Inspection on 22/05/06 for Hillgreen Care (Ruskin Road)

This inspection was carried out on 22nd May 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hillgreen Care (Ruskin Road) 09/03/06

Hillgreen Care (Ruskin Road) 20/07/05

Hillgreen Care (Ruskin Road) 22/11/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Hillgreen Care (Ruskin Road) 13 Ruskin Road Tottenham London N17 8ND Lead Inspector Brian Bowie Key Unannounced Inspection 22nd May 2006 09:00 Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hillgreen Care (Ruskin Road) Address 13 Ruskin Road Tottenham London N17 8ND 020 7226 8969 020 7226 3939 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) Hillgreen Care Ltd Mr Dennis Obemeata-Yamah Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users living above the first floor should not require assistance in the event of an emergency. Date of last inspection 9th March 2006 Brief Description of the Service: The home is one of 3 operated by Hillgreen Care. 13 Ruskin Road is a sixbedroomed house on a residential street in Tottenham. The home is registered to care for six adults between the ages of eighteen and sixty-five years who have a learning disability together with challenging behaviours and/ or autistic spectrum disorders. The home has six single bedrooms each with an en suite toilet and hand basin. One bedroom has its own bathroom. Two bathrooms are provided for the other five residents. There is a spacious lounge and separate dining room, with a small garden at the rear of the house. The home is within a short walk of Tottenham High Road and within easy access of buses, Seven Sisters Underground station and Bruce Grove, White Hart Lane and Northumberland Park rail stations. In May 2006 the fee charged by the home was £1,500/week. Hillgreen Care makes available to residents, families and prospective residents information detailing the service provided by Ruskin Road and inspection reports. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 1 day and lasted 9 hours. Brian Bowie, the allocated inspector for Ruskin Road, carried out the inspection. The manager was present for most of the inspection. Both the manager and staff at the home assisted with the inspection. One of the residents showed the inspector around the home. The inspector spoke to all of the 5 people resident in the home at the time of the inspection, as well as to an individual who was visiting the home to see if they wanted to move in. Most of the residents were very able to communicate how they felt about living at the home. Throughout the inspection the way in which staff communicated with and supported residents was observed. In addition 3 members of care staff and the manager were interviewed. A variety of records, including care plans, staff files and health & safety documents were looked at. The overall impression is that Ruskin Road provides a good standard of care to residents and has a relaxed family-like atmosphere. The quality of care at the home has improved over the past year. What the service does well: What has improved since the last inspection? Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 6 Increased use is being made of the regular residents’ meetings to involve residents more in the running of the home, for example by going over how they can make a complaint and the reasons for the fire safety procedures in the home. Food storage arrangements are now safer and more hygienic. An adult protection incident was handled appropriately and sensitively by the home so that the rights of the residents involved were safeguarded. What they could do better: At the previous inspection there had been 7 areas the home had to improve. In the short time since the previous inspection 4 of these areas had been sorted out. Requirements made to improve the other 3 areas have been followed up but have not yet been achieved. These areas have been restated in this report, with a new timescale for compliance. Further information about unmet requirements can be found in the relevant section. Unmet requirements impact upon the welfare and safety of service users. Failure to comply by the revised timescale will lead to the Commission for Social Care Inspection considering enforcement action to secure compliance. In addition 4 new areas to be improved are identified. In order that the needs of residents are properly met at all times the home needs to achieve the following: • • • • • The ceiling in the laundry room to be repaired The lock on the specified bedroom on the first floor to be repaired. The shower in the specified bedroom to be repaired. A lampshade to be provided in the specified bedroom. The results of residents’ surveys and surveys of other key parties, including relatives, to be published and made available, together with an improvement plan. An up to date fire safety risk assessment of the premises that has been approved by the London Fire & Emergency Planning Authority (LFEPA). An emergency plan in the event of a fire that has been approved by the London Fire & Emergency Planning Authority (LFEPA). • • Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 7 These areas for improving the service were discussed and agreed with the manager. 2 recommendations are made to highlight ways in which practice can be further improved at the home: • • Keeping a record of the various activities being offered to and taken up by residents Training staff in the use of person-centred planning 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. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 8 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 Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 9 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 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. People moving into the home can be confident that their needs will be fully assessed and an appropriate plan for meeting these needs will be drawn up. EVIDENCE: ‘It’s really nice, man-when I first came I wasn’t happy but now I’m fine.’ This was the view of one resident who has been at the home for nearly 2 years, having had a number of placements that had broken down. The files for 3 of the residents were looked at and indicated that before they moved in a full assessment had been received from Social Services. A care plan had then been drawn up by the home showing how these needs were to be met. All the residents said, or indicated, that they enjoyed living at the home. Annual review meetings with Social Services indicated that residents are appropriately placed and their needs are being met. One review included the comment: ‘This resident used to test the boundaries, but they have gradually adapted to their new life in the home.’ Observation throughout the inspection showed that none of the existing residents is inappropriately placed at Ruskin Road. This indicates that the Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 10 home is careful to ensure that it is able to meet the needs of new residents and does not admit people whose needs it is unable to meet. One prospective resident making their first visit said: ‘I like the atmosphere, the people.’ Before this individual visited Ruskin Road the manager had already met the person twice in their current placement so that a detailed assessment could be made of their suitability for Ruskin Road. The manager also tries hard to makes sure that any new resident will get on with others in the home. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 11 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): 6,7,9 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Care plans provided detailed information on how the needs of residents are met. Ruskin Road is good at finding ways for residents to make as many decisions for themselves as possible. Residents are protected by risk assessments that are comprehensive and indicate clearly how risks to the safety of residents are reduced. EVIDENCE: It’s a lovely place- I’m quite happy here. This is my home- I like the TV, drinks, fags, coke.’ These were the thoughts of one resident about Ruskin Road. The individual concerned had again been through a number of placements that had not been able to meet their needs. This person was enjoying being in a place that is able to give them time and space so that they can find a way of living with other people which is very difficult for the person concerned. The records for 3 residents were looked at and indicated that for each one there was a current plan of care. These set out the needs of the resident and how they are to be met by the home. These plans have strategies in place to Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 12 enable staff to deal with the residents’ challenging behaviours. As a result the level of challenging behaviours of each resident is reducing, with a typical comment from a review with Social Services being: ‘Initially challenging this individual’s demeanour has stabilised, and they are starting to make progress in many areas.’ Throughout the inspection members of staff offered choices to residents. People made choices about when they got up in the morning and when they had their breakfast. One resident said: ‘I go to bed when I want.’ They also chose what they had to eat and what outings they went on. A staff meeting had made the point: ‘If service users don’t want to go out then don’t force them, expecting them to feel better when they’re out there.’ All plans recognise potential risks to residents and the risks that they may pose to others. The plans outline how these risks can be minimised, for example ensuring adequate staffing at particular times of the day. The plans also highlight what things might anger or agitate each resident and how these can be avoided or managed. As a result residents feel more relaxed and settled in the home so that there are fewer incidents of challenging behaviour. Staff interviews indicated that members of staff understand how to support residents. They do this in line with guidelines that have been developed in conjunction with the consultant psychologist who advises staff on how best to manage the challenging behaviours presented by the residents. The home is achieving a high standard in this area that is enabling people with complex needs to manage well in a small group living situation. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 13 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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Residents have a good quality of life because they take part in a range of stimulating activities and members of staff pay attention to sexuality issues for residents. Residents are helped to be part of their local community and to have regular contact with their families. The residents benefit by having staff who allow them to make choices for themselves and to have as much control over their life as possible. Residents have a choice about what they eat and were seen to enjoy mealtimes. EVIDENCE: ‘I do activities- I can play football, tennis, everything.’ I go out and play football with my keyworker.’ This was the comment of one resident who went out on the day of the inspection and played in a local football game. The activities organiser was interviewed and said that the residents used the local sports and leisure centres. A new resident was being encouraged to join the local gym. Residents make the decision themselves about what they wish to do outside of any structured programmes. Each resident has an activities programme and is encouraged to develop interests. Feedback from staff and Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 14 examination of records confirmed that residents take part in a variety of activities, including college classes. In order to monitor and develop this area further in the home it is recommended that a record is kept of the various activities offered to and taken up by residents. Feedback from residents and staff showed that residents get out and about in their local community, including going shopping, to the cinema and on outings. One resident is being helped by staff so that they can get to the local café by themselves and order a drink. Residents were having regular contact with their families. The staff team keeps in touch with families and help to ensure that any problems around visiting arrangements are sorted out quickly. One resident had wanted their family to be visiting them at Ruskin Road rather than at the family home. Staff had supported the individual to achieve this new arrangement which the resident felt happier about. In this way staff respect and promote the rights and wishes of the residents. Staff are respectful in how they communicate with residents, for example saying to them: ‘Do you want to be private?’ to see if they wanted to talk to someone in confidence. This was helping individuals who in some cases had high anxiety levels to feel more secure and relaxed in the home. Staff have had training in sex and sexuality issues so that they can support residents appropriately in this area. Following an incident in the home a referral had been made to help a resident with to learn appropriate behaviour in this area. ‘I can help myself in the kitchen- I make a drink, some food. The food’s fine- I can choose and have my favourite food.’ Residents were positive about the food in the home. The lunchtime meal was observed and showed that residents enjoy mealtimes and get a choice about what they eat. