Inspection on 04/05/07 for King Edward Road 50

This inspection was carried out on 4th May 2007.

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

Other inspections for this house

King Edward Road 50 07/08/06

King Edward Road 50 29/09/05

King Edward Road 50 20/01/05

King Edward Road 50 10/08/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

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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 King Edward Road 50 Barnet Hertfordshire EN5 5AS Lead Inspector Stephen Boyd Key Unannounced Inspection 26th April 2007 09:30 King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 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 King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 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. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service King Edward Road 50 Address Barnet Hertfordshire EN5 5AS 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) 020 8364 8282 020 8440 3035 addiscombe@supernet.com www.Adepta.org.uk Adepta Trevor Peter Hopkins Care Home 5 Category(ies) of Learning disability (5) registration, with number of places King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Two specified service users who are over 65 years of age may remain accommodated in the home. The home must advise the registering authority at such times as either of the specified service users vacates the home. 7th August 2006 Date of last inspection Brief Description of the Service: 50 King Edward Road is a home, which provides care and support to five adults who have a learning disability. The home was opened in 1991. The property is a detached two-storey building, which is maintained by Sanctuary Housing Association. Adepta, an organisation that manages several care homes for people with special needs, including learning disability, provide the care. The home is located in a quiet residential area in Barnet. Local bus and tube services and local shops are a short walk from the home. The home provides four bedrooms on the first floor and one on the ground floor. There is a bathroom and toilet upstairs and a toilet and walk-in shower room located on the ground floor. To the back of the house is a well maintained landscaped garden with flowers and shrubs, garden furniture and barbecue equipment. The front of the house has off street parking for several cares. The fee for residents living in the home is £1000. A copy of this Inspection report can be requested directly from the home or via the CSCI website (web address can be found on page 2 of this report.) King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in one day in May 2007. The inspector met and had discussions with the manager, Mr Hopkins and two other members of staff who were on duty. Four of the five service users were seen during the inspection of which one was spoken with in private and others in general. A detailed tour of the premises was undertaken and various records, policies and procedures were perused. 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. The summary of this inspection report can King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 6 be made available in other formats on request. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 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 King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People planning to live at the home would have their needs comprehensively assessed prior to admission. EVIDENCE: The home had not admitted any new people since the previous inspection. Comprehensive assessments were seen to be available for existing service users that covered all needs areas identified under national minimum standards for younger adults. The home had a clear admission policy and procedure in place. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good care planning is in place within the home. Risks to people are acknowledged and planned strategies are available. People at the home are able to make decisions and choices about their lives with support as necessary. EVIDENCE: Three peoples care plans were viewed during the inspection. These included a pen portrait of each individual, daily routine plans and personal development plans which included current goals and how these could be achieved. The care plans were clearly seen to be reviewed regularly and in a comprehensive manner. Plans took a holistic approach covering, health, social, emotional and behavioural issues. A keyworker system is in place to promote individualised care. People living at the home have weekly meetings where they can discuss issues of importance to them and be involved in group decisions. Individually, people are encouraged by staff and through the care planning process to make King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 10 choices and decisions about their own lives. These include what activities to follow, what to wear, what to eat and where to go on holidays. Thorough risk assessments were seen to be part of care arrangements for people living at the home. These included risks associated with challenging behaviour and risks when out in community settings. Risk assessments focused very much on the benefit to people of following a course of action as well as potential dangers and how these could be minimised. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good care planning is in place within the home. Risks to people are acknowledged and planned strategies are available. People at the home are able to make decisions and choices about their lives with support as necessary. EVIDENCE: People living at the home take part in a good range of activities both within the home and in the wider community. Within the home, Arts and crafts, cooking sessions and music sessions take place. People also follow their own interests such as watching television and knitting. In the local community, people attend social clubs, college courses, go to pubs, go bowling, attend the cinema and enjoy shopping. People spoken with during the inspection said they enjoyed all the activities available. One commented “ its nice here and we get to go out a lot” One person was about to go on holiday to Norfolk in the week following the King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 12 inspection and another person said they had enjoyed a holiday the previous month. Most of the people living at the home have contact with family and friends. One person spoken with in private said they had visits by their brother to the home. Details of people’s next of kin’s were held on their files along with some information on levels of contact. Two people living at the home have formed a close friendship and this was acknowledged and facilitated in an appropriate manner by staff. Throughout the inspection, staff were seen to interact well with the people living at the home. Respect was shown by for example, knocking on bedroom doors and awaiting an affirmative reply before entering. People looked comfortable in the presence of staff and one said in private that “I like all the staff”. People are expected to show responsibilities in their daily lives and for example help with household tasks where they are able. These areas are covered within their care programmes. Menus were seen during the inspection and indicated that appropriate food was available that had choice and nutritional needs well catered for in their planning. People have weekly meetings and this is used for menu planning People spoken with said they enjoyed the food. Care plans have a section relating to each persons individual diet issues and preferences. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. . This judgement has been made using available evidence including a visit to this service. People living at the home receive personal support in ways they need and prefer. Health needs of people are a fundamental part of their overall care. The homes system of medication administration is generally well delivered. EVIDENCE: People living at the home have care plans which outline the way they require and prefer care to be delivered examples being in respect of hair care and oral hygiene. A key worker system helps to individualise the care given. Observations on the day of inspection suggested that care is given in a sensitive manner that respects the dignity and privacy of people. Peoples health needs are to the fore in respect of staff’s awareness. Their health is monitored via care plans and other records such as details of visits to health professionals such as G.P.s, dentists, opticians and consultants in learning disability issues. