Inspection on 25/05/05 for Langthorne Road

This inspection was carried out on 25th May 2005.

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

Other inspections for this house

Langthorne Road 15/04/08

Langthorne Road 21/06/07

Langthorne Road 08/12/06

Langthorne Road 09/05/06

Langthorne Road 21/03/06

Langthorne Road 25/02/05

Langthorne Road 07/09/04

Langthorne Road 12/02/04

Similar services:

Cowden Road, 52 - 54

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Foxley Lane (121a)

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

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

CARE HOME ADULTS 18-65 Langthorne Road 136 Langthorne Road Leytonstone London E11 4HR Lead Inspector Robert Sobotka Announced Inspection 25th May 2005 10:00am 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 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 Stationary 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. Langthorne Road Version 1.10 Page 3 SERVICE INFORMATION Name of service Langthorne Road Address 136 Langthorne Road, Leytonstone, London E11 4HR Telephone number Fax number Email 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 8989 5768 Mr Yusuf Oomar Jooma/Mrs Rooksanah Jooma Mrs Rooksanah Jooma Care Home 3 Category(ies) of Learning Disability (3) registration, with number of places Langthorne Road Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25th March 2005 Brief Description of the Service: 136 Langthorne Road is a care home offering support, guidance and accommodation to a maximum of three service users who have learning disabilities. The home is privately owned. Service users are encouraged to participate in a range of activities and hobbies of their choice. The home is located in the Leytonstone area, within the London Borough of Wlatham Forest. Bus and rail links are nearby, as are local amenities. Langthorne Road Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 1 day and included speaking to two of the service users living in the home, some of the staff, the home’s manager (proprietor) and one relative of a service user. The inspector also conducted a tour of the premises and viewed various records. A number of people living in the home, members of staff working there, as well as other health/care professionals have been asked to complete pre-inspection questionnaires, comments from which have been included in this report. The aim of this announced inspection was to check the home’s progress towards full compliance with the legislation. What the service does well: What has improved since the last inspection? An application for the variation to the service (for the premises to be extended) had now been submitted to the Commission. Langthorne Road Version 1.10 Page 6 The broken garden fence had been repaired/replaced. Fridge/freezer temperatures were recorded daily. Four members of staff have started obtaining their NVQ qualifications. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Langthorne Road Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Langthorne Road Version 1.10 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 standard(s) 1, 5. Prospective service users are informed about the home’s aims and objectives through the Service User’s Guide. The Statement of Purpose required improvement. EVIDENCE: The home had a well-designed Service User’s Guide, which was produced in pictorial form. The Statement of Purpose required some amendments. The home did not have any vacancies and there have been no new admissions to the home for a long period of time. Standards relating to the admission process could not therefore be assessed. Each service user had been issued with a costed contract, which included statement of terms and conditions with the home. Langthorne Road Version 1.10 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 standard(s) 6, 7, 8, 9, 10. The service users had individual care plans and risk assessments that indicated that the home was providing assistance when it was needed and also encouraged service users’ independence and choice. Confidential information was securely stored. EVIDENCE: Each person who lived in the home had a written care plan in place. Care plans viewed were comprehensive and regularly reviewed. Care plans were signed by all relevant parties. The individual risk assessments were also reviewed on regular basis. It was noted, however that daily log books kept in respect of each service user were very brief and in some cases not written up at all. This must be improved. In accordance with the risk assessments and in consultation with the service users’ relatives, the decisions were made regarding the service user’s abilities and precautions that had to be taken to ensure the health and safety and wellbeing of those living in the home. Langthorne Road Version 1.10 Page 10 The inspector observed the service users being given choice about the activities of daily living during the inspection. One of the service user’s relatives said that the staff were always very helpful and very dedicated to providing good quality of care and that they treated all service users with dignity and respect regardless of their disabilities. The service users’ meetings were regularly held and minutes from those were available for inspection. All information relating to service users and members of staff was stored locked away when not in use. Langthorne Road Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 15, 16, 17. The service users are encouraged and supported to lead active lifestyles within the local community and develop and maintain friendships and family links. Their rights and choices were respected and they had opportunities for personal development. The service users enjoyed food in the home. EVIDENCE: The inspector spoke to two service users during this inspection, all of whom said that they were happy with the quality of care provided and activities offered to them by the home. Those who lived in the home accessed a wide range of activities both inside and outside of the home. Some of the activities offered included: group outings (for example to the seaside, visiting pubs, and cinemas). One service user had a part-time job delivering newspapers/leaflets. Langthorne Road Version 1.10 Page 12 The service users’ files contained copies of individual weekly activity schedules. These were developed in accordance with the service users’ wishes and interests. Those living in the home were also encouraged to have an active voice about the way the home is run. The proprietor/registered manager stated that service users were being encouraged to develop and maintain social and independent life skills. They are also encouraged to travel independently and to go to local shops and college. All service users had links with Mencap, relatives and friends. Visitors were allowed in the home. Visitor’s book was maintained. Service users were also encouraged and supported to maintain appropriate relationships with their families and friends. Food was appropriately stored, dated and labelled at the time of the inspection. Record of food offered to those living in the home was kept. The requirement from the previous inspection that fridge/freezer temperatures must be monitored and recorded had now been met. Staff received Food Hygiene Training. Langthorne Road Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20. Personal care was adequately provided. The service users physical and emotional health needs were being met. Staff did not always record medication administered to service users in a correct way. EVIDENCE: There were guidelines in place for staff as to how personal care should be provided to those who lived in the home. The service users appeared well at the time of the inspection. The examined