmed as appropriate to continue. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 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, 15, 17 Service users have a good quality of life where they follow their own interests and are supported to further their education and develop their independent skills. Their wishes and choices regarding relationships are fully supported by the staff and they are provided with well cooked food that they like. EVIDENCE: The inspector spoke to one service user who was at home during the inspection and examined the records for four other service users. There was good evidence that the service users are able to pursue personal development and leisure interests with the support of the home. Service users attend college, peer support groups, do voluntary activities and participate in home based and external leisure activities. They also participate in the day to day running of the home. Their cultural needs are also addressed, including lifestyle and dietary needs. The service user spoken to was very positive about meals provided in the home and had involvement in choosing the menu. Menus were examined and demonstrated a varied and balanced diet. There was a very good selection of fruit, vegetables and other fresh food available. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 10 Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 11 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): 19 and 20 Service users are generally protected by the policies for dealing with medicines but the home still needs to obtain copies of the local authorities’ medicines’ policies. The service users’ healthcare needs are assessed, met and well documented. EVIDENCE: Despite trying several sources, the home has been unable to obtain a copy of the medication policy for Haringey and Enfield care homes to use the section on homely remedies to inform the home’s policy. There is good evidence in the service users’ files that their healthcare needs, including their mental healthcare needs, are assessed and met appropriately. The manager was also able to describe how the home works to meet these needs, particularly when working with service user with complex mental health issues. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 12 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 The home has sound complaints and adult protection procedures and takes positive steps to protect service users from abuse or harm. Staff are also trained in adult protection. EVIDENCE: The home has a complaints procedure and no complaints received. The home’s adult protection procedure is adequate and improvements were made prior to the last inspection. Staff have received adult protection training as required. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 13 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): The house is attractively furnished and decorated and provides a pleasant homely environment. The level of cleanliness and hygiene in the home was excellent at the time of this inspection. EVIDENCE: The home environment is of a very high standard. The inspector looked at all the communal rooms in the house, the garden and three bedrooms. The standard of cleanliness was excellent throughout and the rooms were very well decorated and furnished. One service user said that she was very happy with all the facilities provided by the home, including her bedroom. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 14 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): 34, 35, 36 Service users can be confident that they will be well looked after by the registered persons and the staff team. EVIDENCE: The home has successfully recruited new permanent staff, who now primarily staff the home. There was one vacancy at the time of the inspection, which is covered by a regular agency staff member. Staff rotas were examined and showed consistent staff cover by a small number of staff who are familiar with the service users’ needs. Three staff files were examined. These contained all pre-employment checks and new staff had been fully inducted. The home had obtained CRB records for all agency staff, except one, from the agency. The manager said that this had been emailed by the agency but could not retrieve it at the time of the inspection, so a requirement is restated. Staff, including new staff, have received training in adult protection, fire safety, health and safety, person centred planning and moving and handling. The Registered Manager has completed NVQ4 and 50 of staff are now qualified to NVQ2 and above. Supervision records were inspected for four staff and showed evidence that very thorough supervision processes are in place. New staff are supervised every two weeks, moving to a norm of monthly supervision after two months. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 15 Supervision sessions were well documented and a sound balance of topics are covered in depth. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Health and safety in the home has improved for the service users’ benefit since the last inspection. Service users can be confident that their views will be taken into account. EVIDENCE: The inspector asked about quality assurance processes in the home. The Manager said that the home had completed its first service user survey, but she was unable to locate the results. A service user spoken to confirmed that the survey had taken place and was positive about the process. A requirement is given that a copy of the survey results be forwarded to the CSCI. A sample of other health and safety records and certificates were inspected and were in order, except a new gas safety certificate which is due now. A requirement is given that this testing be carried out and a certificate obtained. Thermostatic mixing valves have been fitted to each bath and shower locking the water temperature at 43 degrees to prevent risk of scalding. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 17 Fire door closures have been checked and self closing devices fitted. Staff have been trained in fire safety and the home’s emergency plan. Fire safety checks are regularly carried out. The Manager said that the home is planning to install CCTV to proactively protect the health and safety of service users. Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 2 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Green Lanes Projects Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 2 X DS0000057935.V265775.R01.S.doc Version 5.0 Page 19 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 YA34 Regulation 19(4)(10) Requirement The Registered Person must ensure that a copy of the current CRB disclosure for every staff member is kept at the home and available for inspection. This includes CRB certificates obtained by agencies for agency staff employed at the home. Previous timescale of 31 December 2005 not met. The Registered Person must ensure that a copy of the service user survey is sent to the CSCI The Registered Person must ensure that a gas safety inspection takes place and that a copy of the certificate is sent to the CSCI. Timescale for action 15/05/06 2. 3. YA39 YA42 24(1) 12 (1) 15/05/06 15/05/06 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 Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Green Lanes Projects DS0000057935.V265775.R01.S.doc Version 5.0 Page 21 - 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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