Inspection on 01/07/05 for Maplestead Road

This inspection was carried out on 1st July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Maplestead Road 30/05/07

Maplestead Road 20/02/07

Maplestead Road 13/12/05

Maplestead Road 03/03/05

Maplestead Road 02/09/04

Maplestead Road 29/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Maplestead Road 36 Maplestead Road Dagenham Essex RM9 4XR Lead Inspector Kim OConnell Unannounced Inspection 01 July 2005 10:00 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 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 Stationary 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. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Maplestead Road Address 36 Maplestead Road, Dagenham, Essex RM9 4XR Telephone number Fax number Email 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 8595 7645 020 8595 7645 Outlook Care Ms Jadesola Ezerioha CRH Care Home 6 Category(ies) of MD Mental Disorder (6) registration, with number of places Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 03 March 2005 Brief Description of the Service: Maplestead Road is a purpose built home in a residential area of Dagenham. The property is a large house, which offers a service for 6 adults with mental health needs. The service users at Maplestead Road require supervision and encouragement from staff in most aspects of daily living. It is the aim of the home to promote independence with some service users to improve their daily living skills. The home is well equipped, homely and comfortable, there is a large well-maintained garden at the rear of the home, and this has a purpose built bar-b-q, which the service users enjoy using for social gatherings. The staff team work hard to ensure that service users independence is maintained, and liaise with other professionals to maintain service users health and wellbeing. The home is staffed 24 hrs a day with a waking member of staff at night. Outlook Care provides the support whilst East Thames Housing Group are the landlord. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place on 1st July 2005 and was unannounced, the inspector would like to thank the service users, manager and staff for the warm welcome extended to her and for the input from all at Maplestead Road towards the inspection process. The registered homes manager was present throughout the inspection, she is an experienced manager within the organisation and was very aware of the service and service users needs at Maplestead Road. The inspector spoke with staff, service users and manager, also had a tour of the premises. This inspection is very close to the previous report and therefore not all standards have been assessed on this occasion, there had been some requirements made in that report, which were inspected during this report, all standards will be assessed throughout the inspection year during future inspections. The home as always was found to be tidy, clean and homely. What the service does well: What has improved since the last inspection? There were 3 requirements made during the last inspection (March 2005) which have all been actioned well within the timescales set. As this inspection has taken place within a very short timeframe, it is difficult to assess any changes within the service. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 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. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 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 standard(s) 0 Under this heading no standards were tested on this occasion, there have been no new admissions to the home since the last inspection. All core standards will be tested during future inspections in the coming inspection year. EVIDENCE: Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 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 standard(s) 6,9 & 10 By the use of person centred planning, comprehensive care plans and risk assessments the home is able to ensure that service users are able to live individually appropriate lifestyles. EVIDENCE: Individual records are kept for each service user and the inspection of three records showed appropriate recordings within care plans. The standard of the care plans within the home, using the person centred planning system is very comprehensive, and reflect individualism, there is a section where service users can have their own input into their care, with their needs and wishes clearly documented. Service users individual goals are documented and link directly to their care plans. Care plans are reviewed regularly and documented accordingly, risk assessments are carried out to reflect any changes in assessed needs of service users. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 10 Regular service user meetings take place within the home and are documented, there is a notice board within the home informing all service users of any forthcoming events within the service and the local community. The service users spend time together within the home on an informal, homely type basis discussing events and possible participation in them. Service users records are held securely within the home, and all service users are aware of their right to access the information held on them. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 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 standard(s) 13,14 Opportunities for social and leisure pursuits and personal development are actively promoted and supported by staff for all service users to enable them to participate in the wider community in which they live. EVIDENCE: Each service user has an individual planned activity programme, which takes account of the service user’s preferences, interests, experiences, age and capabilities related to their assessed needs. The duty rota is planned to ensure that the numbers and skills of staff needed each day are sufficient so that planned programmes of activities are carried out. Some service users attend specialist day centres and others participate in leisure activities in the community including shopping and eating out. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 12 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 standard(s) 18,19 The service users’ physical and emotional health care needs are closely monitored and this ensures that service users needs are recognised and met. The medication policies and procedures are clear and all staff have received training. EVIDENCE: All of the care plans examined recorded referrals to specialist health care professionals where required and recorded that appointments were being kept. The service users living at the home require very minimal assistance with personal care. There are policies and procedures for the handling and recording of medicines in the home. The majority of staff have received medication training from a local Pharmacist. Staff are not authorised to administer medication unless they have undertaken this training and been deemed competent. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 13 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 standard(s) 0 The standards under this heading were not tested on this occasion, there are no outstanding requirements and the home have received no complaints since the last inspection. The core standards will be tested during future inspections of the home. EVIDENCE: Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 14 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 standard(s) 24,28 & 30 The décor, furnishings and fittings in the home are of a very good standard and provide a comfortable and homely environment for service users to live. EVIDENCE: Following a tour of the premises the inspector found the home to be safe, comfortable, bright, cheerful, airy, clean and free from offensive odours, and provides sufficient and suitable light, heat and ventilation. The communal lounge is a large area with seating, a TV and video, music centre etc. There is a large seated area in the kitchen where service users take meals and at various times during the day service users and staff sit together for coffee and general chats. There is a large garden to the rear of the house with a patio and seating area, a bar-b-q and a greenhouse where the service users grow tomatoes and other salad stuff. At the previous inspection of March 2005 a requirement was made around the replacement of a curtain rail, this has been replaced and the requirement has been met within the timescale set. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,34 & 35 Staffing levels are satisfactory and there is sufficient staff on duty to meet the individual needs of the service users. The procedures for the recruitment of staff are robust and provide safeguards for people living in the home. EVIDENCE: The staff team are well established, and records show a low turn over of staff and sickness levels, any staff shortage is covered by the staff team or by use of regular agency workers, who are known to the service users, and are aware of how the home operates. Staffing levels are regularly reviewed to respond to service users changing needs. The duty rota is very flexible and staff is rostered to work at peak activity periods during the day. This ensures that service users are able to follow their individual activity programmes and have one to one time with staff. In discussion with staff it was evident that they understand and fully support the main aims and values of the home. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 16 Staff files examined of staff members indicate that the home is undertaking all the necessary recruitment checks to ensure the protection of service users including 2 written references and a full CRB check. All staff are provided with a copy of the General Social Care Council (GSCC) standards and code of conduct. The home has a training and development plan and the manager is pro active in determining and identifying training needs for staff according to service users individual needs. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 The home is managed well and provides a safe environment for the service users in the home. EVIDENCE: The registered manager has 26 years experience in the care profession including 14 years experience in management. She has RGN and RMN qualifications and completed NVQ level 4 in management. The manager is qualified, competent and experienced to run the home and meet it’s stated purpose, aims and objectives. The home is well maintained and provides a safe environment for service users and staff. Regulation 26 visits are undertaken by the organisations area manager and copies forwarded to the Commission monthly. Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 18 Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 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 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x x 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Maplestead Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 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. Standard Regulation none Requirement Timescale for action 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 none Good Practice Recommendations Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Ferguson House 113 Cranbrook Road Ilford Essex 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 Maplestead Road G55_S0000027907_Maplestead Road_V229781_010705_Stage 4.doc Version 1.30 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!