Inspection on 12/02/09 for Grove Park House

This inspection was carried out on 12th February 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Townley Road, 2-3

Foxley Lane (121a)

Tudor Lodge

Stacey Street Nursing Home

Delrose House Ltd

Clovelly House Residential Home Ltd

Abbey Road [53]

Cherry Tree House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Grove Park House 57 Grove Park Road London N15 4SL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pursotamraj Hirekar     Date: 1 2 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Grove Park House 57 Grove Park Road London N15 4SL 02088088428 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Akwa House Limited Name of registered manager (if applicable) Terence Gaylord Muzamhindo Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The Registered Person may provide the following category/ies of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disabilities or dementia - Code MD The maximum number of service users who can be accommodated is: 5 Date of last inspection Brief description of the care home Grove Park House is a registered service to provide residential care for 5 users between the age of 18 to 65 years, with mental disorder, excluding learning disability or dementia. The registered provider(s) are Akwa House Limited with Mr. Alexio Kadira as responsible individual and Mr. Terence Gaylord Muzamhindo as registered manager. The home is located at 57 Grove Park road, Tottenham, London, N15 4SL. 5 Over 65 0 care home 5 Care Homes for Adults (18-65 years) Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This is the report of the unannounced key inspection carried out on the 20/02/09 over 4 hours 30 minutes by Pursotamraj Hirekar. The registered manager coordinated the inspection. The method of inspection included study of care plan, risk assessment, staff recruitment records, relevant care delivery documents, reconciliation of medication, partial tour of the premises, discussion with staff, registered manager and conversation with people at the home. The annual quality assurance assessment (AQAA) - providers self assessment and in response to key inspection headline feedback session the documentation received from the registered manager, post this inspection is included for analysis and preparation of this report as well. Care Homes for Adults (18-65 years) Page 5 of 27 The quality rating for this services 2 stars. This means the people who use this service experience good quality outcomes. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessments carried out by the local social services are taken into account prior to the admission of service users and the home has carried out pre admission assessment to demonstrate that it could meet the assessed needs. Evidence: The statement of purpose and the service user guide were comprehensive that contained information about the service provision and the details of service arrangements presented in a pictorial format as well. The home had appropriately displayed the registration and insurance documents, fire drill and staff duty rota in the office room, that was easily accessible to the service user as well. There has been 1 new admission since registration of this service. The home has carried out a pre - admission assessment, to make an informed judgement on the suitability of the potential service user, taking into account the needs of the service user and capacity of the staff working at the home to demonstrate that the home could meet the assessed needs. Staff was observed communicating with people using Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: the service in different forms of communication to suit their individual preferences and needs. The service user appeared relaxed and neatly dressed, when asked the service user said it is OK, it is my home now. The case file examined did contain the terms and conditions for individual service user. Information received from the registered manager prior to this inspection stated that the home had clear procedures for prospective users considering the service around visits and overnight stay before they move in. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home had developed detailed risk assessments and care plan that were reviewed and updated regularly to reflect the changing needs of the service users. Evidence: The care documents of 1 person using the service was seen which included risk assessments and management, care plan that covered mental and physical health. The information was holistic and from the view of the people using the service in relation to their choice of lifestyle, needs and aspirations. The plans had been written in sufficient detail including information that reflect maintaining relationships with family and friends. The information was written to help staff to provide the right level of support in relation to promoting independence and skills for daily living such as personal care, domestic tasks and accessing the community. The risk assessments and care plan was seen and signed by the staff working at the home. The daily routines presented for Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: individual service user reflected in the daily activities of the people using the service. The care plan was reviewed and regularly updated, as and when the need arouse and the changes are reflected in the care plan. For example regarding activity, visitors and budgeting. The staff working were aware of the changes to the care plan of the person using the service. The person using the service can access community locally, which include their daily routines and weekly shopping. Observations made indicated that the relationship between person using the services and the staff was relaxed, friendly and polite, showing respect to each other when they are talking or expressing a view. The staff on duty said people make their own decisions or are supported through conversation to make their own decision. For example, member of staff provided support whilst cooking, shopping and meeting with visitors. Information received from the registered manager prior to this inspection stated that the home regularly engage with service user and staff meetings to make continuous improvement and, to enable the service user to live independently as possible. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service experience and appeared to be enjoying a lifestyle that suits, being part of the community and having meals of their choice. Evidence: Information about individual daily, social and community activities are detailed in the assessment and included in persons care plan. Staff said the service user was encouraged to participate in daily social and community activities. The person using the services, confirmed during the discussion that he continued to participate in daily activities ranging from the day services, going out socially with family and friends. People can choose how to spend the evening and weekends, ranging from seeing friends and family and watching television. Activities and daily routines were reflected in the records were consistent with the interests recorded in the individual care plan. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: The person who use the service indicated that he felt in control of his life at home and was not restricted in what he did. There was evidence that the home supported to maintain family links and friendships inside and outside the home, in accordance with their wishes. Person who use the service was spoken with, confirmed this view. Staff demonstrated a good understanding of the person they work with, recognising if the person is anxious or unhappy, and how to approach them. Person who use the service spoken to have said that he has freedom to make choice of the meals and mealtime. Staff said they always encourage the person to choose the meals. It was noted that the person was neatly dressed and that he was treated as individual. Throughout the inspection staff were seen talking to person and treating him with dignity and respect; the person using the service had a good rapport with staff and the relationship between staff and the person appeared to be that of encouragement and supportive. Information received from the registered manager prior to this inspection stated that the home regularly reviews and update care plan with relevant information about peoples life choices. