Inspection on 19/07/05 for Millenium Care (Old Park Road)

This inspection was carried out on 19th 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

Millenium Care (Old Park Road) 23/10/06

Millenium Care (Old Park Road) 05/01/06

Millenium Care (Old Park Road) 20/12/04

Millenium Care (Old Park Road) 06/04/04

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 MILLENIUM CARE 1 OLD PARK ROAD 1 Old Park Road London N13 4RG Lead Inspector Rebecca Bauers Unannounced 19 July 2005 @ 11.45am 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. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Millenium Care Address 1 Old Park Road, London N13 4RG 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 8447 8897 Mrs Athukoralage D Fernando for Millenium Care Mr Lalith Katugampola PC Care Home only 10 Category(ies) of LD Learning Disability registration, with number of places MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20 December 2004 Brief Description of the Service: This home is registered for ten adults who have a learning disability. At the time of the inspection there were no vacancies at the home. Millenium Care operates this and another local home for adults with learning disabilities. The home is situated close to local shops, public transport and other local amenities, including Palmers Green station and Broomfield Park. The home has ten single bedrooms, none of which have en-suite facilities. There is an adequate number of communal areas and bathrooms. The home has a large garden, which is used by service users. There is a programme of daytime activities provided by the home for service users not attending local day services. Significant use is made by service users of the local community resources. The stated aims of the home are:‘1 Old Park Road provides 24-hour care and support to ten adults with learning disabilities from 18-65 years of either sex. Our goal is to promote independence and to ensure that privacy and dignity are maintained at all times. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 19th of July 2005 as part of the annual inspection programme to identify progress with previous requirements and to check standards of care against the core standards. The inspection took three and a half hours to complete. A full tour of the home took place; two service users were spoken to individually. No relatives visited the home on the day of the inspection. Care records, quality assurance audits, staff records and health and safety records were examined. Two staff were spoken to, the registered manager was not working on the day of the inspection but the inspector was able to talk to the registered manager covering the home in his absence from fox lane. Further information was obtained from the quality assurance surveys carried out by the home. Positive comments were given with regard to the care received and the caring enthusiastic attitude of the staff team to meet the needs of the service users. What the service does well: The service users benefit from annual reviews of their assessed needs that are reflected in their individual plans ensuring that their needs are met and that staff are supporting them in the way they prefer to promote independence. Service users benefit from fulfilling activities to enhance their lives and meet their aspirations all within the guidelines of measured risk. Service users benefit from the experience of multidisciplinary working to ensure that their personal care, social and emotional health needs are met. The home ensures that service users, relatives and other professional’s views are listened to and addressed to improve service provision. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: Three requirements were made at this inspection. The registered person must apply to the Commission for a minor variation to the conditions of registration for one named service user who now requires a wheelchair. This must be applied for to ensure that the home is operating legally. Minor redecoration and maintenance work is required to make the home more homely. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 7 All staff must receive supervision at least every two months, records must be held on their personal files to demonstrate support and continuity in care practice for service users. 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. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 8 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 MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 9 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) 2,3,5 Good detailed assessments are in place for each service user to ensure that their assessed needs are met. Each service user has a clearly written, standard contract in place. The needs of a service user who has lived in the home for several years have changed so much so that they fall outside of the homes current registration category. EVIDENCE: There have been no new admissions since the last inspection. However the three service users plans examined contained up-to-date assessments of need, which included clear objectives for each service user. These had been updated on the 5/5/05. Service users can be assured that that home will consistently review and meet their needs. One service users mobility has deteriorated since the last inspection and needs to use a wheelchair in the home. An O.T assessment has been undertaken which identified that the home is able to meet her needs following some recommendations for additional equipment. The home has acquired all the necessary equipment for the service user. The homes registration certificate does not enable wheelchair users to be accommodated in the home. To rectify this the home must apply to the Commission for a minor variation to the conditions of registration with supporting evidence of the continued suitability of the home to meet the needs of the service user. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 10 Each service user has a written contract on file. