Inspection on 17/01/06 for Matthew Residential Care Home

This inspection was carried out on 17th January 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

Matthew Residential Care Home 20/12/07

Matthew Residential Care Home 09/03/07

Matthew Residential Care Home 24/08/05

Matthew Residential Care Home 02/03/05

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 Matthew Residential Care Home 1 Milton Avenue Kingsbury London NW9 0EW Lead Inspector Bernard Burrell Unannounced Inspection 17th January 2006 10:00 Matthew Residential Care Home DS0000059266.V278675.R02.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 Matthew Residential Care Home DS0000059266.V278675.R02.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. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Matthew Residential Care Home Address 1 Milton Avenue Kingsbury London NW9 0EW 020 8907 8435 020 8907 8435 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) Matthew Residential Care Limited Darren Forde Ms Carlene Marshall-Knight Care Home 4 Category(ies) of Learning disability (4), Mental disorder, registration, with number excluding learning disability or dementia (4) of places Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2005 Brief Description of the Service: Matthews Residential Care Ltd is registered to provide accommodation and care support for up to 4 residents. There were two residential vacancies at the time of this inspection. There was also a vacancy for a manager. The home is a five bedroom semi-detached property located in a residential area of Kingsbury, Northwest London. It also has a communal lounge, kitchen, dining room, one bathroom and toilet, a utility room and laundry room. The home has a well-maintained garden. It is close to the local town centres of Wembley and Kingsbury with a variety of health and social care facilities and services, including public transport services, leisure and recreational facilities. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. The process was assisted with input from the registered provider. The residents were off to a day centre when the inspector arrived. The inspection process involved tour of the home, reading of documents, files and case records, reviewing policies and procedures plus discussion with the registered provider. The home continues to make good progress to improve the standards of care and the quality of the services and facilities offered to residents. However a few shortfalls and outstanding requirements still existed at the time of this inspection. What the service does well: What has improved since the last inspection? What they could do better: The provider should ensure that all bedroom windows are fitted with safety device. The provider should ensure that each staff receives a contractual guideline about their roles and responsibilities at the home. The provider must ensure that outstanding or outdated CRB checks for staff are updated. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 6 The provider must ensure that staff with responsibility for administration of medication receive appropriate training and update in this area of care service. 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. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 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 the following standard(s): 1, 2 The home’s admission procedural guideline is clear and enables easy process of admission to the home. Appropriate care needs assessments and care planning are carried out for each resident and relevant information is provided about how support will be given. EVIDENCE: The evidence from the inspection findings showed that the service user’s guide has been kept under review with relevant updated information written in a style and format that meet the communication needs and abilities of residents. The guide also has pictorial references to aid easier understanding by residents. The care assessment procedure is thorough and comprehensive for each resident and involves contributions from individual residents, their relatives, social workers, advocates and other stakeholders. Each new prospective resident is offered the opportunity to visit the home and spend time there before a decision is made whether to move in. Each new resident receives a contract with details of the terms and conditions of their tenancy, plus information about how their care support will be given and by whom. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 9 The staff and management also ensure that periodic reviews are carried out of resident’s care needs. Resident’s bedrooms are furnished according to their individual likes, preferences and personalities. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 10 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): 6,9 The home is able to fully meet the assessed needs of the current residents. There are good systems in place to help ensure any changes in care needs are recognised and appropriate action plans developed to meet those needs. EVIDENCE: The records examined by the inspector, plus discussion with the provider showed that comprehensive multi-disciplinary assessments are carried out for each resident. There were examples of regular care reviews and updates to reflect the changes in resident’s care needs and preferences. The reviews reflected the individual views of residents and there was input and contributions from social workers and other stakeholders. The recorded evidence examined by the inspector also showed that staff have been monitoring changes in resident’s daily lives and these are reflected in the care planning and support offered. The findings also showed that residents are supported to develop their individuality and access services in the local community. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 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 the following standard(s): 12, 13, 17 The residents are well supported by staff to develop their individual i t t d lif t l EVIDENCE: The provider informed the inspector about the range of opportunities and activities the current residents are involved in. The inspector examined the activity timetable and it included in-house and local community activities and programmes. The activities included swimming, attendance at college to do a cookery course, personal shopping, eating out, bingo and meeting with her relatives. One resident has made the choice not to attend structured day care services and prefers outings and other activities. The residents maintain regular contact with their relatives and one resident has telephone contact and visit from her mother who visits her at the home. The resident stated she enjoys eating out and shopping and is very interested in listening to music. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 12 Both residents are encouraged by staff to help plan their meals to reflect their nutritional and dietary care needs. One resident stated she likes all types of English food and she is able to eat well once the foods are cut up or bones removed. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 13 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): 19, 20 The health care needs of the residents are adequately assessed and carefully monitored. There were appropriate measures in place to ensure regular health checks and reviews are carried out. More work is needed to help enhance staff practice in the understanding and administration of medication. EVIDENCE: The care plans for each resident was detailed and linked to the care needs assessment with full details of health care needs documented. The provider gave updates on each resident’s current health status, including the actions taken by staff to help residents access medical services. The residents receive support from a range of health care services in the local area, including chiropodist and occupational therapist. Recorded information in individual care plans outlined clearly what staff are expected to do to help monitor and promote the health of each resident. There was evidence of personal risk assessments carried out for each resident, plus appropriate mobility equipment in place. The home’s medication administration procedures were operated in line with regulatory requirements. The home also has a medication administration verification form on display in the office, which is signed by staff administering medication. However, the provider must ensure that staff receive updated Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 14 training to help enhance their competence and professional practice in the administration of medication. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 15 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 The home has appropriate systems and procedures in place to deal with complaints and concerns of residents, including guidelines for their relatives and next of kin. More work is needed to help ensure all CRB checks are up to date and available for inspection. EVIDENCE: The findings indicated the home has appropriate guidelines in place for dealing with complaints. These are also kept under regular reviews. The summary version of the complaints procedure and guidelines has been revised to reflect the communication needs and abilities of residents. The inspector noted that the CRB checks for at least two staff were out of date and recommended action taken to have these updated. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 16 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, 26,30 The home is maintained in a satisfactory condition throughout and is suitable for its stated purpose. However, effort should be made to enforce the safety of windows and installation of restrictors where needed. EVIDENCE: The home is located in a quite residential area in Kingsbury, Northwest London. It has accommodation for up to four residents. The home is maintained in a reasonable condition and was clean and hygienic at the time of this inspection. There is parking space in the forecourt of the home. It is located close to a range of shopping and leisure, social and health care facilities and services. It is staffed 24hours. One resident has appropriate mobility aid to assist with her mobility. She lives on the ground level of the home that has been adapted for her wheel chair access. There was evidence of various health and safety test carried out, including gas, fire, home risk and electrical appliances. However, the provider will need to ensure test of the water system is also carried out. At least one of the bedroom windows will need window restrictor to help enhance safety in that room. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 17 Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 18 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): 33,34, 36 Adequate staffing needs to be in place to support the residents at all times. The recruitment procedure should be reviewed to help ensure that all required checks are kept up to date. EVIDENCE: Although the home has a complement of about 6 care staff, more work is needed to help ensure the staffing structure is stabilise and that all shifts can be adequately covered at all times. The provider will also need to ensure that all necessary checks such as CRB are kept updated. Additional support should be offered to staff to access relevant training to help enhance their professionalism and skills in the work they do, for example- the administration of medication and NVQ training. The provider will also need to ensure that the management vacancy is filled as soon as possible to help bring stability to the daily management of the home. At the time of this inspection, the registered provider was responsible for management and supervision of staff. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 19 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): 38, 42, 43 Good effort is being made to support the residents to enjoy lifestyles that are reflective of their assessed care needs and wishes. EVIDENCE: The resident and staff continue to be supported by the registered provider but effort is needed to help ensure that the daily management of the home is strengthened. Good effort is been made to help ensure that the health, welfare and wellbeing of the residents are safeguarded and protected. There is regular communication between the staff, the registered provider, and the social workers for the residents and their relatives. Good effort is also been made by staff to understand and meet the health and social care needs of the residents. Each resident’s care needs are adequately assessed and understood by staff offering support and care to the residents. The care plans were up to date and reflective of the care needs assessments. Good effort is also been made to ensure that they are kept under regular review. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 20 Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 21 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 x 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 3 23 x ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 X 33 3 34 2 35 x 36 3 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 3 13 3 14 x 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x x 3 x x x 3 2 Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 22 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 YA34 Regulation 13 Requirement The provider must ensure that staff with responsibility for administration of medication receive appropriate training and update in this area of care service. The provider must ensure that all CRB checks are carried out for staff working at the home. Timescale for action 30/04/06 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 2 Refer to Standard YA24 YA31 Good Practice Recommendations The provider should consider installing a window restrictor in the upstairs bedroom to help enhance safety in this room. The provider should ensure that each staff receives a contractual guideline about their roles and responsibilities at the home. Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Matthew Residential Care Home DS0000059266.V278675.R02.S.doc Version 5.1 Page 24 - 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. 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