files showed the home’s commitment to facilitate the service users’ access to community health resources. Each person was registered with a General Practitioner. All service users had “Health Action Plans” in place, which were incorporated into their care plan. Medication systems required improvement. The inspector noticed some gaps on the medication administration sheets and two doses of medication missing for two of the service users. It was unclear as to whether the medication was disposed of or administered and no record to that effect was kept. Langthorne Road Version 1.10 Page 14 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 standard(s) 22, 23. The home had a good complaints system in place and views of those who lived in the home were listened to and acted on. Staff required refresher course about Adult Protection issues. EVIDENCE: There have been complaints since the last inspection, however two service users who spoke to the inspector were aware of the complaints procedure. It was also included in the home’s Statement of Purpose and the Service User’s Guide. There have been no accidents/incidents in the home since the last visit. The home had appropriate adult protection policy in place. One member of staff working in the home at the time of this inspection did not have sufficient knowledge adult protection issues. Records in relation to money kept on behalf of service users and their expenditure were appropriately managed. At the time of this inspection the proprietor had some problems with accessing money for one of the service users, his social worker had been informed about this issue. Langthorne Road Version 1.10 Page 15 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 standard(s) 24, 25, 26, 30. The general condition of the premises required improvement. Service users bedrooms were clean and personalised. The environment was clean and comfortable. EVIDENCE: There were plans for the home to be extended to provide two more rooms. Planning permission had been granted by the London Borough of Waltham Forest and an application for major variation had been submitted to the Commission. The condition of the building was generally satisfactory, however some areas, especially plastering in several parts of the building, required attention. The registered manager/proprietor stated that this would be carried out as part of the major refurbishment work. Langthorne Road Version 1.10 Page 16 The inspector was also informed that service users had been consulted and chose to go on annual holiday, whilst the major building works take place. Those who used the service and one of the relatives confirmed this. Bedrooms viewed were kept clean and were personalised to reflect the personalities and interests of service users. Suitable fixtures and fittings were in place. At the time of this inspection, the home did not accommodate anyone with physical disabilities. The environment was clean and hygienic. Appropriate laundry facilities were in place. Langthorne Road Version 1.10 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34, 35, 36. Service users are supported by staff who are generally well trained and committed to providing good quality of care. Staff are appropriately supported and supervised. EVIDENCE: The inspector viewed duty rosters, which showed that there were sufficient numbers of staff on duty. The manager works in the home 6 days per week. The home operated a sleep-over practice, which means that there is a member of staff on duty at night, who is asleep, however they would be required to attend to the needs of the service users, should such need arise. The home had a good training system in place and 4 staff were in the process of obtaining their NVQ Level 4 qualifications. As previously mentioned, one person was not aware of the whistleblowing procedure. It was therefore required that refresher training course in Adult Protection is organised. One staff personnel file viewed did not contain copy of passport/birth certificate. This documentation must be obtained without delay. All staff working in the home were in receipt of the Criminal Records Bureau checks. Langthorne Road Version 1.10 Page 18 The inspector spoke to one new member of staff who said that she was happy with the induction programme she received when she started working in the home. Staff meetings were organised on a monthly basis, minutes from which were available for inspection. All staff received regular supervision and appraisal sessions, minutes from which were available for inspection. Langthorne Road Version 1.10 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42. The service is run by a competent manager who ensures that the needs of those living in the home. Although the majority of inspected records were appropriately kept, however the home must improve its records in relation to medication administered to service users. EVIDENCE: Those who spoke to the inspector were satisfied with the way she runs the home. The inspector was satisfied that she had sufficient competency and skills. In addition 3 comment cards were returned, all of which stated that the respondents were satisfied with the care provided by the home. There were good monitoring and self-assessment practices in place and service users were consulted as to how things could be improved. Regular staff and service users meetings were taking place and minutes from those were available for inspection. Langthorne Road Version 1.10 Page 20 Visits from the responsible person were not required, as this is a small home and the proprietor works there on full time basis. Policies and procedures viewed by the inspector were satisfactory. The inspector viewed a number of different records kept by the home. The majority of them were appropriately kept. As previously mentioned, records relating to medication administered to service users and daily logs, as well as staff personnel files required improvement. Health and safety records kept in the home were well maintained. Regular fire safety, hot water temperature and fridge/freezer temperature checks were being carried out. The home had appropriate insurance cover in place. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Langthorne Road Score 2 x x x Standard No 22 23 ENVIRONMENT Version 1.10 Score 3 2 Page 21 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 x x N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 2 3 3 x Langthorne Road Version 1.10 Page 22 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23(2)(b) Requirement The registered manager must ensure that the outstanding plastering to the kitchen ceiling is completed. The registered manager must ensure that all staff complete appropriate NVQ training. The registered manager must ensure that daily logbooks kept in respect of each service user are improved and recorded daily. The registered person must ensure that all medication administered to service user is recorded. System for checking medication must also be established. All staff working in the home must be familiar with the Adult Protection issues. The registered manager must ensure that staff personnel files include all information listed in Schedule 2 of the Care Homes Regulations. Timescale for action 01 August 2005 31 December 2005 01 August 2005 01 August 2005 2. 3. YA33 YA6 13(1)(c) 17 4. YA20 13(2) 5. 6. YA23 YA34 18(1)(c) (i) 7, 9, 19 Schedule 2 15 August 2005 15 August 2005 Langthorne Road Version 1.10 Page 23 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 Good Practice Recommendations Langthorne Road Version 1.10 Page 24 Commission for Social Care Inspection Gredley House 1-11 Broadway Stratford, London E15 4BQ 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. 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