Inspection on 03/01/06 for Meridan House

This inspection was carried out on 3rd 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 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

Meridan House 16/03/09

Meridan House 23/10/06

Meridan House 30/08/05

Meridan House 21/02/05

Meridan House 12/07/04

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

CARE HOME ADULTS 18-65 Meridan House 1 Stonecrop Close Colindale Avenue Colindale London NW9 5RG Lead Inspector Daniel Lim Unannounced Inspection 3rd January 2006 13:55 Meridan House DS0000010548.V269832.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 Meridan House DS0000010548.V269832.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. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Meridan House Address 1 Stonecrop Close Colindale Avenue Colindale London NW9 5RG 020 8205 4048 020 8205 2986 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) Richmond Fellowship Gloria Achiekwelu Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Foxlands and Meridan will have one registered manager and a designated deputy manager in each home. There is one female service user at Meridan House over the age of 65 (D.O.B 30/11/1937). The CSCI must be informed when this service user no longer receives care at the home. The homes Meridan House and Foxlands House will function seperately with their own registration and independent staff group to provide personal care only. 30th August 2005 3. date of last inspection Brief Description of the Service: Meridan House is a care home registered to provide personal care for a maximum of twelve younger adults with mental disorders. Most of the residents were previously patients at Napsbury Hospital in Hertfordshire. The home is operated by a charity called The Richmond Fellowship which also operates several other care homes for people with mental health problems in London. The stated aim of the home is to provide a home where residents can be cared for with dignity and where they can lead as independent a life as possible. The home is a modern, detached two storey house which was opened in 1998. It has twelve single bedrooms and all the bedrooms have ensuite facilities. The nursing office, kitchen, diner and two large lounges are on the ground floor. Bedrooms and two smaller lounges are on the first floor. There are two communal bathrooms on the ground floor and one communal toilet on each floor. The home has a small front garden and an attractive larger back garden which is partly paved and accessible to service users. Meridan House is within walking distance of Colindale Hospital and about a mile away from Edgware Hospital. It is also close to shops, restaurants and public transport facilities along the Edgware Road. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 3rd January 2006 and took two and a half hours to complete. The inspector found that most of the National Minimum Standards assessed had been met and the overall quality of care provided was good. During this inspection, the inspector was assisted by the deputy home manager (Ms Marilyn Roberts). The inspector was able to interview three residents independently of staff. They spoke highly of staff and indicated that they were satisfied with the quality of care provided. Three residents’ case records were examined in detail. These were comprehensive. The premises including bedrooms, kitchen, laundry and communal areas were inspected and the maintenance records were examined. Three staff on duty were interviewed on a range of topics associated with their work and the staff supervision schedule was examined. Minutes of weekly staff meetings and residents’ meetings were also examined. Other records examined included the complaints book, accident book and staff records. What the service does well: The care documentation examined was structured and up to date. The premises were well furnished and felt homely. Residents had been consulted and their preferences regarding food and activities organised had been responded to. Staff were well trained and knowledgeable regarding the care to be provided for residents. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 6 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. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 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 Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 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): 2,3 The deputy manager and her staff had a good understanding of the needs of residents and were able to ensure that their needs were met. EVIDENCE: Three residents who were interviewed indicated that their care needs had been met at the home and they were happy with the care provided. Comments made included, “yes, staff are respectful”, “yes, they take good care of me”, and “alright here”. A sample of three residents’ case records which were examined, contained comprehensive assessments and details of how residents’ needs had been met. The inspector observed that residents in the home were clean, appropriately dressed and appeared well cared for. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 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 the following standard(s): 6, 7, 8, 9 Residents had been consulted and were able to make decisions about their lives. This enabled them to remain as independent as possible. EVIDENCE: Residents who were interviewed were confirmed that staff listened to them and they had been consulted regarding regarding the management of the home. The minutes of residents’ meetings were examined. These contained evidence that residents’ preferences had been responded to. The sample of three residents’ case records contained evidence that residents had been encouraged to be as independent as possible and assisted in chores within the home. Residents had also been consulted regarding their care and had signed their plans of care. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 10 One of the residents had exhibited challenging behaviour. The case records of this resident contained guidance to staff on how this resident is to be cared for. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 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): 11, 12, 14, 16, 17 Residents had opportunity for personal development and the provision of meals was satisfactory. This ensured that residents were kept stimulated and their physical needs are attended to EVIDENCE: The home had a varied activities programme for residents. There was evidence in the case records and in interviews with residents to indicate that they had been kept active and stimulated. Residents confirmed that they had access to various leisure activities such as listening to music, going to a local club, outings to places of interest and they had enjoyed their Christmas and New Year festivities at the home. Meetings had been organised and residents had been consulted regarding the management of the home. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 12 The kitchen was inspected and found to be clean. A record of fridge and freezer temperatures had been kept. These were satisfactory. The menus examined appeared varied and balanced. Residents stated that they were happy with the meals served. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 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): 18, 19, 20 Arrangements were in place to meet the personal and healthcare needs of residents. EVIDENCE: The three residents interviewed stated that they had been attended to by their GP and other healthcare staff (such as the CPN and psychiatrist). The medication records were well maintained and residents stated that they had been given their medication. The temperature of the room where the medicines was stored was recorded daily and found to be satisfactory (no higher than 25C) The sample of three case records contained comprehensive plans of care which addressed the holistic needs of residents. There was evidence in the records to indicate that plans prepared had been carried out. The case records also contained a record of appointments with healthcare professionals such as the optician, GP and dentist. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 14 Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 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 There was evidence that residents were listened to and protected from abuse and neglect. EVIDENCE: Staff interviewed were aware of the procedure to follow when responding to allegations or incidents of abuse. The complaints book was examined and complaints made had been promptly responded to The three residents interviewed stated that they were well treated by staff and no allegations of abuse were made by them. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 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, 27, 28, 30 The home was well furnished and well maintained, therefore providing a pleasant environment to live in. One of the bathrooms had not been fully cleaned. This must be done. EVIDENCE: The three residents interviewed stated that they were happy with the accommodation provided. The communal areas were well furnished and appeared cosy. The required maintenance records and safety inspection certificates were seen by the inspector (at the last inspection). These included safety inspection certificates for the gas and electrical installations, portable appliances and fire safety equipment. The premises were found to be generally clean. The bathroom on the ground floor (on the side of the main entrance) had not been fully cleaned. This was Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 17 brought to the attention of the deputy manager and a requirement is made for it to be fully cleaned. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 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): 31, 32, 33 Staff were capable and knowledgeable regarding their roles and responsibilities thus ensuring that residents are supported by a competent and effective staff team. EVIDENCE: The deputy manager and three staff on duty were interviewed and noted to be knowledgeable regarding their role and the care to be provided to residents. The three residents who were interviewed indicated that they were well cared for and staff were pleasant and well mannered. Staff confirmed that they had been provided with essential training. This included training in the care of residents who have challenging behaviour, adult protection, administration of medicines and fire safety. When questioned by the inspector they were noted to be knowledgeable of polices and procedures to be followed. The staff rota was examined and staffing arrangements examined in detail. There was normally two staff on duty during the morning shift and three on the afternoon shift Two staff were normally on duty during the night.The manager was supernumerary. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 19 No concerns were expressed regarding staffing levels. The records of a new member of staff were examined. This indicated that the required CRB disclosure had been obtained. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 20 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, 40. 42 The home was well managed. Health and safety arrangements were satisfactory. This ensured that residents live in a safe environment. EVIDENCE: When interviewed, the deputy manager was found to be knowledgeable and residents and staff were of the opinion that the home was well managed. There was evidence that staff and residents were consulted regarding the management of the home. Weekly fire alarm checks, fire door checks, fire drills and fire training had been documented. Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 x 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Meridan House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X 3 X DS0000010548.V269832.R01.S.doc Version 5.0 Page 22 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 30 Regulation 23(2)(d) Requirement Timescale for action 13/02/06 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 Meridan House DS0000010548.V269832.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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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