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and health care needs of people, who use the service are met promoting their independence and quality of life. Evidence: The personal and health care needs of the person who use the service are detailed in their individuals care plan that was clearly presented, staff has guidance in relation to the level of support required, if any. Risk assessments are detailed and to include information about personal care, personal hygiene, medication and day care activities. Staff appeared to have good working relationship with the person who use the service. This was supported through the observations made during the interactions, the person said I make my own choices what to to eat and somebody helps me in cooking. Records viewed suggested that the person received personal support in the way they preferred and was encouraged to maximise his independence. The person was able to identify the staff with their name, and said he was happy with the support he received from them. The person who use the service said he was not restricted to continue living his Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: lifestyle of his choosing. The home had made arrangements for the person to maintain contact with family and friends. The person who live at the home his privacy and dignity is respected. Care plan detailed emergency contacts and health care professionals involvement in his care. The records showed people had regular appointments with health care professionals. Trained staff administer medication, staff training records, and staff spoken to have confirmed this. The staff on duty demonstrated a good understanding of the administration of medication, and the importance of having medication on time. People spoken to have said they receive medication on time. Reconciliation of medicine and medication administration record was carried out and found satisfactory. Information received from the registered manager prior to this inspection stated that the home had detailed personal and health care plan for the people who use the service and their health care professional appointments records are maintained as appropriate. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service their interests are protected by complaints procedures and practises. Evidence: The complaints policy and procedure was available at the home. The people using the services indicated`that they were aware whom to complaint or express concerns about the provision of care provided to them. A person said, if Iam not happy, I just speak to the staff member or the manager. However, the complaints document need to have correct address of the Commission. This was brought to the attention of the registered manager, who then confirmed with us writing post this inspection that the complaints policy has been now amended. There has been no complaint since the registration, the registered manager said on this inspection, and this was further supported from the documentation that was made available during the inspection. We have not received any concerns, complaints, or allegations about the home. The home had arranged for staff training on safeguarding, the staff on duty, demonstrated an adequate awareness of their role, responsibility, and procedures they are required to follow in relation to any allegation or suspicion of abuse. Staff were Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: confident to whistle-blow poor or bad practise and confirmed that the acting manager is available should any concerns arise. The people who use the service can choose to manage their own money if they are able to do so. Information received from the registered manager prior to this inspection stated that the home had clear complaints policy and procedures, the service user are encouraged to voice any worries, which they may have. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in warm, clean and homely environment. However, further development work that was in progress needed to be completed as scheduled. Evidence: The home was maintained clean and tidy without any offencive odours. The home has had a regular premises maintenance programme in place. The registered manager was aware that one of the unused bedroom roof had a leak and recorded in the premises maintenance programme book. The registered manager further confirmed with us, in writing post this inspection that the bedroom roof leak repair and redecoration was scheduled for completion by 27/02/09. Individual bedrooms were personalised to suit the choice and taste of the people who use the service. The bedrooms are furnished with personal objects as well. The people appeared to be at ease in the home with the staff on duty, choosing to sit in the lounge or going to their bedroom. Environmental premises risk assessments are scheduled to be carried out every six months. The hot water temperature checks for bath, shower, wash basins, fridge and freezer were regularly carried out. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: Information received from the current acting manager prior to this inspection stated that the home has annual redecoration plan devised each year and implemented accordingly. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service are protected by staff training and supervision. However, further development was needed to evidence staff pre-employment checks. Evidence: The interaction of staff with the people using the service was good; there was good rapport. The staff appeared to be aware of the needs of the people and his daily routines and how best to communicate with them. On a random sample, 4 staff recruitment records were seen and found that, staff have been appointed by the company for at least 3 years and were working at an other home run by the company. The copies of the relevant recruitment records were thus transfered to this home. This was discussed with the registered manager during the inspection headline feedback, who then confirmed with us in writing post this inspection that a note has been included, in each staff file stating that all staff were previously working in one of their homes explaining any dates on documents including contracts etc, pre-dating the registration of service in September 2008. Documentary evidence has been included in staff files to show eligibility to work in the United Kingdom. And, staff will be asked to provide, with the homes assistance, new CRBs to update their files. These will replace their old CRB (which have been destroyed except Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: for their reference number) they obtained whilst working at an other home run by the company. Staff training records showed that staffs have received mandatory training and have NVQ level 2. This was supported by staff spoken to, which identified varied training, which they had undertaken. The home had maintained adequate staff deployment ratio based upon the needs of the people who use the service. Staff on duty confirmed they received regular supervision. Information received from the registered manager prior to this inspection stated that the home had ensured appropriate staff deployment to meet the needs of the people who use the service and staff are given relevant training and supervision toward this end as well. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered manager and the staff work as team, and have good working relationship with the people who use the service and with those external professionals who provide services to meet the needs of the people living at the home. Evidence: Discussion with the staff on duty and the people who live at the home, the registered manager appeared to have developed good working relations with the people who use the service and the staff as well. The various care documents seen on this inspection confirmed that the staff have clear roles and responsibilities in relation to the management of the home. Staff meetings are held to discuss any concerns, areas of improvements and staff development as well, that are in the best interest of the people who use the service. As part of the quality assurance system and procedure the home had a quality monitoring mechanism in place and continuous improvement plan produced, to ensure Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: that the people living at the home their quality of life goals both short term and long term, were reviewed and appropriate efforts were made to achieve them. The premises, health and safety checks and risk assessments were carried out and scheduled for six monthly reviews. These checks help in identifying any concerns to the premises and to action them on time. The people using the service spoken to have confirmed that, they are encouraged to express themselves about running of the home, what improvements are made in relation to their accommodation, decor and they can speak with the staff at any time. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 34 17 The home must make 30/04/2009 available all the staff records regarding their preemployment checks. Staff pre-employment checks records were not available at the time of inspection to validate. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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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