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 15 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): 18,19,20 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Staff are good at supporting residents in a way which the residents are happy with and which makes sure their physical and emotional health needs are met. The residents are protected by effective arrangements regarding medication in the home. EVIDENCE: ‘If I have a worry I’ll talk to my keyworker. If I get mad cos I can’t have my fags, staff talk to me and calm me down.’ During the inspection staff were seen to respond quickly and appropriately to the needs of residents. The care plans are detailed and set out clearly how to respond to the needs and wishes of residents, with guidelines about dealing with any challenging behaviours. As a result individuals with challenging behaviours and high anxiety levels feel more relaxed which in turn enables them to have improved relationships both with other residents and with staff. Health needs are responded to with evidence seen of referrals made to other relevant professionals. Residents are encouraged and enabled to get to the local surgery when they need to see a doctor. Staff confirmed that the doctors will also visit people at home when necessary. The home has introduced health action plans so that needs are clearly recorded and people get the Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 16 health support they require. The local psychiatrist sees the residents to assess their wellbeing and decide if changes in medication are needed. ‘They’ve reduced my medication cos my behaviour’s better since coming here.’ In a number of cases the level of medication needed by a resident had reduced over time as they became less agitated and more settled living at Ruskin Road. Medication arrangements were gone through with the senior carer who has responsibility for this area within the home and were satisfactory. The records relating to the administration of medication to residents were seen and indicated that a detailed and accurate record is being kept. All staff have undergone training so that they can administer medication appropriately and safely. The home uses a monitored dosage system that helps to reduce the likelihood of mistakes being made in medication arrangements. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 17 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 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. The home deals well with complaints so that residents and relatives feel confident their complaints and concerns will be listened to and acted on. The residents are protected by adult protection procedures that make sure that they are safe and secure whilst at Ruskin Road. EVIDENCE: The home has policies and procedures in place in relation to reporting and investigating complaints. The complaint record showed that no complaint had been made since the previous inspection. During the inspection residents were seen approaching staff and letting them know if they had any concerns or complaints. Staff responded quickly to residents and tried to resolve issues sooner rather than later. In one case a member of staff had asked another member of staff to alter their tone of voice towards a resident who had raised a concern about this. As a result of staff acting on concerns residents remain generally calm and relaxed, despite in some cases having high anxiety levels. Staff had gone over the complaints procedure at a residents’ meeting to make it easier for residents to know what to do if they wanted to make a complaint. Staff have attended training courses on how to protect vulnerable adults from abuse and know what to do if they think a resident has been the victim of any form of abuse. The home has procedures and policies on protecting residents from abuse. There had been one adult protection incident at the home since the previous inspection. In line with the adult protection policy this incident had been reported, investigated and appropriate action taken. As a result the rights and welfare of one of the residents had been protected and promoted. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 18 Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 19 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): 24,26,30 Quality in this outcome area is adequate. This judgement has been made from evidence gathered during the visit to this service. Residents at Ruskin Road enjoy an attractive, comfortable and clean living environment that adds to their quality of life. However to ensure residents have the benefit of a well maintained home minor repairs must be made more quickly. EVIDENCE: One of the residents showed the inspector around the home, both inside and outside. This individual took pride in doing this and was helpful in pointing out where repairs were needed. The house is homely, comfortable and well decorated and furnished. Bedrooms are well furnished and had en-suite facilities. Each bedroom was personalised with the residents’ own belongings and reflected their interests. The lounge has a television with a wide variety of channels available. There is a small garden at the back of the property. The home is very close to public transport and shops making it easier for all the residents to take advantage of local community facilities. Some maintenance repairs highlighted at the previous inspection had been dealt with or were in hand. However the following items need attention: Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 20 • • • • Repair of the ground floor laundry room ceiling Repair of lock on specified bedroom on first floor Repair of shower in specified bedroom Lampshade to be provided in specified bedroom Some of these items have been outstanding for some time. The home had arranged for some of these to be attended to. However the manager must ensure that maintenance issues are dealt with promptly. Throughout the inspection the home was seen to be clean and hygienic. Interviews with staff confirmed they understood about the importance of maintaining good standards of hygiene in the home and were taking appropriate action to ensure this was achieved. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 21 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): 32,34,35 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. The residents have the benefit of a committed and experienced team of staff who have the skills and training to meet their needs. Residents are protected by the home’s recruitment procedures for new staff. EVIDENCE: ‘I like the staff here- they’re all nice- they help us.’ This was the comment of one resident but reflected the positive feedback received from the residents about the staff in the home. Throughout the inspection staff were seen to take time in listening to and responding to the needs and wishes of residents. Most members of staff have achieved the NVQ Level 2 in care, and have considerable experience in working with people with learning disabilities, as well as working with adults with mental health needs. As a result residents are being skilfully supported which is contributing to the decrease in the amount of each person’s challenging behaviours. Staff files were looked at and contained the information needed to make sure that all new staff in the home have had the appropriate checks made, including obtaining written references and satisfactory CRB disclosures. As a result residents are protected by the arrangements Ruskin Road has in place when recruiting staff to work at the home. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 22 New members of staff have a planned and thorough induction into the roles and responsibilities of being a care worker. The staff team has attended a range of relevant courses, including adult protection, epilepsy, administration of medication, challenging behaviours, and working with people with communication difficulties. This is in addition to training in essential areas such as first aid, food hygiene and health and safety. As a result staff are more effective in how they support residents, for example a member of staff had defused a potentially difficult confrontation by asking the resident if they could help with bringing the shopping in, which the resident had been happy to do and then had calmed down. Staff interviews indicated that they were not aware of person-centred planning, although elements of this approach are in place in the home. Given the importance of this approach in working with people with learning disabilities it is recommended that all care staff have training in person-centred planning. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 23 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 Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. Residents benefit from living at Ruskin Road because the home is run in the best interests of the residents with their views and wishes shaping how the home is run. However interested parties, including residents, do not have the benefit of annual reports on the quality of care provided which include their views and the comments of other key parties. The home is good at making sure the residents are kept safe and secure but need to improve further fire safety measures to ensure the home is as safe as possible. EVIDENCE: ‘This is definitely the best place I’ve worked –There’s more teamwork here, more trust placed in staff.’ ‘I get good support from the manager and head office.’ These were the views of staff interviewed and indicate staff feel supported and valued in carrying out their work. The running of the home was seen to be of a good standard with priority given to meeting the needs of residents. The manager has a good understanding of the needs and wishes of Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 24 each resident and residents were seen to be relaxed in his presence and confident about interacting with him. Hillgreen Care has further strengthened the level of expertise in the home by buying in consultancy support in the areas of psychology and psychiatry so that the residents get the benefit of prompt and specialised support services. The home has regular residents’ meetings where they put forward their ideas and comments on how the home is run. Recent items discussed include food, activities, how to complain and fire safety. Information about the home is also shared with residents, for example when a new resident is moving in or when a new member of staff starts. The manager has also involved a resident in recruitment interviews for new staff. The home is reviewing its quality assurance processes as part of its aiming to achieve Investors in People status. However the home has yet to produce reports that summarise the views and comments of key parties about the quality of care in the home and how this is to be continuously improved. The manager must make sure the results of residents’ surveys and surveys of other key parties, including relatives, are published and made available. A range of records was looked at, including health and safety and fire safety. In general these records were detailed, up-to-date and accurate and confirmed that the home is being run responsibly with essential checks being made and acted on. However in line with guidance from the London Fire & Emergency Planning Authority (LFEPA) the home must have an up to date fire safety risk assessment of the premises and an emergency plan in the event of a fire. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 25 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 3 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 2 25 x 26 2 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 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 3 x 3 X 2 X X 2 x Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 26 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 YA24 Regulation 23 (2) (b) Requirement Timescale for action 30/06/06 2 YA26 23 (2) (b) The registered persons must ensure that the ceiling in the laundry room is repaired. (Timescale of 02/05/06 not achieved.) Requirement restated The registered persons must 30/06/06 ensure that the lock on the specified bedroom on the first floor is repaired. The registered persons must 30/06/06 ensure that the shower in the specified bedroom is repaired. The registered persons must 30/06/06 ensure that a lampshade is provided in the specified bedroom. The registered persons must 30/06/06 ensure that the results of residents’ surveys and surveys of other key parties, including relatives, are published and made available, together with an improvement plan. (Timescale of 01/06/06 not reached.) 3 YA26 23 (2) (b) 4 YA26 23 (2) (p) 5 YA39 24 (1) (2) Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 27 5. YA42 23 (4) (c) (V) 6 YA42 23 (4) The registered persons must 22/05/06 ensure that the fire alarm system is tested weekly. (Timescale of 02/05/06 not achieved.) Requirement restated The registered persons must 31/07/06 ensure that the home must have an up to date fire safety risk assessment of the premises that has been approved by the London Fire & Emergency Planning Authority (LFEPA). The registered persons must 31/07/06 ensure that the home has an emergency plan in the event of a fire that has been approved by the London Fire & Emergency Planning Authority (LFEPA). 6 YA42 23 (4) 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 2 Refer to Standard YA12 YA35 Good Practice Recommendations The registered persons should ensure a record is kept of the various activities offered to and taken up by residents. The registered persons should ensure all care staff undertake training in person-centred planning. Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 28 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 Hillgreen Care (Ruskin Road) DS0000060578.V291523.R01.S.doc Version 5.1 Page 29 - 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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