Inspection on 28/07/05 for Mokattam

This inspection was carried out on 28th 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

Mokattam 11/05/07

Mokattam 28/11/05

Mokattam 27/01/05

Mokattam 24/08/04

Mokattam 06/01/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 MOKATTAM Mokattam Altwood Bailey Maidenhead Berks SL6 4PQ Lead Inspector Sandra Grainge Unannounced 19 July 2005 at 09:30am 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. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Mokattam Address Altwood Bailey Maidenhead Berks SL6 4PQ 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) 01628 626070 Turnstone Support Ms Monica El Morabet Care Home (CRH) Pc 6 Category(ies) of Learning Disabilities (LD) registration, with number of places MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27 January 2005 Brief Description of the Service: Turnstone Support Ltd, an independent agency, is registered to provide personal care, support and accomodation in Makattam for up to six younger adults who have learning disabilities. Mokattam is a large detached property situated in a quiet residential road on the outskirts of Maidenhead. There are local shops and facilites within walking distance and a large range of leisure and recereational centres in the localarea. The house has a secluded rear garden that has seating, shade and room for leisure activities. There is limited off road car parking available at the front of the house where the Service Users transport vehicle is kept. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that was carried out over three hours by a locum Inspector. As part of the inspection process the previous requirements were considered; these were met or being implemented. The Inspector made a tour of the premises, spoke to the Registered Manager, her staff and spent time with the six Service Users. The more able Service Users were very pleased to show their bedrooms to the Inspector and inform her that they liked the home and their life in it. It was also apparent that those who were less able were interacting well with their carers who knew their needs and gave care in a considerate and skilled way. There had been insufficient hot water available for all to have a bath or shower in the mornings. Maintenance staff from the Trust were working in the home during the morning to investigate this problem. A requirement has been made for detail of the outcome and an action plan is to be sent to the CSCI. What the service does well: What has improved since the last inspection? Additional staff have been employed for each shift so that there are now sufficient numbers to provide care safely and to accompany Service Users on their outings. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2 and 5 Prospective Service Users can be given the information that they need to find out about the home and to decide if it is able to meet their needs. EVIDENCE: An up to date Statement of Purpose is available. In addition the home has a guide document that is easy to understand. There had been no vacancies in the home since the last inspection. Existing service users all had a written contract and statement of terms and conditions in their file. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 and 10 Each Service User has an individual file containing their assessments, needs and care plans. The files are kept safely. Reviews with Service Users are held twice a year and the records are updated when necessary. EVIDENCE: The files were kept safely in the Manager’s office. Service Users were aware of the files that were found to be up to date and to include care plans and assessments. During the inspection staff supported Service Users to make decisions about day-to-day choices of clothing and activity as well as supporting choice about future holidays. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 10 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) 11, 12, 13, 14, 16 and 17 The lifestyle of the Service Users was appropriate for their age and cultural needs. Service Users are aware of their rights and responsibilities within the home. EVIDENCE: Each Service User has a named keyworker; those who were able to speak to the Inspector clearly knew the name of the member of staff who gave them support and planned assistance. Meals were chosen according to their preference from a menu that was planned to meet nutritional needs. Records showed that staff had been given training and specialist support to enable them to feed one Service User who needed to be tube fed. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 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 and 20 There was evidence that Service Users were given support and assistance to receive holistic healthcare. Trained staff gave their medication. EVIDENCE: Each individual record contained detail of assessed need and support given to Service Users to receive medical and multidisciplinary guidance and expert care. Records were reviewed twice yearly and were up to date. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 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 ans 23 Service Users felt safe and protected in the home. EVIDENCE: A Service User was able to explain to the Inspector that staff listen to their concerns and worries and help to put things right for them. It was apparent that they had confidence in the staff as they were supported and given care. Records indicated that the staff had been trained to be aware of issues that might be abusive of vulnerable adults. A member of staff who was on duty confirmed this. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 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) 24,25,26,27,29and 30 The Service Users liked their home and were provided with accommodation and facilities that enabled them to lead a comfortable life in pleasant surroundings. EVIDENCE: The house was clean and hygienic. Service Users bedrooms contained their own possessions and were attractively furnished and decorated with their own choice of style and colour. Two of these rooms were spacious with ensuite facilities. All bedrooms were large enough to accommodate recreational use. Specialised equipment was provided for the most disabled Service User to enable her to remain in the home. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 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) 35 and 36. Care for Service Users was provided by skilled staff who are trained and supervised. EVIDENCE: There were records in place to demonstrate good staff recruitment practice. Staff were able to confirm that they had been given training as detailed in their training record. Supervision sessions were recorded. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 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) 37,38, and 42 The Manager operates the home in the best interests of the Service Users and with regard to observation of legal requirements and the safety of both Staff and Service Users. EVIDENCE: The Registered Manager is recently appointed. She is soon to commence study for the Manager’s award. She is enthusiastic about her role and considers that since she commenced work in the care industry the focus of interest in the running of the home has become the prime importance and the best interests of the Service Users. It was apparent to her that the home’s hot water supply was not adequate to deliver sufficient hot water in the mornings when everyone needed a bath or shower. At the time of the inspection maintenance workmen were working on the hot water system and electrical supply to find the reason. When this has been ascertained plans will be made to improve the supply. A plan of action will be sent to CSCI. MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 16 MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 17 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 3 3 x 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 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 MOKATTAM Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 2 x H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 18 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 42 Regulation 23(2)j Requirement A plan to increase the morning supply of hot water for baths and showers for Service Users is to be sent to CSCI Timescale for action one month 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 MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Berkshire RG7 4SA 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 MOKATTAM H52-H01 S11293 Mokattam V232172 190705 Stage 4.doc Version 1.30 Page 20 - 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. 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