Inspection on 22/02/06 for Longley Road

This inspection was carried out on 22nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Longley Road 09/02/09

Longley Road 12/12/07

Longley Road 31/10/06

Longley Road 28/02/05

Longley Road 05/08/04

Longley Road 23/02/04

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 Sign - Longley Road 89 Longley Road London SW17 9LD Lead Inspector Davina McLaverty 22nd February 2006 10:00 Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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 Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sign - Longley Road Address 89 Longley Road London SW17 9LD 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 8767 9933 020 8767 9966 Sign The National Society for Mental Health & Deafness Ms Carole Ward Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Mental disorder, excluding of places learning disability or dementia (6), Mental Disorder, excluding learning disability or dementia - over 65 years of age (6), Sensory impairment (6), Sensory Impairment over 65 years of age (6) Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th July 2005 Brief Description of the Service: 89 Longley Road provides accommodation for six adults who suffer from mental health needs and have a hearing impairment. All residents have their own flats with bedroom/lounge, kitchen and bathroom. The home also has a communal kitchenette/dining room, lounge and laundry room. The home is situated in a quiet residential area in Tooting and has an attractive large back garden with a shed and greenhouse. The home is close to local amenities and public transport. The property is owned by Wandle Housing Association, but operated by Sign, a charitable organisation that has one other registered home in the local area. The home is staffed twenty-four hours a day. The service users and staff communicate by using British Sign Language (BSL). Sign aims for a society where deafness and mental health are not barriers to opportunity and fulfilment. The home provides opportunities to gain independence, confidence and improved quality of life. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector, (supported by an interpreter who was used to communicate with the residents and deaf staff), carried out this unannounced inspection. The inspection started at 10.30am and concluded at 4.30pm. The inspector met all five current residents, three support staff and the team leader. The home currently has a resident vacancy. A number of records were examined, which included resident’s care plans, medication records, staff and residents meeting minutes, and staff recruitment records. A tour of the communal areas of the premises was also undertaken and four resident’s flats were seen. Two of the residents were spoken with at some length, both of who were very positive about the care and support received from the staff team. Comments made include “I am very happy here,” and “staff are supportive”. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that POVA check is carried out prior to a staff member commencing work in the home. Evidence of the check must be available on the staff files. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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 Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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 A Statement of Purpose and Service User Guide are available within the home. Adequate recruitment and assessment procedures are in place, which include visits to the home. EVIDENCE: Longley Rd has produced a Statement of Purpose, which gives details of the services and facilities provided, and the aims and objectives of the home. The document requires review. A Service User Guide is given to all residents. One resident confirmed that they had received a copy. There are organisational procedures addressing assessment and admission of new residents. The home currently has a vacancy. The Team Leader was aware of the assessment process and of the importance of the home, on receipt of referrals carrying out their own assessment to ensure that the home can meet the persons needs, as well as ensuring that the prospective resident wants to live there. The inspector was informed that the views and the needs of the current residents would be considered, as well as those of the prospective resident. Family/carers interests would also be taken into account subject to the resident’s agreement. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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): 67&9 The needs of the residents are identified and planned for with the involvement of the individual and their key worker. Residents are encouraged by staff to participate in the life of the home to acquire skills to enhance their lives. Risk assessments were seen to be in place EVIDENCE: Two support plans were examined. Both had adequate information in them, which would enable new staff to provide adequate care. Care plans are task centred with monthly evaluation sheets being completed. Regular reviews were seen to have taken place. The home operates a key worker system and both residents spoken with were aware of who their key worker was and their role. Both the resident and the key worker had signed the care plan. Residents are consulted about how the home runs and meet as a group on a regular basis. Minutes of these meetings were seen. Staff spoken to demonstrated a good knowledge of the residents’ individual needs and a commitment to supporting residents in making informed decisions about their Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 10 lives. From discussions with two residents they confirmed that they are able to choose the way in which they spend their time at the home. One resident spoke of his contact with friends, other of activities, which they participated in. Residents appeared to value the independence living at the home provided. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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): 13,16 & 17 Residents are encouraged to involve themselves in the routines of the home and to develop independent living skills. The manager is committed to supporting residents in community. EVIDENCE: Residents are also expected and encouraged to maintain their own bedrooms and manage their laundry. Staff will support residents as necessary. One resident currently works full time although they were currently being supported in changing employers. Two other residents were being encouraged to look at college courses. Two residents are actively involved at the Bridge Day Service (a day centre specifically for deaf and hard of hearing people), where a variety of activities are offered e.g. computing, arts and crafts and trips out to places of interest. