Inspection on 20/02/06 for Hanna Schwalbe Home

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 Good. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hanna Schwalbe Home 05/07/07

Hanna Schwalbe Home 16/06/05

Hanna Schwalbe Home 09/12/04

Hanna Schwalbe Home 24/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Hanna Schwalbe Home 48 Leeside Crescent Golders Green London NW11 0LA Lead Inspector Mrs Angela Grier Unannounced Inspection 01.15 20th February Hanna Schwalbe Home DS0000010431.V259160.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 Hanna Schwalbe Home DS0000010431.V259160.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. Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hanna Schwalbe Home Address 48 Leeside Crescent Golders Green London NW11 0LA 020 8458 3810 020 8922 7454 judymkisharon@hotmail.com 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) Kisharon Management Committee of Hanna Schwalbe Home Mrs Judy Meshulam Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th June 2005 Brief Description of the Service: Hannah Schwalbe is a registered care home for eight male adults with learning disabilities. It is part of a range of community services managed by Kisharon, a charitable trust providing both education and care for orthodox Jewish children and adults who have a learning disability. The home is a large corner house located in a quiet road close to the shops and local amenities of Golders Green. The main communal areas are located on the ground floor of the home and include a large lounge and a kosher kitchen/diner. The managers office occupies a corner of the lounge area. There is a secluded garden area and a shed at the end of the garden, which can be, used for activities and also houses the washing machines. Most of the service users attend Kisharon College on a daily basis and have close links with their families and the local community. Hanna Schwalbe Home DS0000010431.V259160.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 20th February 2006 at 1.15pm. The manager was out buying food for a big party to celebrate the 60th birthday of a service user. The inspector met a member of staff and a service user who were going out for the day and another member of staff who was on duty in the absence of the manager. The manager returned before the inspection was completed. The inspector reviewed the outstanding requirements with staff and confirmed the information when the manager returned. All outstanding requirements have been or are in the process of being met. One requirement regarding the maintenance of the home has been repeated and one new requirement has been made. The home was clean and welcoming. What the service does well: What has improved since the last inspection? What they could do better: There is a link between Kisharon College and the home. A member of staff who has worked for the college has become a Bank worker in the home. The manager did not have a copy of the person’s CRB in her records. The manager must ensure that there is a complete record for Bank staff and for permanent staff. Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 Page 6 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. Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 Page 7 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 Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 Page 8 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): 1,3 There is information in the statement of purpose for service users who wish to use the respite care facilities offered by the home. The home maintains all the information required for those service users who benefit from the respite care provision. EVIDENCE: The inspector saw the information that has been included in the statement of purpose for service users and their families who require respite care support. New files have been created for these service users and these contain the required information. Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 Page 9 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): These standards were not inspected at this visit. EVIDENCE: This section is non applicable as none of the standards in this section were assessed on this occasion. Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 The home has a leisure programme, which is developed with service users and works around their daily activities. EVIDENCE: A new member of the bank staff who is a qualified Gym teacher takes groups of service users to a local school, which has a gymnasium. Service users are being introduced to exercise appropriate to their level of ability. A big party was being planned by staff to celebrate the 60th birthday of a service user. Hanna Schwalbe Home DS0000010431.V259160.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): These standards were not inspected at this visit. EVIDENCE: Hanna Schwalbe Home DS0000010431.V259160.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): These standards were not inspected at this visit. EVIDENCE: This section is non applicable as none of the standards in this section were assessed on this occasion. Hanna Schwalbe Home DS0000010431.V259160.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): 28, 30 The general standard of the environment is good and provides service users with a welcoming and homely place to live. EVIDENCE: The last inspection identified some maintenance issues, including the replacement of the hall and stair carpet. The manager is in the process of obtaining estimates for this work and to ensure that the budget for the home can meet the costs. There is evidence of the replacement of furniture and the redecoration of the home. The recent regulation 24 visit made by the registered provider identified the need to restock the storeroom and tidy the games room area. This work should be completed as soon as possible. There is one requirement which is made, requiring the manager to ensure that the maintenance issues continue to be addressed and will be repeated in this report. Hanna Schwalbe Home DS0000010431.V259160.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, 36 Regular supervision is provided to staff ensuring that service users benefit from staff who are properly supported. Information held in the home on the recruitment of bank staff must be more transparent to ensure the protection of service users. EVIDENCE: The member of staff interviewed confirmed that he now receives regular supervision from the manager. This is written down and the staff member is provided with a copy of the record of each of these sessions. The manager confirmed that regular supervision takes place for all staff and there is a pro forma completed for each session. The inspector saw the staff file for a new member of the bank staff. This person has worked for the Kisharon School and now provides support to the service users in the home and in their leisure activities. The information held by the manager on this person does not meet the standards required. There was no evidence of the CRB check and the application form was blank. Although the member of staff is employed by the Kisharon organisation, it is important for the safety of residents that the manager has basic information and copies of the CRB for her records. The manager must ensure that there is a record of all persons employed in the home. Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 Page 15 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): 41 The systems for the reporting of incidents and the maintenance of records in the home have improved and promote safeguarding the best interest of the service users. EVIDENCE: Following a requirement from the last inspection, the home has revised the format for the reporting of incidents. Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x 3 x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x 2 x 2 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hanna Schwalbe Home Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x 3 x x DS0000010431.V259160.R01.S.doc Version 5.0 Page 17 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 YA28YA30 Regulation 23 [2][b] Requirement The registered provider must ensure that the home is satisfactorily maintained and attention is given to the issues identified in this standard. Plans should be included in the budget to replace major items of furniture This requirement is restated. The registered provider must ensure that staff files contain all the information required in Schedule 4. Timescale for action 30/05/06 2 YA34 17 [2] Sch 4] 31/03/06 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 Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 Page 18 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 Hanna Schwalbe Home DS0000010431.V259160.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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