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 14 The home operates a monitored dosage system of medicine administration. At the current time none of the service users are assessed as able to administer their own medication. Medicines were seen to be held securely and record sheets sampled had been signed appropriately. The medicine storage room, which is part of the office, can in hot weather hit temperatures in excess of twenty-five degrees Celsius. It is therefore a requirement that a suitable fridge is made available to utilise for medicines whose efficacy may be affected by temperatures at or above twenty-five degrees Celsius. All medication is administered by trained staff. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. . This judgement has been made using available evidence including a visit to this service. People living at the home have their views listened to and acted upon. Appropriate systems are in place to deal with complaints and protecting adults from abuse. EVIDENCE: At the previous inspection a complaints record was not available. This had been rectified at the time of this inspection and there was also an appropriate policy and procedure in respect of dealing with complaints raised. A number of complaints had been recorded and were seen to have been dealt with appropriately. A requirement of the previous inspection was that all staff needed to have adult protection training. This had been achieved at the time of this inspection. Certificates and training records were seen and staff spoken with confirmed they had received training. A policy and procedure in respect of protecting vulnerable adults was also available. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A number of issues need to be addressed in respect of the premises to enhance the environment and people’s safety. The home was found to be clean and hygienic. EVIDENCE: The previous inspection had outlined some action that needed to be taken to improve the premises. This was in relation to lounge furniture and a shower and toilet area. These had been addressed by the time of this inspection. The inspection noted that the home was generally homely in appearance, comfortable for people and safe. People’s bedrooms were clearly personalised with items such as pictures and photographs in evidence. A person spoken with said their room was comfortable and warm. There were however some new issues to be sorted out in the premises to enhance the overall environment. The groundfloor shower room was in need of redecoration where mould was apparent high up on walls. The manager pointed out that extractor fans in the shower and toilet rooms were not working. The laundry room had a washing King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 17 machine that was difficult to access and a Drying machine was sited on top of a boiler. One person’s bedroom was in need of a new carpet and another bedroom carpet was in need of a clean. The manager had reported many of these issues to the Provider’s housing department and felt the response was a slow one in terms of achieving change. This was also an issue in respect of identified areas in the last inspection report. A requirement with timescale is given in the report to address all premises issues identified above. The home was found to be clean and free from offensive odours during the inspection. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate . This judgement has been made using available evidence including a visit to this service. Staff would benefit from attaining National vocational qualifications in care, as this would enhance their competence and the quality of care people receive. Staff records were generally good, but one person had references missing. EVIDENCE: Staff rotas indicated there is at least two care staff on each shift. The manager is supernumery to this when on duty. In discussion with staff they felt that they had the time to meet peoples needs. Staff presented as committed to their roles and people living at the home spoke positively about them. The assistant manager has NVQ 3 in care. At the time of the inspection, none of the staff team had achieved National Vocational Qualifications in care. The manager explained that there had been problems with the providing training company which was being pursued by the homes registered provider, Adepta. Following this inspection the manager informed the Commission that 5 of the staff team will be placed on NVQ fast track programmes withiun the next 6 months. This will be reviewed at the next ionsepction. A requirement is made toensure that this is carried out as described above. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 19 Staff have pursued various training courses since the previous inspection. These include: basic first aid, health and safety, epilepsy, medication, manual handling and food hygiene. Staff spoken with confirmed their attendance on courses. A number of staff files were seen during the inspection. All except one file contained evidence of all necessary records being held such as Criminal records bureau checks, references, photographic identity and application forms. One file did not have any references. A requirement is made to ensure all necessary information is available. In order to make accessing information from these files easier, a recommendation is made that they are more clearly indexed. Staff spoken to confirmed that they had received an appropriate recruitment process which included interviews. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. . This judgement has been made using available evidence including a visit to this service. People living at the home have the benefit of a well-managed operation. Self-monitoring and review is given good attention. The health, safety and welfare of people living at the home are given a good level of priority. EVIDENCE: The manager, Mr Hopkins has five years experience as a registered manager and has been in his current post for approximately two years. He is awaiting his certificate having completed a National vocational qualification at level four in care. He has a certificate in management qualification. Staff spoken with during the inspection said he was a very supportive manager who promotes good teamworking. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 21 The home undergoes a two day quality audit by a manager from Adepta. The audit coupled with views being sought from stakeholders, generates a development plan for the home to progress. The most recent development plan was seen during the inspection. People living at the home have weekly meetings where they can raise issues that affect them and need action. The previous inspection gave a requirement for a Portable appliances test (PAT) certificate to be made available. An up to date one was seen during this inspection. Safety certificates were also seen for electricity, gas and water safety. Health and safety risk assessments had been completed as had COSSH (control of substances hazardous to health) assessments. Regular fire safety checks were made by staff and drills and alarm tests were carried out. Staff had current first aid certificates. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 22 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 2 X 3 X 3 X X 3 X King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 23 No 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 YA20 Regulation 13(2) The registered person must purchase a suitable fridge to ensure medication does not deteriorate in hot weather if it needs to be stored at under 25celsius The registered person must ensure that the premises internally are kept safe and in a good state of repair. Specific issues that need to be addressed are outlined under standard twenty-four of this report. The registered person must evidence that at least fifty percent of care staff employed at the home who have been placed on the fast track NVQ 2 have achieved national vocational qualifications within the timescale stated. The registered person must ensure that two written references are obtained for each member of staff and are available for inspection Requirement Timescale for action 15/06/07 2. YA24 23 (2) 15/07/07 3. YA32 18 (1) (a) 30/11/07 4. YA34 19 (1) (b) 15/06/07 King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 24 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 YA34 Good Practice Recommendations It is recommended that staff files are better indexed in order to facilitate ease of access to relevant information that requires to be held. King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 King Edward Road 50 DS0000010458.V336670.R01.S.doc Version 5.2 Page 26 - 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. 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