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 12 All residents have access in the communal lounge and to in-house activities, which include board games, television and a music system. Residents all have keys to the front door and to their own flats. Interactions between staff and residents was seen to be positive during the inspection. Residents have unrestrictive access to all communal areas of the home. Staff used appropriate forms of address when speaking to residents. The environment is an all signing one and hearing staff must sign when a deaf person is present. This was evident throughout the day. Residents eat on their own in their own flatlets. Staff support residents to plan their menu and to cook. Healthy eating is high on the agenda for some residents and is being addressed in their support plans. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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 & 20 Residents receive appropriate levels of support to ensure their physical health needs are met. Systems are in place to ensure safe administration of medication EVIDENCE: Personal care needs were seen to be well documented within the individual support plans examined. Staff spoken to were aware of the importance of residents need for privacy and their dignity to be maintained at all times. Health appointments are recorded and staff will attend appointments with residents. Records of contact with various health care professionals were seen e.g. Opticians, GPs, and physiotherapists. The home had displayed many leaflets on various health issues which residents can help themselves to. Medication administration records were observed to be well maintained. Staff spoken to said that training had been provided from an external source. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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 & 23 Organisational policies and procedures continue to be in place to protect residents from abuse and harm. A complaints procedure is also in place with clear systems for the recording and monitoring of complaints. EVIDENCE: Both of the residents spoken to were aware of the complaints procedure and said that they would talk to the manager of the home if they were unhappy. Both however, were quick to say that they had no complaints. The manager stated that no complaints had been received from residents since the last inspection. A copy of the complaints procedure is displayed on the notice board in the communal dining area. A copy of the organisation’s adult protection policy is available to staff as well as the organisation’s whistle blowing policy. Staff spoken to were aware of their responsibilities in respect of this procedure. A copy of the Local Authorities Protecting Vulnerable adult’s procedure was available in the home. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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): 24,25 & 30 The home is clean, comfortable with a homely atmosphere, bedrooms seen were personalised. EVIDENCE: As stated above the home has a comfortable and homely atmosphere. Communal areas have been decorated since the previous inspection, which have added to the homeliness. Four bedrooms were seen and all were in a good decorative state, although one resident said that he wanted a second coat of paint on his walls, as there were some patches. Bedrooms had been personalised to various degrees reflecting the personalities of the residents. Residents spoken to said that they “liked” their bedroom and that staff respected their privacy when in them. The home was seen to be clean and free from any offensive odours on the day of the inspection. There is a garden available for the use of residents to the rear of the property. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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): 34, 35 & 36 Staff are encouraged to undertake training and qualifications relevant to their roles. The organisation has an appropriate recruitment policy, which if followed should protect residents from harm. Staff receive regular supervision EVIDENCE: Staff personnel records are centralised and kept in the organisations Human Resources department. However, detail of recruitment checks carried out is held in the home, which only the manager and team leader have access to. Recruitment information was seen for four staff members. Appropriate checks were seen on three of the four files. One file did not have on it a completed CRB check or evidence that a POVA check had been carried out prior to employment. Following the inspection written evidence was received that a POVA check had been carried out. The staff training record was seen and a number of courses have been undertaken including risk assessment, health and safety, medication administration and person centred planning. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 17 The organisation supports and encourages staff to obtain their NVQ in Care qualification. Two staff will be starting NVQ Level 2 in care later this year. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 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): 37, 39 & 42 Residents benefit from a well run home which their views are sought. The views of involved stakeholders should be sought as part of the home’s quality assurance framework An appropriate health and safety system is in place to ensure residents and staff safety. EVIDENCE: The registered manager has been in the post over three years and staff spoke positively of her. They maintained that she is committed to providing a high quality service to the residents accommodated. Staff described her as professional, supportive and fair. An organisational policy on quality assurance is in place. Views of the residents, their representatives had been sought, but it was not clear how their comments were being integrated into the organisations quality assurance system. Views of other involved stakeholders should also be sought. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 19 Health and Safety records were examined and adequate systems were found to be in place to ensure that the welfare of the residents is promoted and protected. Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 20 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 2 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X 3 X 2 X X 3 X Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 21 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 YA 1 Regulation 4,5 Requirement Timescale for action 30/04/06 2. YA34 19(4) (5) Sch 2 3. YA39 29(1) (2) (3) 26 (3) The Statement of Purpose and Service User Guide must be updated to ensure that the Registering Authority name is correct. The Registered Persons must 30/03/06 ensure that staff records include: -evidence that a POVA and CRB check has been carried out. Timescale of the 30/9/04 & 22/8/05 & 9/07/05 - not satisfactorily met. The Registered Person must 30/07/06 ensure that the organisations quality assurance system is put in place. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Sign - Longley Road DS0000010225.V281444.R01.S.doc Version 5.1 Page 23 - 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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