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 11 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) 6,7,9 Each service user has a detailed care plan in place where they can feel confident that their needs will be met. Service users make clear decisions about what they want to do and when and appropriate risk assessments are in place to facilitate this. EVIDENCE: Service users know that their assessed and changing needs and personal goals are reflected in their individual plans. The three service user files seen contained recent documentation with regard to individuals assessed needs and the objectives to meet these, which had been further reflected in the detailed individual plans. There was evidence that care plans are reviewed monthly by the key worker and registered manager. Service users spoken to said that they had been involved in their recent annual reviews, notes of which were on file. The inspector was informed that the care plans are reviewed during annual reviews with the social worker and service user. There was evidence in the daily notes that service users make decisions about their lives, service users spoken to discussed the choices they had made recently with regard to going on holiday, activities that they prefer and which MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 12 are appropriate to them. For example, one service user explained that he used to go out every day but that in recent months he has felt like relaxing at home either in his room or in the lounge watching TV. Some service users had decided to take a third holiday. Appropriate risk assessments were in place for all service user files seen; they had all been reviewed in the last three months and included accessing the community, daily living skills and finances. Several of the service users had detailed behaviour management plans in place; they had been reviewed during the service users meeting with the consultant psychologist and on a monthly basis within the home. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 13 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) 12,13,17 Service users benefit from having an activities co-ordinator and a keen staff team to support them in the activities that they prefer. Service users are offered and enjoy a healthy diet. EVIDENCE: Service users benefit from accessing a variety of activities, which include attendance at local colleges, daycentres and the local community. Service users have access to the homes vehicle and so are able to carry out planned activities for example day trips to museums and the coast. The home has an activities co-ordinator who liaises with service users to ensure that they are able to undertake the activities they prefer with staff support. Each service user has an activity plan, which includes activities in the home, and outside for example a group of service users tend to a part of the garden, planting flowers and herbs. Some service users access the local community independently and meet friends at the local pub or café. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 14 All service users have had a holiday this year, some are planning to go away for a third time in September. Service users say that the food provided in the home is good and that they can choose what they like to eat some help in the preparation of the meals. The menus demonstrated that healthy eating is promoted whilst trying to incorporate service users preferences and dietary needs. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 15 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) 18,19,20 Service users receive personal support in the way they prefer, which is detailed in their individual plans. Service users receive a range of services from health professionals to ensure that their emotional and physical health needs are met. Medication policies and procedures are robust and protect service users. EVIDENCE: A requirement made at the last inspection for clear PRN guidelines to be in place for four service users had been complied with. The guidelines were detailed and had been agreed by the GP. Service users are protected by the homes medication policy and procedures. Service users personal support needs and preferences had been fully documented in the care plans. Service users say ‘ staff are caring, helpful and know what I like’. Service users receive regular input from psychologists with regard to addressing their emotional needs and there was evidence in the health records that service users have regular contact with GP’s, dentists and chiropodists. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 16 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 The home promotes good practice in the methods used to ensure that service users feel that their views are listened to and acted upon. Service users are protected from abuse. EVIDENCE: Service users say that they feel that their views and feelings are listened to. A recent quality assurance survey provided evidence of this. The summary of results stated that all ten service users responded to the questionnaires and that no concerns had been raised, some requests had been made for general improvements, which are being addressed on an individual basis with key workers. There has been one complaint made by a relative since the last inspection. There was evidence that this was resolved within the homes 28 day timescale for dealing with complaints. Service users are protected from abuse, neglect and self-harm by well trained staff that have a good knowledge of the local authorities and homes adult protection procedures. All staff have had access to the ‘No Secrets video.’ MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 17 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) 24,29,30 Service users live in a homely, safe environment with only minor maintenance work needed to enhance this. Service users have all specialist equipment to maximise their independence following a detailed O.T assessment. The home is clean and hygienic. EVIDENCE: Requirements made at the last inspection for minor repairs to be addressed had been complied with. Further areas for improvement had been identified during this inspection to promote a more homely environment for service users. One service user’s bedroom seen was tired and contained furniture that he had chosen to bring with him four or five years ago. Although it is the service user choice to have what furniture he wants in his room it would be of benefit to him if staff would identify if there are any changes he would like to make whilst his room is re-decorated and the carpet is replaced. Other bedrooms seen were bright and airy with good quality furniture to suit the service users needs. Another service users bedroom would benefit from being more personalised, as there was only one picture on the wall. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 18 Other areas needing attention was the sealant around the kitchen work surfaces, a brighter light bulb must be put in the laundry room, as it is very dim. The service users would benefit from a coffee table or alternative to put drinks on instead of using a chair. The home is generally well maintained and homely. The service users expressed their satisfaction with living in the home. The home is clean and hygienic. A requirement made for an O.T assessment to be obtained to ensure that the home has all the appropriate aids and adaptations to meet the needs of service users had been complied with. No new recommendations were made. The recommendations following a service users individual O.T assessment had been complied with and staff had been trained appropriately in the use of these to safeguard service users and themselves. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 19 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) 34,35,36 Service users are supported by a stable staff team and robust recruitment procedures are in place to protect service users. Service users benefit from a well supported but not always regularly supervised staff. All staff have been trained fully to meet the individual and joint needs of service users. EVIDENCE: Four staff files were examined; one staff had been recruited since the last inspection. The staff files were very well organised and contained all documents required for the protection of service users demonstrating that the home has and follows robust recruitment procedures. Service users benefit from a stable staff team who are well informed with regard to their needs through the use of the comprehensive individual plans, life histories and training. Staff records showed that all staff complete a TOPSS induction and in some cases foundation within a month of commencing employment. Two of the four staff files contained regular documented two monthly supervision, all staff must receive supervision at least every two months and records must be held on their personal files. The training records demonstrated staff had received a wide range of training such as epilepsy, rectal diazepam and autism. This included all mandatory MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 20 training and more recently first aid and manual handling to safeguard service users and staff. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 21 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) 39,41,42 Quality assurance monitoring systems ensure that service users views underpin self-monitoring and service development. Policies and procedures are reviewed and updated annually to safeguard service users and the health, safety and welfare of service users is promoted. EVIDENCE: A requirement made at the last inspection for copies of the monthly unannounced regulation visits to be sent to the Commission each month had been fully complied with. A requirement made for a risk assessment to be developed to identify and control the risks of legionella had been complied with. Service users are confident that their views underpin all self monitoring, review and development. A quality assurance survey implemented in February 2005 involved service users, social workers and relatives. The summary of results MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 22 was positive and developments to improve service provision for service users was being addressed on and individual basis. The homes policies and procedures are reviewed annually by the registered manager and any amendments made are signed and dated. All health and safety records were checked and were found to be up-to-date and appropriate to meet the health, safety and welfare of service users. Since the last inspection the home had a visit from the LFEPA who asked the home to revise its fire risk assessment and emergency plan to safeguard service users. This had been completed and a copy was sent to the LFEPA for approval. MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 23 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 2 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 MILLENIUM CARE 1 OLD PARK ROAD Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 3 x G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 24 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 3 Regulation Section 25 Care Standards Act 2000 Requirement Timescale for action 1/10/05 2. 3. 24 36 23 (2) 18 (2) The registered person must apply to the Commission for a variation to the conditions of registration to enable a named person who has become a wheelchair user to remain accomodated in the home. The registered person must 1/10/05 address the maintenance issues listed under this standard. The registered person must 31/8/05 ensure that all staff receive recorded supervision at least every two months. Records of supervision must be held on staff personal files. 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 MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI MILLENIUM CARE 1 OLD PARK ROAD G59 S10633 Millenium Old Park Rd V231374 19.07.05 Stage 4.doc Version 1.30 Page 26 - 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!