Inspection on 13/12/05 for Maple Road

This inspection was carried out on 13th 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

Maple Road 21/02/08

Maple Road 25/10/06

Maple Road 18/01/05

Maple Road 26/08/04

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 Maple Road 10 Maple Road Penge London SE20 8DS Lead Inspector Cheryl Carter Unannounced Inspection 13th December 2005 10:00 Maple Road DS0000006957.V271232.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 Maple Road DS0000006957.V271232.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. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Maple Road Address 10 Maple Road Penge London SE20 8DS 020 8778 5321 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) Leonard Cheshire Miss Wendy Ann Ruth Taylor Care Home 5 Category(ies) of Learning disability (4), Physical disability (1) registration, with number of places Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. At any one time only 1 of the 5 residents may also have a physical disability and may be wheelchair dependant 5 Adults of either sex with a learning disability within the category mental handicap 12th May 2005 Date of last inspection Brief Description of the Service: Maple Road is a five-bedded residential unit for service users with a learning disability situated in a residential area of Penge. The Home is part of the Leonard Cheshire foundation and does not provide nursing care. Maple Road provides a homely environment with support given to live as full a life as possible within the wider community. There is a kitchen, dining room, lounge and one bedroom with en-suite facilities on the ground floor, with four bedrooms, bathroom, toilet facilities and a staff sleeping in room on the first floor. All parts of the house are accessed via stairs. There is no lift. The home is staffed on a twenty-four hours basis. Specialist support services are offered through the Primary Care Trust via the Bassett Centre. A key work and a care planning system is used to meet individual needs. There are good links to local transport and shopping centres. Most of the service users attend a day centre. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that lasted approximately five hours. The home is now being managed by Mr Philander who previously supervised the previous manager. Mr Philander will manage both Maple Road and Elmers End. The previous manager has left to train as a nurse, she however does cover the unit at weekends and assist with the supervision of staff. The inspector had a tour of the building, examined Health and Safety records for the home, spoke with two service users. The care plans of two service users were also examined. The comments from service users were very positive. The inspector was also able to join in a training relating to supporting service users with personal relationships. 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. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 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 Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 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): 1, 2, 3, 4, Residents’ needs are assessed and individually tailored to ensure that these will be met when they live at the home. EVIDENCE: There is a Statement of Purpose and a Service user Guide available to prospective service users. Two care files were tracked, and these contained assessments that contained information to promote the resident’s independence covering mobility, self-care, network of support and interests amongst other headings. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 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, 7, 9 The care plans were sufficiently detailed to carry out the care and supervision of the residents assessed and identified needs. EVIDENCE: Two care plans were selected. Each resident has an allocated key worker who co-ordinates their care, working individually with the resident achieving goals. Care plans are, as far as possible, agreed with the resident. Care plans identified problems related to activities of daily living. Files seen had risk assessments for each service user. The focus is on maximising skills. Leisure activities are included as part of the care plans. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 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): 13,15 Service users are encouraged to maintain links with the local community. Service users are supported to form appropriate personal, family and sexual relationships. EVIDENCE: Standards 11, 12,14, 16 and 17 were assessed at the previous inspection. Service users care plans include support to develop skills and take part in activities that involve the local community. Service users are encouraged to maintain friends and family links. On the day of the inspection the inspector was able to join a staff training on the personal relationships policy. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 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, 19, 20, 21 Service users receive support in the way they prefer and require. EVIDENCE: All the intended outcomes for key standards 18, 19, 20 relating to personal and healthcare support were assessed and met at the previous inspection and were not reviewed on this occasion. The home has a policy on ageing, illness and death of a service user. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 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): 22, 23 There are systems in place to manage complaints and for the protection of the service users EVIDENCE: The intended outcomes for key standards 22 and 23 relating to complaints and the protection of vulnerable adults were assessed and met at the previous inspection and were not reviewed on this occasion. It was reported that the home has not received any complaints since the last inspection. No formal complaints have been referred to the Commission for Social Care Inspection and there have been no referrals made under adult protection procedures. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 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, 29, 30 Accommodation provided at Maple Road continues to be good providing service users with a homely and comfortable place to live. EVIDENCE: The two key standards for the environment were assessed and met at the previous inspection. A tour of the building during the inspection provided evidence that the home continues to meet standard 24, providing people with a homely place to live. Observations made and discussions held indicate that the service users continue to benefit from living in this environment. Following a visit by the Fire Officer prior to the last inspection one recommendation was made to remove the curtain at the front door. The home has now complied with this recommendation and the curtain has been replace with a blind. Since the last inspection the home has been fitted with handrails on the stairs and landing. The home has had a recent inspection from the Environmental Health Officer and this was a satisfactory inspection. The grounds of the home at the time of inspection were in need of maintenance. (Req.1) Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 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, 33, An effective staff team supports the service users living at Maple Road with sufficient numbers and skills to support the assessed needs. EVIDENCE: The intended outcomes for Standards 31 –36 including key standard 35 were assessed and met at the previous inspection Training for staff was not reviewed on this occasion, however it was reported that a number of training events have been scheduled. The inspector was able to join in on one training event relating to supporting service users with personal relationships. There is always a minimum of two members of staff on duty in addition to the manager who is on call between the two units. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 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, 39, 42 An experienced manager who carries out his responsibilities fully creating and open and positive atmosphere from which the service users and staff benefit manage the home. EVIDENCE: The registered manager of the home Mr Lyndon Philander is currently undertaking his Level 4 NVQ in Care and the Registered Manager’s award. Observations made throughout the inspection indicate the manager promotes a positive atmosphere and have a flexible approach. It was reported that the views of parents are routinely sought in any decisions to be made about the service user. Staff keep close contact with and have an excellent working relationship with families. A selection of records inspected uhdder Health and Safety including the Gas and Electric Safety, Portable Appliances testing and Fire records were found to be up-to date. Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 Page 15 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 3 3 3 3 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x 3 3 LIFESTYLES Standard No Score 11 x 12 x 13 3 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Maple Road Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x DS0000006957.V271232.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 Requirement The registered provider must ensure that the external grounds are safe for use and is appropriately maintained. Timescale for action 21/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Maple Road DS0000006957.V271232.R01.S.doc Version 5.0 Page 18 - 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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