Inspection on 12/12/06 for Laglin House

This inspection was carried out on 12th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Laglin House 07/05/08

Laglin House 21/02/06

Laglin House 19/06/05

Laglin House 02/02/05

Laglin House 16/06/04

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

CARE HOME ADULTS 18-65 Laglin House 168 Leigham Court Road London SW16 2RG Lead Inspector Mary Magee Unannounced Inspection 12th December 2006 Laglin House DS0000022801.V324369.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 Laglin House DS0000022801.V324369.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. Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laglin House Address 168 Leigham Court Road London SW16 2RG 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 8769 8655 Mr Hussain Modile Mrs Elizabeth Modile Mrs Elizabeth Modile Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21 February 2006 Brief Description of the Service: Laglin House is a small care home registered to provide care and accommodation for a maximum of three individuals who have ongoing mental health needs. The premises is a mid-terraced house located on a residential road in Streatham. The home is in keeping with the local community and is not identifiable as a care home. It is a short bus ride to the main shopping area, where rail services link North and South London. Bedrooms are single occupancy and located on the first and second floor. Service users have a separate lounge and kitchen/ diner on the ground floor. Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was completed in under two hours by one inspector. The home has remained vacant since the last service user moved to supported housing in April this year. A decision was made by the registered provider not to accept any service users until all the refurbishment of the home had taken place. The registered provider and his wife (registered manager) have lived at the home since the service commenced ten years ago. They are in the process of moving out of the property and releasing this section of the accommodation for service users to use as communal area/lounge. The registered manager met the inspector and discussed the plan to resume services in 2007. She produced documentation that included policies developed for the home. All of the premises were viewed. It was not possible to evaluate all the key standards at this time, as there are no services currently delivered. What the service does well: What has improved since the last inspection? What they could do better: As the home has not operated for nine months there is no staff team. The home will need to have an effective staff team in place before service resumes and service users are offered a place there. Attention needs to be paid to developing an appropriate training and development programme for staff. The home will need to be inspected by the fire prevention officer to make sure that it meets fire regulations. Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Laglin House DS0000022801.V324369.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 Laglin House DS0000022801.V324369.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): 1 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available for prospective service users on the services and accommodation available. This enables them make an informed decision on the choice of home. EVIDENCE: The home has produced a service user’s guide and a Statement of Purpose for prospective service users to view to enable them make an informed decision about their choice of home. Unable to evaluate the other standards as the home is vacant. Laglin House DS0000022801.V324369.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): Quality in this outcome area is not evaluated. This judgement has been made using available evidence including a visit to this service. No service users currently therefore unable to make judgement. EVIDENCE: No evidence available to evaluate. Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. Unable to make a judgement as the home has no service users. EVIDENCE: Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. Unable to make a judgement as the home has no service users. EVIDENCE: Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. Unable to make a judgement as the home has no service users. EVIDENCE: Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 26 27 28 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home offers three spacious bedrooms. Two of the bedrooms are located on the first floor. The third bedroom is on the second floor. All the bedrooms have been pleasantly furnished and decorated. A toilet and bathroom is available on the first floor for service users to share. On the ground floor is a large spacious sitting room. This room is attractively finished and has two comfortable leather couches for seating. The kitchen/diner has a large dining table with seating for up to six people so that service users may invite guests for meals. A fridge and a freezer are in place to store food. An attractive conservatory has been erected at the rear of the kitchen and overlooks the garden. This contains attractive cane furniture for service users to sit. The registered manager said that this was provided so that service users that wished to smoke had a separate area to do so. Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 14 The home is kept clean and is attractively presented for those wishing to live in a small homely environment. Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. Not evaluated, as the staff team is not yet in place. EVIDENCE: The registered manager informed the inspector of the plans for the staff team. At the second home owned by the provider there are a number of part time and bank staff. She has identified suitable staff within this group that are interested and suitable to work full time at this home. Requirements were stated at the previous inspection regarding the provision of a suitable staff team and the training requirements needed. These requirements are restated, as it is not possible at this stage to get evidence of the staff team that will work at the home. Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home benefits from the experience of a qualified manager. The home will need to meet fire prevention officer’s regulations before service users are offered a place at the home. EVIDENCE: The registered manager is experienced in supporting service users with mental health related issues. Since the last inspection the inspector spoke to the sister of a service user that had moved to supported housing. She had found that her sister had made steady progress at the home over the years and had found it to be a supportive environment. Policies and procedures have been reviewed to respond to requirements set at the last inspection. Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 17 The registered manager has completed the RMA also participated in recent training to keep her skills updated. She has also acquired a copy local authority adult protection polices and procedures following training in this area. The home has been upgraded and had an extension during the vacant period. The registered provider needs to ensure that the fire prevention officer inspects the home and that any recommendations made are responded to satisfactorily. Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 X 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 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 3 3 X X 3 X 1 X Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 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 YA35 Regulation 18 (1) a, c Requirement The registered person must ensure that a staff training and development programme is developed which meets Sector Skills Council workforce training targets and ensure that staff fulfil the aims of the home. The registered person must develop an induction and foundation-training programme that meet Skills for care requirements on all safe working practices. The registered person must ensure that an effective staff team be recruited and selected for the home, and that the team are trained and competent to meet the assessed needs of service users. The registered person must ensure that the fire prevention officer inspects the premises; any recommendations made at this inspection are to be addressed within the timescales set. Timescale for action 30/06/07 2. YA35 18 (1) a, b, c 30/06/07 3 YA33 18 (1) a b c 30/06/07 4 YA42 23 (4) a b 30/04/07 Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 20 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 YA22 Good Practice Recommendations The registered person should ensure that a copy of the complaints procedure is supplied to service users with the user’s guide. The registered person should ensure that health and safety audits (in writing) are introduced for staff to monitor the safety of the premises. 2. YA42 Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Laglin House DS0000022801.V324369.R01.S.doc Version 5.2 Page 22 - 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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