Inspection on 25/10/06 for Maple Road

This inspection was carried out on 25th October 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 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 13/12/05

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 25th October 2006 10:00 Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 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.V299060.R01.S.doc Version 5.2 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.V299060.R01.S.doc Version 5.2 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) www.leonard-cheshire.org.uk Leonard Cheshire Mr Lindon Philander Care Home 5 Category(ies) of Learning disability (5), Physical disability (1) registration, with number of places Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 5 Adults of either sex with a learning disability. At any one time only 1 of the 5 residents may also have a physical disability and may be wheelchair dependant Registration of the manager at this home and at 23 Elmers End Road applies to Mr Lindon Philander only, and is the subject of ongoing assessment by the Commission through statutory inspections of both homes. 13th December 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.V299060.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over a period of five hours on the 25th October 2006. The focus was to inspect on the key standards. Time was spent speaking top the manager and staff, and looking at service user and staff records. A tour of the building was conducted, the house was clean and appeared well maintained. The service users seen during the inspection were mainly non-verbal and were unable to give the inspector direct feedback about the quality of care. It was possible to observe some of the daily routine and service users were generally well cared for. 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.V299060.R01.S.doc Version 5.2 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.V299060.R01.S.doc Version 5.2 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, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are assess prior to admission to make sure that the home can meet their needs. EVIDENCE: There have been no admissions since the last inspection but Leonard Cheshire Homes have an admissions procedure that includes a full assessment. The home’s statement of purpose and Information for Service Users provide prospective service users the information they need to make a decision about moving into the home. The information is also written in The manager was clear that prior to any admission to the home an assessment must be carried out to ensure that the home could meet the needs of a new service user. Three files that were seen all contained a statement of terms and conditions from the home. The inspector recommends that for future admissions to the home, the provider should send out a letter to service user that states the home can meet their needs. (Recommendation 1) Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care plans and risk assessments are in the process of being updated. Service users choices are respected. EVIDENCE: Three service users files were seen. These included care plans and risks assessments which are in the process of being updated to make them more user friendly. (Req. 1) Some service users have had their annual reviews and others are planned. Daily records of Service users were also seen. Monthly summaries and monthly reviews of service users goals were up to date. From observation and from the records there was evidence of choice being offered to service users. Service users preferences are well documented, identifying their care needs and how they like to be helped. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 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): 12, 13, 14, 15, 16, & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users have access to activities and holidays as well as good day to day contact with families and advocates and staff support them to exercise their rights as citizens. Service users also benefit from a balanced diet that the help to choose. EVIDENCE: My discussions with staff and from the records it was clear that the service users have a planned day of what they wish to do such as attending the centres or going out to assist with the shopping or just having a day at home. Service users go out as a group or on their own. The enjoy activities such as going for a drive, shopping, cinema, pubs restaurants and bowling. Staff supports service users to have a holiday. Files evidenced those activities undertaken by service users are risk assessed and written risk assessments are on file. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 10 Service users surveys and discussions with staff and service users show that they are supported to maintain contact with their family and friends. Service users were seen to move freely around the house and have access to all parts of the house. There was evidence that service users choice of meals were on the menu. Fridge freezer temperatures are checked daily and recorded. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users personal care is carried out according to their wishes. They are supported to keep healthy and to take their medication. EVIDENCE: The service users files seen contained good information about how they prefer to be helped with their daily routines. There is detailed information for staff to show them how to help individuals with personal care, dressing mealtimes, activities and toileting. Service users can choose when to get up and when to go to be and what clothes they want to wear. There was good evidence of health care needs being monitored and met. Routine appointments for health needs are recorded and actioned appropriately. The system for the storage and administration of service users medication was seen and was satisfactory. From records it was evidenced that staff are trained to ensure that they are competent to give medication. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users and their families know whom to contact if they have a complaint. Staff are trained to know how to protect service users from abuse. EVIDENCE: Maple Road has a complaints procedure in place and service users and their families have access to this. Records and discussions with staff show that staff is aware of how to protect service users from potential abuse. All staff has attended POVA training. Feedback fro relatives on the survey are that service users are well treated by staff. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 13 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is kept clean and hygienic and free from odours. EVIDENCE: The manager showed the inspector around the home. The home is clean and appears to be well maintained. Service users bedrooms seen were clean and the decoration was adequate. Bedrooms were personalised and the communal living room was well maintained. Staff confirmed that they receive training in Basic Hygiene. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 14 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, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are supported by a staff tem that have been checked for suitability and are trained to meet their needs. EVIDENCE: From the rotas seen and in discussion with the manager it appears that the home is adequately staffed at all times with a minimum of two staff on duty at all times. Agency staff is very rarely used at the home with the home staff doing overtime to cover sickness and holidays when needed. Staff appears to get on with each other and were seen to relate well to service users. Regular staff meetings are held. Leonard Cheshire has a recruitment procedure in place and staff files sampled showed that appropriate checks and references are carried out. Staff files sampled shows that staff have received relevant training for the work undertaken at Maple Road. There is an NVQ programme in place and a number of staff including the manager is currently undergoing their NVQ training. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well managed and provides and environment that is empowering to service users. The home provides a safe environment. EVIDENCE: The home is well managed with clear a commitment to meeting the needs of the service users and promoting choice and independence. The manager’s approach to managing the home is structured and well organised. The inspector saw tasks, checks, procedures that have been completed in relation to the well being of the service users. On the day of the inspection the home was also undergoing Health and Safety Risk Assessments by Leonard Cheshire’s designated officer. The appointed visitor carries out the monitoring visits monthly and reports are sent to the Commission. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 16 Records relating to service users were stored securely. The home has appropriate Employers Liability Insurance. Fire safety equipment has been serviced and tested as required. Staff evidenced being provided with regular fire safety training. Staff said that they receive regular supervision. Servicing records relating to hoists, portable appliance testing and the have been appropriately maintained. Hazardous substances had been stored securely and accidents had been recorded and reported as required. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 17 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 3 2 3 3 3 4 3 5 3 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 18 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 YA6 Regulation 15(2)b Timescale for action Ensure that all care plans are up- 31/01/07 to-date Requirement 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 YA3 Good Practice Recommendations The inspector recommends that for future admissions to the home, the provider should send out a letter to service user that states the home can meet their needs. Maple Road DS0000006957.V299060.R01.S.doc Version 5.2 Page 19 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.V299060.R01.S.doc Version 5.2 Page 20 - 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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