Inspection on 23/08/05 for Chalton Street

This inspection was carried out on 23rd August 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

Chalton Street 22/06/06

Chalton Street 19/12/05

Chalton Street 13/12/04

Chalton Street 10/06/04

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

CARE HOME ADULTS 18-65 Mary Wollstonecraft House 99 Charlton Street London NW1 1SP Lead Inspector Pippa Treadwell-Smith Unannounced 23 August 2005 rd 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. Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Mary Wollstonecraft House Address 99 Charlton Street, London, NW1 1SP 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 7388 4137 020 7388 4137 Umbrella Joann Superville Care Home 9 Category(ies) of MD mental disorder registration, with number of places Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. For the provision of Mental Health Nursing Care for up to 9 adults, who are not required to be detained at the home under any section of the Mental Health Act. 2. The staffing notice Date of last inspection 13th December 2004 Brief Description of the Service: Mary Wollstonecraft House is apurpose built care home, which offers a nursing service for up to nine people with mental health needs. The registration of the home enables it to take service users from the age of 18 years up to 65 years. The home offers support with personal care, cokking, cleaning, shopping and claiming benefits. As the home is registered to provide nursing care, then a registered mental health nurse is available on shift over a twenty-four hour period. The building is owned and maintained by St Pancras and Humanist Housing association. The service is opertsed a Umbrella, which is a mental health charity providing a full range of care and support services in North London. The home is sited within a residential area. Infromation about th ehome states that it is five minutes walk either from Euston Station or Morninton Crescent. It is also on several bus routes including the 253 bewteen Hackney and Euston Station and passess via Eversholt Street and Camden High Street. The number 168 bus, Hampstead Heath and Waterloo passess Eversholt Street, Euston Station and Camden High Street. The house has been designed over three floors. There is level access to the main entrance an dth einterior of th ehome is wheelchair accessible. A walled patio garden is at the rear of the property. Access to the garden is via french windows allowing acess by service users in wheelchairs. All the bedrooms are single occupancy with washahnd basins. A shaft lift ensures access to the upper floors. Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced place took place over half a day and lasted about three hours. Only a small proportion of the key standards were inspected as the inspection was brought to a close because the inspector was unwell. The manager assisted with the inspection and a partial tour of the premises was undertaken. A selection of records was looked at including care plans, minutes of meetings, and complaint’s information. 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. Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 standard(s) 2 There is a clear referral and assessment in place, which is more than adequate to provide staff with the information they need to meet the needs of the service users. EVIDENCE: The registration for the home is for service users from 18 years of age until the age of 65. At present there are three service users over the age of 65 years. The home is to begin rationalising the service they offer to a more rehabilitative and independence model. The three service users will have their needs reassessed to ensure that a placement is appropriate. Three care records were looked and each one contained a personal profile, which clearly set out how the service users need to be supported. Risk assessments were also seen to be in place. When a service user moves into the home they are subject to the Care Programme Approach Community Care Plan. Staff also undertake an assessment and this information is fed into a care plan. Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 standard(s) 6 & 9 There is a clear and consistent care planning system in place to ensure that staff have adequate information to meet the needs of the service users. Service users are encouraged to lead a more independent life style. EVIDENCE: Three service users were case tracked. Each service user is allocated a key worker and a co-key worker. There is clear evidence from the records that care plans are developed from the assessment process. Evaluation dates are included and these have been adhered to and show evidence of improvements for some service users. Care plans were checked and were found to be detailed, accurate and up-to-date. They demonstrated how the service users’ needs were to be met. The plans describe any restriction on behaviour. The minutes of key working sessions show that service users are actively involved in discussing their care plans and any interventions. The home has a missing person’s procedure. There is a risk management system in place and copies of risk assessments are on file and known to both staff and service users. Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 standard(s) 12, 15, &17 Staff are addressing the social care needs of the service users on an individual basis. The home maintains positive family relationships. Service users have a varied diet and their individual preferences are catered for. EVIDENCE: The care records show that service users are involved in different activities, from attending the gardening group, to do their own household chores, attending day centres and social clubs. They use the local facilities and public transport. Service users said that they were happy with level of activities provided in the home. Care records show that service users are able to maintain contact with family and friends wherever possible. Staff recognise the importance of positive relationships with relatives. There has been recent changes to the way that the menu is organised. There is to be a six-week menu, which reflects healthy eating options as well as alternatives to meet particular preferences. The menu planning is innovative. An example is that service users are being introduced to “smoothies” as a way Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 Page 10 of them eating more fruit. The feedback from the service users is that they enjoy the food. Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 standard(s) 18 & 19 Staff have the knowledge and skills to meet the support needs of the service users in a way that is individual to them. There is good organisational approach to meeting the health and welfare needs of service users. EVIDENCE: Umbrella is an organisation that has policies and procedures in place to underpin the core values of privacy, dignity and independence. Those service users spoken to say that their privacy was respected. This was also reflected in the comment card received prior to the inspection. Staff were seen knocking on bedroom doors and waiting to be invited in. The personal profiles clearly set out how each service user wants to be supported. Likes and dislikes are recorded and known to staff. A risk management plan is available for each service. There are monthly monitoring meetings with the GP surgery. A practice nurse completed a comment card and confirmed that the overall care of the service users is satisfactory. Staff are able to demonstrate a clear understanding of the care needs of the service users. They communicate clearly and work in partnership with the surgery. An inspection of the care records show that service users are able to access health care service according to their need. Where necessary a multi-disciplinary approach is taken as in the case of one service user with complex health needs Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 There are policies and procedures in place to ensure that the views of service users are listened to. Service users are protected from harm. EVIDENCE: The complaint’s procedure is contained within the service user guide and it also forms part of the induction process for new service users following admission. One of the service users said that they knew who to complain to if they were unhappy with any aspect of the service. There is a system in place to record, investigate and monitor complaints. Generally service users felt that by contributing to their personal profiles that staff understood their likes and dislikes and this helped prevent misunderstandings. Service users are able to air their views directly to staff in key working meetings or to raise them in the house meeting. The CSCI has received no complaints about the service. The health care professional also confirmed that the surgery had not received any complaints about the home. There is a policy and procedure in place to protect service users from abuse. Staff have access to appropriate training. Service users said that they felt safe living in the home. The home operates a missing person’s procedure and there are policies in place to protect service users from financial misappropriation. The organisation operates a thorough and robust recruitment and selection process, which includes all relevant safety checks. Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 standard(s) 24 & 30 The premises provide a safe and homely environment for the service users. EVIDENCE: The building is in keeping with the neighbourhood and nothing identifies it as a care home. It has a style and ambience that reflects the home’s purpose. There is access to local amenities and transport links to suit the lifestyle of the service users. There is ongoing refurbishment taking place and work is also planned for the future. There is an integrated fire alarm system, which is serviced and tested on a regular basis. A partial tour of the building, looking at the communal areas found the home to be clean and tidy. Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 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) EVIDENCE: Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mary Wollstonecraft House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 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 Regulation 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 Good Practice Recommendations Mary Wollstonecraft House G58 s10325 MaryWH v238472 230805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Centro 4 20-23 Mandela Street Camden Town London, NW1 0DW 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. 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