Inspection on 17/10/05 for Longbridge Road (148)

This inspection was carried out on 17th 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 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

Longbridge Road (148) 01/02/07

Longbridge Road (148) 14/06/05

Longbridge Road (148) 11/03/05

Longbridge Road (148) 22/07/04

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 (148) 148 Longbridge Road Barking Essex IG11 8SP Lead Inspector Helen Fontaine Unannounced Inspection 17 October 2005 10:00 Longbridge Road (148) DS0000027905.V259251.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 (148) DS0000027905.V259251.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 (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Longbridge Road (148) Address 148 Longbridge Road Barking Essex IG11 8SP 0208 594 7913 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 Ginnette Commons Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include one named person with mental health needs. Date of last inspection 14th June 2005 Brief Description of the Service: 148 Longbridge Road provides 24-hour care for 5 people with Learning Disabilities. Accommodation is in 5 single bedrooms. The home is in a residential area of Barking near Barking Park, close to local shops and the town centre. There is a bus stop outside the home. Parking is restricted in the side streets so a parking permit for visitors has to be provided from the home and has to be displayed in the car. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Unannounced inspection took place over three hours and was carried out as part of the yearly inspection programme. The Manager was not at the home, as she was on a training course. The Deputy Manager was present during the second part of the inspection and assisted with some of the documentation. A tour of the home took place and a number of records were looked at, as no permanent staff were available at the beginning of the inspection one of the agency staff was talked to. What the service does well: What has improved since the last inspection? There were nine Requirements and two Recommendations at the last inspection; these have been addressed, although there is a new area of carpet staining. The record of medication of ‘Stesolid’ held at the home is carried forward on the medication administration sheet. The torn paper border on the wall in one of the Service Users room has been repaired. The vacuum cleaner is now not stored in a bedroom. The flooring in the upstairs bathroom has been repaired and the staining on the flooring around the W.C pan in the downstairs shower has been removed. The seal between the wall and the vanity unit in the downstairs shower room has been done and the missing plug from the wash hand basin has also been replaced. The licence agreement is now held on each Service Users file and the name of the new advocate, with picture has been added to the file. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 6 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. Longbridge Road (148) DS0000027905.V259251.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 (148) DS0000027905.V259251.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): 2 Service Users moving into the home will have their individual needs assessed in a user-friendly format. EVIDENCE: There were no vacancies at the home but documents looked at during the inspection around the areas of the Service Users files, evidenced that a full assessment of the needs would take place. The current Service Users files evidenced the assessment of needs, prior to the anyone being admitted to the home would include all care needs, likes and dislikes. The home does undertake an in-depth Person Centred Plan, which is written in language appropriate to the Service User and with pictures they understand. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 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 the following standard(s): 6,7 and 8 Service Users assessed and changing needs, personal goals are reflected in their individual Person Centred plans in individual formats that Service Users understand. EVIDENCE: During the inspection Service Users files were looked at and each Resident has a ‘Person Centred Plan’. This PCP then leads to a Care Plan that identifies their needs, likes and dislikes that is done with pictures that are meaningful to the Service User. The Person Centred Plan covers a life plan, “things I am good at, special people in my life, things I would like to do with my life, things I need assistance with” and other areas. One Service Users file had the area “how I would like to be helped”, with a picture of some tablets and written beside it “A member of staff to go with me to the local chemist”. In the files there were a number of reviews, the last review documented was December 2004. The Deputy Manager said that all of them had reviews in July, but they had not been typed up and put in pictorial format. It would be beneficial to staff and Service Users that these Reviews are typed up and put on the files. On each Service Users file there is the name and picture of their Advocate, who visits regularly. Each Service User participates in the aspects of the Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 10 home, during the inspection a member of staff and a Service User went off to the shops to buy food for the evening meal. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 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 the following standard(s): 14, 15 and 16 Service Users do maintain relationships with family and friends. Service Users are treated with respect as well as there responsibilities recognised in their daily lives. EVIDENCE: The Service Users Person Centred Plan and Care Plan covers areas around the Residents contact with family and friends. One of the files looked at had a section headed ‘ important things’ “Seeing my brother is important to me, I look forward to his visits”. Service Users are able to access peer groups and one Service User was attending a M Group where some of the activities included, going to the cinema and taking part in a course on Drama. Service Users all had locks to their rooms, although all of the Service Users chose to leave them unlocked. Staff were observed discussing with Service Users about all activities in the home and one Service User went with a member of staff to get some shopping for the evening meal. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 12 During the first part of the inspection, there were no permanent members of staff on duty during the morning shift. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 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 the following standard(s): 19 and 21 The Service Users Person Centred Plan and Care Plan show that physical and emotional health needs are met. The Plan details that the Service User wishes over illness and death, which are handled with respect. EVIDENCE: The Person Centred Plan covers the areas of physical and emotional health needs, the home has divided off this particular section and these are now in a folder of their own. This gives the ability for there to be more detail kept about all the Residents appointments and needs, preventing the main file from becoming too big. The main file still has the Service Users wishes with pictures about how they prefer issues dealt with and the example of a picture of tablets and the comments about staff supporting Resident to go to the Chemist to collect medication. The plan covered the area of death and dying on all the Residents plans, each one was very different again with pictures and in the Service Users own words. One file looked at had the Residents Key worker discussing the family’s wishes, as the Service Users was unable to understand at present this particular issue. It was recorded that the Service Users brother felt that they should be buried with their mother. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 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 the following standard(s): 22 and 23 The home does make sure that all the views of the Service Users are listened to and make particular efforts to act quickly to any complaints. Staff are aware of the practices around protecting Service Users from abuse, neglect and self-harm. EVIDENCE: On the Service Users plan there is a section “Why my rights can’t be met” and there was a number of issues that the Resident had, one being about attending College. There was the comment on the resolution, that it was half term and the College was not open. In addition to this, each Service User has an Advocate, who sees them once a month and again this is an opportunity for all Service Users to bring up any concerns they have. During the inspection an agency member of staff was spoken to and they were fully aware of the policies and practices around Adult Abuse. This member of staff was very clear that they would be able to approach the Manager or the Registered Provider, if they had any concerns. This member of staff was also aware of the Commission for Social Care Inspection and how to contact them over any issue. It was not possible to evidence the staff training about the issues around Adult Abuse, as the Manager was not present during the inspection and the Staff files could not be accessed. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 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 the following standard(s): 24 and 30 The home is comfortable and a safe environment for the Service Users to live; however the home did have areas where the carpet was stained and dirty. This makes for an unpleasant environment for service users. EVIDENCE: During the inspection a tour of the home was undertaken, areas where there had been Requirements from the previous inspection had been dealt with. The home was comfortable and the Service Users were seen to be sitting comfortably, watching the television and accessing facilities. The home was free from odours, but the carpet in the lounge/dining areas was very badly stained and dirty and the stair carpet was also stained. The Deputy Manager said that a company had been out and measured for a new carpet and the home is waiting for information about when a new carpet will be fitted. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 16 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): 33 The home did not have the permanent members of staff on duty, the home must ensure that in future, such situations do not arise as this has a detrimental affect on the continuity of care for service users. EVIDENCE: The inspection commenced mid morning and it was found that the two members of staff on duty were both Bank/agency. One of the agency staff had been used by the home quite regularly and was quite familiar with the Service Users. When spoken to, this member of staff said they had worked for a number of weeks up until recently, when the home recruited to vacancies. The Deputy Manager who came on duty during the second part of the inspection said that there had been two staff who were off for personal reasons. The Manager was on training, the Deputy said that the Waking Night had stayed later to help with Personal Care and to do the medication. The Deputy and another member of staff came in an hour earlier, so that the agency staff time was reduced as much as possible. Service users were given sandwiches for lunch, which one service user complained about. Staff should ensure that service users are given a choice at meal times. It was not possible at this inspection to evidence that the other Standards in this section were met. The Manager was on training and access to staff files was not possible, as the Deputy Manager did not have the keys. The home Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 17 must make sure that the Deputy Manager is able to access all areas of the home and files should be available for inspection. The duty rota seen during the inspection did not have the Manager’s duties documented on the rota. The section for agency/bank staff at the bottom of the rota, did not make it clear who and when they were on duty. The home must make sure that duty rota clearly indicates where and when the Manager is on duty and when and if possible who is coming in to cover. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 18 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): EVIDENCE: It was not possible to access this standard at this inspection, as the Manager of the home was not present and no permanent staff were on duty during the major part of the inspection process. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 19 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 X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 1 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Longbridge Road (148) Score X 3 X 3 Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000027905.V259251.R01.S.doc Version 5.0 Page 20 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. 2. Standard YA30 YA33 Regulation 23(2) 18(1)(a) Timescale for action The Registered Person shall 17/12/05 ensure that carpets are kept clean and free from dirty stains. The Registered Person shall 17/12/05 ensure that at all times suitably qualified and experienced workers and there is not excessive amounts of agency and bank staff working. The Registered Person must 17/12/05 ensure that there are systems in place for inspectors to have access to all statutory records and staff are aware of who to contact to make these available for inspection at any time. The Registered Person shall 17/12/05 ensure that the duty rota reflects who is working and this includes the Manager and agency/bank staff. Requirement 3. YA33 17 (2), 19 4. YA33 17(2) Schedule4 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 21 No. Refer to Standard Good Practice Recommendations Longbridge Road (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 22 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 (148) DS0000027905.V259251.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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