Inspection on 20/12/05 for Magnolia Court

This inspection was carried out on 20th December 2005.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Magnolia Court 17/10/06

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 Magnolia Court 62 Leigham Court Road Streatham London SW16 2EL Lead Inspector Ms Rehema Russell Unannounced Inspection 20th December 2005 11:15 DS0000065823.V278869.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 DS0000065823.V278869.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. DS0000065823.V278869.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Magnolia Court Address 62 Leigham Court Road Streatham London SW16 2EL TBA TBA 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) Magnolia Court Ltd Care Home 2 Category(ies) of Learning disability (2) registration, with number of places DS0000065823.V278869.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: 62 Leigham Court Road has been converted from an ordinary family home that is semi-detached to the registered care home at 64 Leigham Court Road. It has been converted into two flats, designed to operate independently with one service user in each, with a common front door and hallway entrance. The ground floor has the office, a bedroom, lounge, bathroom with toilet, kitchen and garden. DS0000065823.V278869.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home had been opened for just one month at the time of this inspection. Only one service user had been admitted, three weeks previous to this inspection. The inspection was confined to the ground floor flat and the first floor flat was not seen. The inspection consisted of a brief visit (1.5 hours) during which the inspector spoke with the current manager, one support worker in depth and two others briefly and looked at documentation. The service user was seen but exhibits very challenging behaviour, has no verbal communication, and was still settling into the home. The inspector therefore observed her briefly only. The home was registered on 21st October 2005. A Registered Manager was registered on 24th November 2005 but his employment was terminated on 7th December 2005. The home had been set up under the supervision and support of a Registered Manager for another of the Registered Provider’s homes and it was this person who was currently managing the home. What the service does well: What has improved since the last inspection? 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. DS0000065823.V278869.R01.S.doc Version 5.1 Page 6 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 DS0000065823.V278869.R01.S.doc Version 5.1 Page 7 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 Prospective service users’ individual aspirations and needs are assessed. EVIDENCE: The current service user had been placed directly from a forensic hospital and the hospital’s care plan had been obtained. The most recent Care Programme Approach before placement had also been obtained and the inspector was told that a second CPA had been held during the week before the inspection. The service user’s Section 117 information had also been obtained. All of these documents had informed the initial care plan at the home. DS0000065823.V278869.R01.S.doc Version 5.1 Page 8 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 and 9 The service user has an initial care plan but no Community Care Assessment or Plan had been received from the funding borough. Risk assessments had been undertaken and were present on file. EVIDENCE: At the time of the inspection the service user had only been at the home for three weeks and so the initial care plan was still in use. This covered areas such as contact with the Learning Disabilities Team, activities and routines, and gradual introduction into the community. It was satisfactory for an initial care plan, as staff are in the process of getting to know the client, learning her behaviours and how to communicate with her, and getting her used to her new environment. The home had not yet received a Community Care Assessment or Plan from the funding authority, which should be used to inform the main care plan when it is devised. The manager should request these from the funding authority. Risk assessments were seen and found to be satisfactory. Staff intend to review these every six months and as required. DS0000065823.V278869.R01.S.doc Version 5.1 Page 9 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): 17 The home provides a healthy, nutritious and culturally suitable diet. EVIDENCE: At the time of the inspection staff were preparing lunch for the service. It smelled delicious. All of the main meals provided for the service user are hand made and are specifically matched to her cultural background. This has been based on feedback received from her previous placement. Menus are varied, nutritious and balanced. DS0000065823.V278869.R01.S.doc Version 5.1 Page 10 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 Personal care is given in a way that supports dignity, privacy and independence. EVIDENCE: The inspector spoke with one support worker in depth and looked at documentation that described incidents and how they had been handled. Both of these sources of information indicated that staff are sensitive and committed to the service users’ dignity, privacy and independence and provide personal care in a way that supports these principles. There was verbal and documentary evidence that staff work positively with suitable specialist teams and professionals to ensure that the service users’ needs are met. DS0000065823.V278869.R01.S.doc Version 5.1 Page 11 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): These Standards were not assessed at this inspection. EVIDENCE: DS0000065823.V278869.R01.S.doc Version 5.1 Page 12 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 and 30 The ground floor of the home provides a homely, comfortable and safe environment with suitable bedroom, bathroom, kitchen and living room facilities. The flat is clean and hygienic throughout. EVIDENCE: The ground floor flat has been designed, fitted and furnished to a high standard and meets all of the National Minimum Standards. The service user’s bedroom has minimal furniture and fittings because of the service user’s challenging behaviours, but those items provided are of good quality. The lounge is attractive and comfortable and full facilities in regard to television, video and music has been provided. Bathroom, toilet and kitchen facilities were also of good standard and the home was well decorated, clean and hygienic throughout. DS0000065823.V278869.R01.S.doc Version 5.1 Page 13 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): 32 and 33 There is a competent, committed and effective staff team. EVIDENCE: Staff spoken with were open, friendly and approachable and were comfortable with the service user and her behaviours, whilst acknowledging that her behaviours can be very challenging. Staff had received suitable induction training, which had included restraint, autism, dealing with people with learning difficulties and language and speech. Staff had been employed in sufficient numbers to provide the very high level of support required by the service user (3:1). The manager said that she had requested permission to employ 2 more members of bank staff and the Registered Provider had agreed to this. DS0000065823.V278869.R01.S.doc Version 5.1 Page 14 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 and 38 The home does not have a registered manager at the moment but suitable cover arrangements have been made. The service user and staff benefit from the ethos, leadership and management of the current manager covering the home. EVIDENCE: The Registered Manager for the home was registered at the end of October 2005 but unfortunately the Registered Provider had to terminate his employment in early December 2005, so at the time of this inspection the home did not have a registered manager. However the Registered Provider had arranged for an experienced manager from another of their registered homes to transfer to this home to run it whilst a permanent arrangement is made. As the home has only been opened for a very short period, with a service user who requires a very high level of support and a new staff team who also require support, management consistency is required. A permanent manager must be appointed and that person apply for registration to CSCI. The current manager had been at the home for only 2 weeks but staff praised her highly and said that she was a “wonderful manager”. Her style is open and DS0000065823.V278869.R01.S.doc Version 5.1 Page 15 inclusive but firm and she has a strong commitment to service users’ rights and to a well supported and trained staff team. As an example of this, staff have attended restraint training but the manager does not believe that this training is sufficiently up to date and so she is arranging for staff to take a more suitable course. DS0000065823.V278869.R01.S.doc Version 5.1 Page 16 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 x LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 2 3 X X X X X DS0000065823.V278869.R01.S.doc Version 5.1 Page 17 N/A 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 YA37 Regulation 10 (1) Requirement The Registered Provider must ensure that a manager is appointed and ensure that the manager applies to CSCI for registration. Timescale for action 01/03/06 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 6 Good Practice Recommendations The manager should request the CCA and CCP from the funding authority. 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