Inspection on 06/10/05 for Longbridge Road (144)

This inspection was carried out on 6th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longbridge Road (144) 08/02/07

Longbridge Road (144) 16/02/06

Longbridge Road (144) 24/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

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 Longbridge Road (144) 144 Longbridge Road Barking Essex IG11 8SP Lead Inspector Harbinder Ghir Unannounced Inspection 6 October 2005 09:30 Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Longbridge Road (144) Address 144 Longbridge Road Barking Essex IG11 8SP 0208 594 6510 0208 594 6510 johngleaves(johng@outlookcare.org.uk) 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) Outlook Care Mr John Barry Gleaves Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 2005 Brief Description of the Service: 144 Longbridge Road is a care home registered to provide care, support and accommodation to 6 adults of both sexes aged between 18-65 with learning disabilities. The home is a large semi detached property with five single bedrooms on the first floor and one bedroom with an en-suite and shower on the ground floor. The home is located in a busy residential area of Barking, close to shops, public transport and the A13 and A406. The home employs staff, working a roster, which gives 24-hour cover. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Harbinder Ghir, Regulatory Inspector, undertook this unannounced inspection on the 06th October 2005 and was at the premises from 10.00 am to 1.50pm. The visit included talking with residents and staff. Some judgements about quality of life within the home were taken from direct conversation with staff and observation. In addition a tour of the premises was undertaken and some records were looked at. Residents admitted to the home have varying levels of learning disabilities. Residents are able to make their wishes known through verbal communication. During the inspection two residents were spoken with who were able to verbally communicate their views to the inspector. What the service does well: What has improved since the last inspection? What they could do better: Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 6 The Statement of Purpose needs to be updated to reflect the current staffing structures. Staff training files need to be regularly updated to reflect the training staff have completed. The home must ensure that a registered manager is in post. 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. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 The home’s Statement of Purpose and Service User Guide must be updated to reflect the current management structure. However, the documents do provide service users, prospective service users and their representatives with all the information they need to make a decision about moving into the home. Service users’ needs are fully assessed. Service users have access to specialist services if they need them. EVIDENCE: The Statement of Purpose and Service User Guide were seen, which provided detailed information about the service. However, the Statement of Purpose needs to be updated to include the current management structure and to ensure that the potential residents are aware that there is not a registered manager in post. The Service User Guide was presented in pictorial form making the document appropriate to the communication needs of residents. A copy of the Service User Guide is given to all residents prior to admission and is readily available within the home as is the last inspection report. Residents receive a written contract of terms and conditions, which was very comprehensive and was also in pictorial form. Residents or their representatives signed contracts. Senior staff confirmed that trial visits to the home are encouraged and are an opportunity for potential residents and their family to identify how appropriate the home is for them in meeting their needs. Residents are offered 4-day and Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 9 24 hour stays. Residents can access specialist services, which are tailored to meet their individual needs. Staff have the skills to deliver the agreed services and can communicate with residents within the limitations of residents’ abilities. This was observed throughout the inspection. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 There is a clear and consistent care planning system in place, which provided staff with the information they need to meet the needs of residents. Risk assessments were not reviewed or updated regularly. Residents are supported to make active choices and decisions throughout their daily living and areas of risk are assessed. Information about service users is kept confidential. EVIDENCE: Care plans inspected were divided into sub sections, which were easy to read and follow. The home uses person centred care plans. Care plans seen were divided into two sub-sections covering daily routines and all aspects of personal and social needs in addition to healthcare needs. Residents are involved as far as possible in setting up the care plan and plans are produced in pictorial formats, which are accessible to residents. Each service user has a designated key worker. The care plans set out specialist requirements and how they are met. Care plans were up to date, reviewed regularly by the home and by multi-disciplinary professionals. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 11 Three care plans were viewed and only one contained a risk assessment reviewed last year. Another folder contained some risk assessments, with some up to date risk assessments and others, which were out of date. The folder was not easy to follow or read. It was advised that all risk assessments are regularly reviewed and are included in the individual care planning files for each resident to ensure staff are aware of residents’ risk areas and how they are to be minimised and clear guidance is provided to staff. The individual daily records for residents included involvement in the daily running of the home as far as their abilities allow. Residents met every Sunday to plan the menu for the coming week. Some residents contributed to running of the home by participating in domestic duties, such as cleaning their rooms, going out shopping to Tescos. Individual records examined were accurate, secure and confidential and staff were aware of how to handle confidential information. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17. Residents are provided with the support to maintain their independence and in areas of personal development according to their needs and wishes. Residents are engaged in community life; enjoy a range of leisure activities and a varied and nutritional diet. EVIDENCE: Care plans showed that the development of personal, social and emotional skills are fundamental to the service provided. Staff support residents to develop practical life skills for example by supporting them with managing their finances. One resident is supported by staff to go to the bank weekly and attend to his own banking. All residents have the opportunity to be involved with the local church and attend weekly meetings if they choose. Care records identified some residents attending church on a weekly basis. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 13 Residents are offered opportunities to develop educational skills and seek employment opportunities as far as their abilities allow. Two residents were attending college on the day of the inspection, which is focused on developing individual life skills. One of the residents attending, informed that she is enjoying going to college. Another resident has completed their level 2 in Horticulture and Work Training programme and goes farming twice a week. Each resident has their own personalised weekly activity programme where they are offered opportunities to participate in a range of leisure activities both within the home and in the local community. Staff enable residents as far as possible to integrate into community life by providing information and access to community facilities and events. Group trips and outings are available for those who share the same interests. One resident informed that this year they have been to Chessington’s Theme Park and a wide variety of day trips are arranged by the home. Residents are also supported and encouraged to pursue their own interests and hobbies. A resident spoken to informed that he loves gardening and now does the gardening around the home. Some of the activities residents are involved in included attending cooking classes, coffee at the café when out swimming, walk in the park and gardening. All residents are provided with the option of a holiday outside the home, which they choose and plan. This year residents had been to Pembrokeshire for the week. One resident spoken to described the trip as lovely. Residents family and friends can visit anytime of the day. Residents are encouraged to go out with their families and develop personal relationships. The home menu records showed that residents are supported in preparing their own meals or have the option to have their meals provided by the home, which are varied and healthy. A daily log of nutritional intake for individual residents is kept. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 21 Personal, physical and emotional healthcare is provided to meet residents’ needs and wishes. Residents’ wishes in the event of death are established and are handled with respect and as the individual would wish. EVIDENCE: All residents have a detailed plan of their daily routine including what support is needed in relation to personal hygiene. Personal support takes account of individual preferences and residents’ choice of dress and appearance is respected. All residents have a designated key worker. Residents are supported to attend appointments with treatment by health care professionals. Care records showed that residents’ health is monitored and prompt referrals are made. Personal support takes account of individual preferences and is provided in private. The wishes of residents in relation to dying and death are established and are documented in the care plan file. The home has a comprehensive policy and procedure on dying and death. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 15 Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The home provides a satisfactory complaints system and residents feel that their views are listened to and acted upon. EVIDENCE: The home has a comprehensive complaints policy and procedure. The home’s complaints logbook was seen where all complaints where logged clearly. The log identified that relatives, friends or visitors felt comfortable in making a complaint. Staff responded promptly and complaints were actioned appropriately. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 Residents’ benefited from living in a safe, well-maintained and clean environment. Décor, furnishings and fittings are of a good standard and provide a homely and pleasant living environment enhancing residents’ comfort. Residents were put at some risk due to some infection control issues. EVIDENCE: The premises were comfortable, bright, airy, clean and free from offensive odours. Furnishings and fittings in communal areas were of good quality, domestic and unobtrusive. The home provided a lounge, a dining and kitchen area. There is a communal assisted bathroom and shower room, and additional toilets. However, some communal toilet rooms and bathrooms throughout the home lacked basic hand washing equipment increasing the risk of infection. The grounds around the home were well maintained and were equipped with suitable garden furniture. Residents’ rooms were seen during the inspection. All rooms were fitted with a hand basin, were comfortable with adequate furnishings and were also Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 18 personalised by residents. Emergency call points were in place and all specialist equipment for those residents in need was in place. A resident spoken to stated that he liked his room and was happy at the home. All rooms were lockable and can be overridden by staff in an emergency. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 Staff were aware of their and other’s job roles and responsibilities, providing clarity of roles to residents. There is a good match of qualified staff offering consistency within the home. Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. Recruitment processes are not robust enough to ensure the protection of people living at the home. The staff group receive adequate training to meet the needs of residents. Staff receive supervision on a regular basis. EVIDENCE: The GSCC Code of Conduct is covered in the induction training programme and copies are available in the home. Discussions with staff indicated that they were aware of their roles and responsibilities. Staff were observed to respect residents and were accessible and approachable. The staff team have established professional relationships with therapists, care managers, GP’s, etc. It was evident from the activities in the home that the staff were highly motivated and committed to the service user group. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 20 The staff team consists of permanent and agency staff. Agency staff are used to cover one vacant post, sickness and annual leave. Staff morale is very high. One member of staff was spoken to who informed that they enjoyed working at the home. The duty rota seen provided adequate numbers of staff at all times. It was observed that the home was adequately staffed. On inspecting the homes recruitment procedure, three staff files were viewed during the inspection. Two files were complete with all relevant checks required by the regulations required by the regulations. The files included a comprehensive completed application form, two good references, medical check, copies of ID, and a photograph of the applicant. However, one file contained all the above but only one reference was found on file. All staff must have two adequate references to ensure the safety and welfare of residents is protected. The home employs a successful applicant once a Criminal Bureau and POVA check has been completed and received by the home. Training is organised for all staff on an on-going basis. Training certificates staff had attained were seen to evidence this. A member of staff spoken with informed that her training needs have been met by the home and has found all training useful. Whilst working at the home she has had the opportunity to complete her NVQ level 3 training. The home has a 50 and above ratio of NVQ trained staff. However, staff training files viewed were not kept up to date to reflect the training staff had attended and completed. It was advised that a staff-training matrix is devised to demonstrate training organised and attended by staff. Staff receive a comprehensive induction programme and attend comprehensive mandatory training organised by the home. Staff records seen identified members of staff were being supervised regularly. One member of staff had been supervised four times this year. A supervision programme for all members of staff was in place highlighting booked supervision dates. The acting manager informed that they are trying to supervise all staff on a monthly basis. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 The home does not have a registered manager in post. The systems for Service User consultation are good with evidence that Service User views are sought and acted on. Residents are safeguarded by the home’s record keeping policies. EVIDENCE: The home does not have a registered manager in post. The registered manager of 148 Longbridge Road is also managing 144 Longbridge Road. The manager has no set days at 144 Longbridge Road and is moving between the two homes as required. One member of staff spoken to informed that the departure of the previous manager has not had a negative effect on the running of the home due to the manager of 148 sharing the responsibility of 144 Longbridge Road. In the interim the organisation must demonstrate to the Commission for Social Care Inspection in writing the interim managerial arrangements and how these are to be to the benefit of residents. As arrangements in place by the Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 22 home have not yet been agreed by the Commission for Social Care Inspection. The quality assurance system includes seeking the views of residents by the home holding monthly meetings. The minutes included ways in which issues raised will be actioned by the management team. Records of quality assurance surveys were also seen, which are sent out yearly to residents. The results of surveys are published and discussed with staff and residents in residents’ meetings. Stakeholder evaluation surveys are also given to Stakeholders on a yearly basis. Reports regarding monthly visits in accordance with Regulation 26 visits have been received by CSCI, which are comprehensive and consider the quality of the service for which they are responsible. During the inspection all residents’ care plans were kept in a secured place when not in use. Documentation seen was completed appropriately. Residents could access their records if they wished. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 3 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 2 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Longbridge Road (144) Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score 1 X 3 X 3 X x DS0000027904.V255829.R01.S.doc Version 5.0 Page 24 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 YA1 Regulation 4 Requirement The Registered Person must produce an up to date Statement of Purpose reflecting the current management structure. (Previous timescale of 24/09/04 not met). All risk assessments must be reviewed regularly and amended accordingly and kept in the care plan document to ensure they are used as live working document. All bathrooms are provided with paper towels, liquid soap, pedal top bins to reduce the risk of infection. Outlook Care must ensure that a full time manager is recruited and an application for registration is submitted to the Commission of Social Care Inspection. The Registered Person shall not Employ a person to work at the Care home unless all documents In schedule 2 have been obtained. Timescale for action 06/01/06 2 YA9 13 (4) (b) (c) 24 06/12/05 3 YA27 23 06/01/06 4 YA37 8 06/01/05 5 YA34 19 Schedule 2 06/01/06 Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 25 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 YA35 Good Practice Recommendations It is recommended that all staff files are kept up to date to reflect all training staff have attended and a training matrix is devised for all staff. Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Longbridge Road (144) DS0000027904.V255829.R01.S.doc Version 5.0 Page 27 - 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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