Inspection on 14/02/06 for Joybrook

This inspection was carried out on 14th 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Joybrook 15/01/08

Joybrook 23/08/06

Joybrook 03/11/05

Joybrook 21/03/05

Joybrook 21/12/04

Joybrook 18/02/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Joybrook 86 Braxted Park Streatham London SW16 3AU Lead Inspector Barbara Ryan Unannounced Inspection 14th February 2006 9.45 X10015.doc Version 1.40 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 DS0000022738.V275099.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 Older People. 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. DS0000022738.V275099.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Joybrook Address 86 Braxted Park Streatham London SW16 3AU 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) 0208-764-2028 0208-679 1138 JoyCare Home Services Limited Janet DeHaney Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places DS0000022738.V275099.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 03/11/2005 Brief Description of the Service: Joybrook is a 15-bedded private home for older people operated by a small family business, which includes the manager. It is situated on the corner of a pleasant residential road, within walking distance of a large common. It is a short bus ride from a local shopping centre which has rail and bus transport and full community facilities. The home has 11 single and 2 double bedrooms, some on the ground and some on the first floor. All communal areas are on the ground floor. There is a lift. The Manager has been at the home for over 12 years and there is a stable staff group. DS0000022738.V275099.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during a morning in February 2006. A partial tour of the building was completed, the kitchen not being looked at. The manager was spoken to and 6 residents. The inspection was undertaken before the final draft of the previous inspection report was completed. The manager was in the process of liaising with another inspector and none of the timescales for requirements had been reached. No care plans were looked at. The inspection took 2 hours. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000022738.V275099.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000022738.V275099.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 At present the contract does not state clearly whether it is a licenses or a tenancy. This was a recommendation from the last inspection and is still being explored by the home manager. No new residents have been admitted since the last inspection. The home has a policy of assessing all prospective residents prior to admission EVIDENCE: The issues around the type of contract issued to residents is still being explored and at present the contract does not specify if it is a licence or a tenancy that is being issued to prospective resident. This issue is still being investigated by the manager who is also liaising with the Commission for Social Care Inspection. There have been no new residents admitted since the last inspection. The manager said that she has a very clear policy on prospective residents and always visits to complete an assessment; she invites the family to be present at this assessment if this is possible. She then invites the prospective resident and their family to view the home, to stay for lunch and spend a reasonable DS0000022738.V275099.R01.S.doc Version 5.1 Page 8 amount of time in the home to give them a realistic idea of what life in the home would be like. DS0000022738.V275099.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 Residents spoken to were happy with the care they received. EVIDENCE: The residents spoken to were all people who had some memory difficulties, they expressed satisfaction with the support they receive from staff, said that they were happy at the home and responded in a relaxed and confident manner around staff. DS0000022738.V275099.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 There is information in the home about advocacy service and the home. The manager is in the process of finalising their activities programme. The home has established links with a local community resource that residents can access. EVIDENCE: Residents and their families are able to access information about advocacy services via a leaflet and information in the hallway. All the residents spoken to would need support to access this service. The home has established a link with a local church that runs a day centre on Fridays and some of the residents attend this on transport provided by the day centre. The home provides a range of activities; they are in the process of setting up a more formal rota of activities. They have a person who comes in to do exercises activities with residents. The manager plans that when they have finalized their programme they will, on Fridays, be able to offer more one to one and personalised activities to residents who are not able to attend the Friday club. DS0000022738.V275099.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home has a complaints procedure as well as details of how to complain to the Commission for Social Care Inspection. EVIDENCE: The home has information in the hallway about how to contact and to complain to The Commission for Social Care Inspection. If residents or others wish to complain to the manager they can contact her. There was information on display in the hallway about the complaints procedure. The two residents spoken to about this said that if they had a complaint, but it was a small thing they would speak to a member of staff first, if it were something more important they would speak to the manager. DS0000022738.V275099.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20,26,25 The requirement around the replacement of carpet on the first floor is in hand, but not completed yet. The home provides a pleasant and homely environment for residents; some minor items need replacement and/or repair. The home was clean and hygienic. EVIDENCE: The home has a communal living room/dinning room that is light and airy. There is an outside seating area leading from it that residents would be able to access in good weather. The home is comfortably furnished; some of the furniture in the living room and dining room was a little old, and in time will need to be replaced. However the environment was homely and pleasant. Age appropriate music was played during lunch and several residents were humming and singing to themselves as they had their lunch, making it a relaxed and pleasant event. The home was clean and hygienic; there was, however, a smell of urine DS0000022738.V275099.R01.S.doc Version 5.1 Page 13 in the downstairs bathroom and WC that had permeated into the hall. This was raised and investigated by the manager when she came on shift and the cause identified and dealt with. There was a loose towel rack in one of the upstairs bathrooms that needed more secure fastening to the wall. One chair in the dinning room was lopsided when sat on and needs to be replaced. There was a clothes drying rack on the first floor landing; this was being placed there to support a resident who likes to do some hand washing of his own clothes. It was discussed with the home manager as to whether it was a hazard to other residents. The rack is too large to go in the resident’s room and if placed in the laundry area would mean the resident would have to go outside to hang his washing up. The clotheshorse was, the manager said, in an area where other residents would not need to go, i.e. along a corridor that leads to the 2nd floor, where no residents rooms or facilities are. This balancing of residents’ choices and independence with health and safely issues was seen as sensitive and appropriate The outcome from the requirement from the last inspection around all residents having occupational therapy assessments is that some residents are still on social services’ waiting list for assessment. The home manager said that if a resident’s needs changed and an urgent assessment was required, she would she would liaise with the GP or appropriate occupational therapy department to reprioritize their place on the waiting list. DS0000022738.V275099.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 There were adequate staff on duty to meet residents needs. EVIDENCE: On the morning of the inspection three members of staff were on duty plus one volunteer, with the home manager arriving an hour after the inspection began. The manager said that the volunteer helps in the home, talking to residents, helping with the washing up but is not involved in any personal care tasks with residents. The manager said that all her staff are either now on NVQ courses or have completed them. DS0000022738.V275099.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Resident’s financial interests are safeguarded. Other standards to be looked at on the next inspection. EVIDENCE: The home is not responsible for any appointeeships. Resident’s money is either managed by their family or the local authority. Personal shopping for residents that is not done by their family is done via on line shopping facilities from a supermarket. Receipts from the supermarket are kept by the home. Residents who attend the Friday club are about to access the travelling clothes shop and will go with cash to buy items of their choice. DS0000022738.V275099.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X 3 X X X X 2 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X DS0000022738.V275099.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes, but times scales not reached at the date of this 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 2 Standard YA27 YA28 Regulation 23 (2) b 23(2) g Requirement The registered manager must re secure the towel rack in the first floor WC to the wall. The manager should replace the dinning room chair that is lop-sided to sit on. Timescale for action 30/04/06 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA2 Good Practice Recommendations The registered manger should seek to clarify whether the service users contract is a licence or and tenancy agreement. DS0000022738.V275099.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 DS0000022738.V275099.R01.S.doc Version 5.1 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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