Inspection on 21/12/05 for Jewish Care

This inspection was carried out on 21st December 2005.

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

Other inspections for this house

Jewish Care 01/11/07

Jewish Care 24/07/06

Jewish Care 25/05/05

Jewish Care 30/09/04

Jewish Care 20/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Jewish Care Jewish Care 7b Mapesbury Road London NW2 4HX Lead Inspector Andreas Schwarz Unannounced Inspection 21st December 2005 09:30 Jewish Care DS0000017467.V271769.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 Jewish Care DS0000017467.V271769.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. Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Jewish Care Address Jewish Care 7b Mapesbury Road London NW2 4HX 020 8459 2569 020 8459 4855 pgarrett@jcare.org 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) Jewish Care Thomas Patrick Garrett Care Home 25 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (25), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (14) Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th May 2005 Brief Description of the Service: 7b Mapesbury Road is a purpose built house with a very large well-maintained garden at the rear of the property. It is in a quiet residential road, but within walking distance of good public transport links and close to Kilburn High Road shopping centre. The home is run by Jewish Care and provides accommodation for 25 adults with mental health problems. The age of the service user ranges from 50 to 86 years. A registration variation has been applied for in order to accommodate those service users over the age of 65. All service users have good-sized single rooms and there are also five flats with en-suite facilities. There is a large dining/lounge area on the ground floor that opens out to a beautifully maintained garden and two further lounges on the first and second floor, one of which accommodates service users who smoke. There is off-street parking at the front of the property. Jewish Care DS0000017467.V271769.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 during a morning in December 2005. The inspector assessed outstanding core standards and the compliance of requirements made during the previous inspection. The inspector spoke to three members of staff, a number of residents and the manager who joined the inspection towards the end. The acting manager Mr Prince Balwah is currently not registered with the Commission for Social Care Inspection. The inspector viewed files and documents during this inspection. The inspector would like to thank residents, staff and manager for their help and support during this inspection. What the service does well: What has improved since the last inspection? The home has complied with two out of the three requirements made during the previous inspection. The inspector was particularly impressed to see care plans written in residents’ first languages. The redecoration of one resident’s room was completed. Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Jewish Care DS0000017467.V271769.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 Jewish Care DS0000017467.V271769.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): EVIDENCE: Jewish Care DS0000017467.V271769.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): 7 Residents are encouraged and supported to make decisions about the care and support they receive. EVIDENCE: The inspector observed excellent interaction between staff and residents during this inspection. For example one service users wanted to go out with staff during this visit, the inspector observed staff discussing this with the resident and agreeing on a compromise suitable for both. Residents confirmed of having regular residents meetings and minutes of these have been sampled during this visit. Residents are involved within the care planning process and signatures on care plan as well as the review minutes confirmed this. The home is celebrating Jewish festivals and is promoting the Jewish way of live. Residents confirmed this, but explained that they do not have to participate celebrations if they don’t wish to do so. Residents informed the inspector that they manage their own finances with staff support. Money can be deposited in the homes safe, which can only be accessed by the homes manager and deputy manager. The home is registered with the Brent advocacy service and independent advocates can be provided as and when needed or requested by residents. Jewish Care DS0000017467.V271769.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): 15; 16 Residents are able having relationships with whoever they choose to, the home however monitors the risk of these relationships. Residents are treated with respect, and rights and responsibilities are well balanced. EVIDENCE: Residents informed the inspector that they could have relationships with whomever they want to; staff confirmed this. Staff informed the inspector that they are not aware of all the relationship residents have and would only intervene if the relationship is non consensual or abusive. The home has a comprehensive sexuality policy in place. The manager informed the inspector that some residents receive family visits. All residents have their own room and front door key. The inspector observed that residents leave and enter the home freely without the need for staff support. Staff was observed interacting with residents excellently and communication was done in a respectful and professional manner. Residents were observed collecting their mail independently and all sevice users confirmed that staff never opens their mail without their permission. Residents have regular meetings and minutes of these meetings are available for Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 11 inspection. Residents informed the inspector that they are involved in domestic tasks such as laying the table, picking up cigarette ends, etc. The inspector observed this during this inspection. The home has a designated smoking room and residents are allowed to smoke in their room or the garden if they wish to do so. Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents are able to choose what support they require from staff. EVIDENCE: Residents living in Mapesbury Road are mostly self-managing and require varied personal care support. Residents informed the inspector that staff would support them if they require help. The level of support needed is recorded in care plans and is discussed in key worker meetings and care plan reviews. Residents were observed of wearing appropriate and clean clothing. The home has strong links with the local mental health team and a CPN visited the home during this visit to provide depot injections and to discus nursing related issues with residents, this was all done in privacy. Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22; 23 Residents are encouraged and supported in making a complaint or raise issues they are not happy with. Allegations of abuse are taken seriously and dealt with appropriately. EVIDENCE: The home has a detailed complaints policy in place; there is however a need to include the Commission for Social Care Inspection address within this policy. The inspector informed the manager that he must include in the policy, that the Commission for Social Care Inspection could be contacted at any stage of the complaint. The inspector viewed detailed complaints records and a complaints book is easily accessible in the lounge on top of the piano. The home has a Protection of Vulnerable Adults policy and local Protection of Vulnerable Adults guidelines are available in the office. Staff confirmed of having attended Protection of Vulnerable Adults training and demonstrated good knowledge of Protection of Vulnerable Adults related issues. The home has a whistle blowing and other policies regarding adult protection in place. Previous Protection of Vulnerable Adults related issues have been investigated and dealt with appropriately and satisfactory. Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32; 34 Residents’ benefit from a diverse and experienced staff team. Appropriate recruitment policies and procedures protect residents from unsuitable staff. EVIDENCE: The home has twelve staff employed on a permanent and four care staff employed on a temporary basis, five staff have achieved their NVQ qualifications and two staff are currently working towards achieving this qualification. The home is meeting National Minimum Standards and 50 of care staff is trained to NVQ Level2 or higher. The home has two NVQ assessors employed. Staff employed by the home has different levels of skills and experience and training is provided by the organisation to maintain and improve these skills. The inspector received very positive feedback from the CPN during this visit, praising the staff team for their listening skills and the fact that staff is easily approachable. The home does not employ staff under the age of 18. Interaction observed during this visit where professional and demonstrated respect regarding the needs of residents. The home has a recruitment policy in place and staff files sampled by the inspector contained the required documentation. Staff the inspector has spoken to confirmed of having received a contract and code of conduct. Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37; 39 The acting manager is skilled and qualified to manage the home. Residents are involved and consulted in the running of the home. EVIDENCE: The inspector observed staff interacting with the manager, this was judged as respectful, but with a good sense of humour. The manager holds NVQ Level4 in Care and Registered Manager Award qualifications. In addition to this he has been working in the home for a number of years and is very familiar with service users needs and organisational procedures. Staff confirmed that the acting manager is fair and very supportive. The acting manager is not registered with the Commission for Social Care Inspection; this is required. The acting manager informed the inspector that the post would be advertised in January 2006. The most recent service users and care staff survey was conducted in August 2005, overall the comments have been very positive and service users are satisfied with the service received in Mapesbury Road. The most recent service development plan was done in December 2003, the inspector informed the acting manager that he must update this plan and send a copy to the Commission for Social Care Inspection once completed. Regular residents Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 17 meetings allow residents to voice their wishes and concerns about the service and residents confirmed that the home is listening and acting on their comments. The inspector viewed an up to date business plan, which was judged as being of good standard. Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jewish Care Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X X X DS0000017467.V271769.R01.S.doc Version 5.0 Page 19 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA22 Regulation 22(7)(a) Requirement Timescale for action 31/01/06 2 YA22 3 4 YA37 YA39 The CSCI new title must be included in the complaints procedure. (Expired 31/07/05) 22(7) The manager is required to include that the Commission for Social Care Inspection can be contacted at any stage of a complaint, in the complaints procedure. 8,9,10 The acting manager is required to register with the Commission for Social Care Inspection. 24(1)(a)(2) The acting manager is required to update the service development plan and send a copy of this plan to the Commission for Social Care Inspection. 31/01/06 28/02/06 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 Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Jewish Care DS0000017467.V271769.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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